Colon Cancer and Pregnancy

IF 1.2 4区 医学 Q4 GASTROENTEROLOGY & HEPATOLOGY Clinics in Colon and Rectal Surgery Pub Date : 2024-06-26 DOI:10.1055/s-0044-1787890
Olivia A. Sacks, Jennifer S. Davids
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Abstract

As the incidence of colorectal cancer (CRC) in the younger population increases and women start their childbearing journey at later ages, CRC in pregnancy will become an increasingly relevant and decreasingly rare occurrence. Unfortunately, there is a dearth of data on this subject given its historical rarity. CRC is often diagnosed at a late stage in pregnancy because of the conflation of symptoms of pregnancy with symptoms of CRC. A major branch point for the diagnosis and treatment of CRC in pregnancy is whether it is diagnosed early or late in pregnancy. The workup for cancer is similar for pregnant and nonpregnant populations and includes endoscopy and staging computed tomography. Treatment is dependent on the stage of cancer and term of pregnancy. This review summarizes the current evidence for diagnosis, workup, and treatment of CRC during pregnancy and explores issues of fertility after a diagnosis of CRC.

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结肠癌与怀孕
随着年轻群体中结直肠癌(CRC)发病率的增加,以及女性开始生育年龄的推迟,妊娠期结直肠癌将变得越来越重要,而且越来越罕见。遗憾的是,鉴于其历史罕见性,这方面的数据十分匮乏。由于妊娠症状与 CRC 症状相混淆,CRC 通常在妊娠晚期才被诊断出来。妊娠期 CRC 诊断和治疗的一个主要分支是在妊娠早期还是晚期确诊。妊娠期和非妊娠期癌症的检查方法类似,包括内窥镜检查和分期计算机断层扫描。治疗取决于癌症的分期和妊娠期。本综述总结了目前有关妊娠期 CRC 诊断、检查和治疗的证据,并探讨了确诊 CRC 后的生育问题。
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来源期刊
Clinics in Colon and Rectal Surgery
Clinics in Colon and Rectal Surgery GASTROENTEROLOGY & HEPATOLOGYSURGERY-SURGERY
CiteScore
2.60
自引率
7.10%
发文量
84
期刊介绍: Clinics in Colon and Rectal Surgery is a review journal that publishes topic-specific issues on diseases of the small bowel, colon, rectum, and anus. Designed for clinicians, researchers, and educators involved with diseases of the intestinal tract, the journal covers a broad spectrum of basic information, controversial clinical issues, and established and innovative diagnostic techniques. Issue topics comprehensively cover the entire specialty over a 3-4 year period, allowing the articles to serve as study material for educational programs and certifying examinations. The inclusion of research and clinical material also allows physicians to remain knowledgeable of current advances in the specialty.
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Corrigendum: Current Position of Sacral Neuromodulation in Treatment of Fecal Incontinence. Current Trends in the Management of a Complex Polyp: Endoscopy versus Surgery Hereditary Colorectal Cancer: From Diagnosis to Surgical Options The Young: Early-Onset Colon Cancer The Old: Is There Any Role for Screening Colonoscopy after the Age of 75? The Surgeon's Perspective
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