[Gastric cancer in pregnancy -- a case report].

D Brüggmann, M K Bohlmann, R M Bohle, H-R Tinneberg
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引用次数: 2

Abstract

Nausea and vomiting are common sufferings of pregnant woman. No gynaecologist would consider carcinoma of the stomach as a probable differential diagnosis according the extremely rare probability of this disease during pregnancy. Consequently, a late diagnosis in pregnancy can result in spreading throughout the whole abdomen. In this advanced stage, it is only possible to recommend palliative care to the patient followed by short survival. Fetal metastasis is a rare entity, therefore caesarean section and chemotherapy should not be performed until fetal maturity. If vomiting and nausea are prolonged after the sixteenth week of pregnancy a malignant disease of the stomach should be excluded. Only in case of short delay between symptoms and diagnosis, the stomach cancer can be resected totally followed by a better overall survival of the patient.

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【妊娠期胃癌1例报告】。
恶心和呕吐是孕妇的常见病。没有妇科医生会考虑胃癌作为一个可能的鉴别诊断,因为这种疾病在怀孕期间的概率非常低。因此,妊娠晚期诊断可导致整个腹部扩散。在这个晚期阶段,只有可能推荐姑息治疗患者随后的短期生存。胎儿转移是一个罕见的实体,因此剖腹产和化疗不应进行,直到胎儿成熟。如果妊娠第16周后持续呕吐和恶心,应排除胃部恶性疾病。只有在症状和诊断之间延迟较短的情况下,才能完全切除胃癌,从而提高患者的总生存率。
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