Shemer Ofer, Stanleigh Jonathan, Pansky Moty, Barel Oshri
Department of Obstetrics and Gynecology, Samson Assuta Ashdod University Hospital, Ashdod, Israel affiliated with the Faculty of Health Sciences, Ben Gurion University, Israel.
Harefuah. 2022 Dec;161(12):747-750.
Gastric carcinoma in pregnancy is rare and occurs in only 0.025% to 0.1% of all pregnancies. Due to it's symptoms of abdominal discomfort and nausea, which are common during pregnancy, the diagnosis is usually made in an advanced stage. We present a case of a 37 years old woman who presented at 18 weeks of gestation with abdominal pain, nausea and vomiting accompanied with severe maternal ascites. Her workup included an MRI scan, abdominal and obstetrical ultrasound scans, sampling of the peritoneal fluid, gastroscopy and diagnostic laparoscopy. She was diagnosed with a stage four gastric carcinoma. As seen in this case and in the current literature, diagnosis of gastric carcinoma in pregnancy is difficult. It often tends to be made in stage three or four and usually carries a very poor prognosis. In this paper, we describe our experience with this patient and review the literature.
妊娠合并胃癌罕见，仅占所有妊娠的0.025%至0.1%。由于其腹部不适和恶心症状在孕期较为常见，诊断通常在疾病晚期才能做出。我们报告一例37岁女性病例，该患者在妊娠18周时出现腹痛、恶心、呕吐，并伴有严重的母体腹水。她的检查包括磁共振成像扫描、腹部和产科超声扫描、腹腔积液采样、胃镜检查和诊断性腹腔镜检查。她被诊断为四期胃癌。正如本病例及当前文献所示，妊娠合并胃癌的诊断较为困难。它往往在三期或四期时才得以诊断，且通常预后极差。在本文中，我们描述了对该患者的治疗经验并对文献进行了综述。
