Colecchia G, Nardi M
Dipartimento Chirurgico, ASL Teramo, Sezione di Atri.
G Chir. 1999 Apr;20(4):159-61.
Carcinoma of the colon-rectum during pregnancy is rare (0.1-0.001%). Prognosis is severe as it is generally made at an advanced stage. The Authors report a case of adenocarcinoma of the recto-sigmoid junction in a 26-year-old pregnant woman. In this patient diagnosis was occasionally made after delivery by cesarean section. Early diagnosis is difficult because symptoms of colorectal cancer (vomiting, constipation, anemia, rectal bleeding, abdominal pain and distension, etc.) can be related to pregnancy. Gestational age and operability of the tumor are discussed by current medical and surgical management.
妊娠期间结直肠癌很罕见(0.1 - 0.001%)。由于其通常在晚期才得以诊断,所以预后很差。作者报告了一例26岁孕妇乙状结肠直肠交界处腺癌的病例。该患者是在剖宫产术后偶然确诊的。早期诊断困难,因为结直肠癌的症状(呕吐、便秘、贫血、直肠出血、腹痛和腹胀等)可能与妊娠有关。本文通过当前的医学和外科治疗方法探讨了孕周和肿瘤的可切除性。