Heise R H, Van Winter J T, Wilson T O, Ogburn P L
Department of Obstetrics and Gynecology, Mayo Clinic, Rochester, MN 55905.
Mayo Clin Proc. 1992 Dec;67(12):1180-4. doi: 10.1016/s0025-6196(12)61148-3.
Colonic cancer during pregnancy is rare. Herein we describe a case of adenocarcinoma of the transverse colon in a 29-year-old pregnant patient. Early diagnosis is difficult because the initial symptoms of colorectal cancer, such as abdominal pain, nausea and vomiting, constipation, and abdominal distention, are often attributed to a normal pregnancy. Management of colonic cancer during pregnancy depends on gestational age and operability of the tumor. Medical and surgical management considerations are discussed.
妊娠期结肠癌较为罕见。在此,我们描述一例29岁妊娠患者的横结肠癌腺癌病例。早期诊断困难,因为结直肠癌的初始症状,如腹痛、恶心呕吐、便秘和腹胀,常被归因于正常妊娠。妊娠期结肠癌的治疗取决于孕周和肿瘤的可切除性。本文讨论了药物和手术治疗的相关考量。