Cift Tayfur, Aydogan Begüm, Akbaş Murat, Aydın Burcu, Demirkiran Fuat, Bakkaloglu Dogu V, Ilvan Sennur
Department of Gynecology and Obstetrics, Cerrahpaşa Medical School, Istanbul University, 34303 Istanbul, Turkey.
Case Rep Obstet Gynecol. 2011;2011:532854. doi: 10.1155/2011/532854. Epub 2011 Jul 14.
We report a rare case of gastric cancer in pregnancy. A 26-year-old woman presented at the 20th week of pregnancy complaining of nausea and vomiting. Although the patient considered the condition to be related with pregnancy and underestimated its importance, her complaints persisted over the following weeks and she was hospitalized for investigation. The diagnostic workup revealed a metastatic gastric cancer. Gastric cancer is very rare in pregnancy, and therefore it may be left out of differential diagnosis by physicians. Diagnosis may be further delayed because of overlapping symptoms occurring during normal pregnancy (nausea, vomiting, and fatigue). All these factors may contribute to a very high mortality of this malignancy during pregnancy.
我们报告一例妊娠合并胃癌的罕见病例。一名26岁女性在妊娠第20周时出现恶心和呕吐症状。尽管患者认为该症状与妊娠有关且未重视其严重性，但随后几周症状持续存在，她因此住院接受检查。诊断检查发现是转移性胃癌。胃癌在妊娠期非常罕见，因此医生在鉴别诊断时可能会忽略这一情况。由于正常妊娠期间也会出现重叠症状（恶心、呕吐和疲劳），诊断可能会进一步延迟。所有这些因素可能导致这种恶性肿瘤在妊娠期的死亡率非常高。
