A unique case report of sigmoid colon cancer metastasising to the breasts, ovaries and stomach in pregnancy

IF 0.9 Q3 MEDICINE, GENERAL & INTERNAL University of Toronto Medical Journal Pub Date : 2023-07-31 DOI:10.33137/utmj.v100i2.37765
Victoria Phooi Khei Tan, W. Teng, Fong Juen Kiew, N. Azizan, F. Hayati
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Abstract

Colorectal cancer in pregnancy is an infrequent phenomenon. It is estimated to occur in 1 in 13,000 pregnancies, with 80% representing rectal cancer. We report a rare case of a young pregnant female presenting with primary sigmoid colon adenocarcinoma metastasizing to the breast, ovaries, and stomach. Diagnosing colorectal malignancy in pregnancy is challenging, given the similarities in symptoms. Cancer in pregnancy may take on a more malignant course with rapid progression. Physicians must recognise the potential of this deadly disease lurking undetected in patients of this vulnerable population.
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乙状结肠癌在妊娠期转移到乳房、卵巢和胃的独特病例报告
妊娠期结直肠癌是一种罕见的现象。据估计,每13000次怀孕中就有1次发生这种情况,其中80%代表直肠癌。我们报告一个罕见的年轻怀孕女性的原发性乙状结肠腺癌转移到乳房,卵巢和胃。鉴于症状的相似性,诊断妊娠期结直肠恶性肿瘤是具有挑战性的。妊娠期的癌症可能发展迅速,恶性程度更高。医生必须认识到这种致命疾病潜伏在这一脆弱人群中未被发现的可能性。
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University of Toronto Medical Journal
University of Toronto Medical Journal MEDICINE, GENERAL & INTERNAL-
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