We present the case of a 38-year-old female who, in the context of a 22-week gestation, attended the hospital due to epigastric pain and hematemesis. She underwent gastroscopy (Fig. 1A), which revealed two ulcers with a neoplastic aspect in the gastric body, and the biopsy confirmed the finding of diffuse gastric adenocarcinoma. Considering the patient's desire to continue with her pregnancy, the tumor was staged by thoracic computed tomography (CT), endoscopic ultrasound (EUS) (Fig. 1B) and abdominal and pelvic magnetic resonance imaging (MRI) (Fig. 1C).One month later, a cesarean section was performed, followed by FLOT induction cytostatic treatment (a combination based on fluoropyrimidines, platinum salts and taxanes); after four cycles, the patient underwent Roux-en-Y total gastrectomy. The anatomopathological finding, ypT3ypN3b, reflected the poor response of the tumor to chemotherapy, and foreshadowed the poor outcome of the young mother.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.