Diffuse Gastric Cancer During Pregnancy: Report of a Rare Association.
Diffuse Gastric Cancer During Pregnancy: Report of a Rare Association.
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DOI：
10.14740/wjon945w
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发表时间：
2015-10
影响因子：
5.2
通讯作者：
Correia JW
中科院分区：
文献类型：
--
作者：
Barbosa OA;de Souza ADB;Moura MRC;Junior EJA;Fontenele JPU;Chaves FF;Correia JW
怀孕期间的胃癌是一种罕见的事件，很难诊断，因为这些症状可能会与普通怀孕的症状相混淆。我们报告一例25岁妊娠29周的病人，以乏力、呕吐和体重减轻为主诉。在消瘦综合征的调查中，幽门前区的浸润性溃疡病变行胃镜检查，活检发现印戒环癌，未分化型。它是在严格控制胎儿活力的情况下举行的，并在34周时通过腹部分娩中断了怀孕。剖宫产后不久，进行剖腹探查以清点腹膜，观察腹膜内是否有癌性植入物。在无法切除的情况下，采取了临床行为，并将患者送往化疗，通过空肠造口确保营养。本文回顾了胃癌与妊娠的关系，讨论了治疗的开始和妊娠的延续。
Gastric cancer during pregnancy is a rare event and difficult to diagnose, as the symptoms can be confused with those of an ordinary pregnancy. We report a case of a 25-year-old patient with a 29-week gestation, with asthenia complaint, vomiting and weight loss. During the investigation of wasting syndrome endoscopy was performed with infiltrative ulcerative lesions in pre-pyloric region with biopsy revealing carcinoma with signet ring, undifferentiated type. It was held on a strict control of fetal vitality, and pregnancy was interrupted via the abdominal delivery at 34 weeks. Soon after the cesarean section was performed, exploratory laparotomy was performed to perform inventory of the abdominal cavity, being observed the presence of carcinomatous implants in the peritoneum. In the face of irresectability clinical conduct was adopted and the patient was sent to chemotherapy, ensuring nutrition via a jejunostomy. The article reviews the gastric carcinoma association with pregnancy, discussing the initiation of treatment and continuity of pregnancy.