RETRAIT: Cancer rectocolique et grossesse : à propos de deux cas

Chourak, M.; Tahiri, M.; Majbar, Mohammed Anass; Allala, M.; Najih, Mohammed; Iraki, H.; Yaka, M.; Ehrichou, A.; Alkandry, S.

doi:10.1016/j.gcb.2009.02.045

Cited by 5 publications

(2 citation statements)

References 17 publications

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“…Although its incidence is rare, it is associated with serious consequences for both the mother and even the fetus [8]. Its clinical manifestation, diagnosis, and treatment options seem a big challenge in front of treating physicians [9–13]. In some cases, it is possible only to save one life between the mother and the fetus which demands a deep ethical consideration and also religious challenges.…”

Section: Discussionmentioning

confidence: 99%

A Case of Colorectal Cancer during Pregnancy: A Brief Review of the Literature

Khodaverdi

Valeshabad

Khodaverdi

2013

Case Reports in Obstetrics and Gynecology

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The incidence of colorectal cancer (CRC) during pregnancy is so rare. Herein we present a case of colorectal cancer that was missed by pregnancy all over the pregnancy period. The patient was a 37-year-old woman (gravid 4, para 2) referred with the complaints of vaginal discharge and suspicious rupture of membrane (ROM). The patient was pale and the initial physical examination revealed dilation of two fingers, effacement about 30%. She underwent emergent cesarean section which showed adhesions surrounding the uterus, the bladder, and the abdominal wall. Forty days postoperatively, the patient presented with abdominal pain in the left upper quadrant (LUQ). Imaging confirmed a mass in LUQ. Partial colectomy of transverse colon (20 cm) was performed. Postoperative histopathologic study revealed a 7 ∗ 6 ∗ 5 cm mass in transverse colon compatible to stage IIa of the Duck class (T3, N0, Mx). Adjuvant chemotherapy was applied and the patient showed improvements during 7 months followup after surgery. Colorectal cancer in pregnancy is associated with diagnostic and therapeutic challenges which mostly lead to late diagnosis in advanced stages and poor prognosis. A targeted program to improve the general population knowledge and the establishment of a national consultant and screening program particularly for women with a planned pregnancy in the high risk group might be beneficial.

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Section: Discussionmentioning

confidence: 99%

A Case of Colorectal Cancer during Pregnancy: A Brief Review of the Literature

Khodaverdi

Valeshabad

Khodaverdi

2013

Case Reports in Obstetrics and Gynecology

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“…Surgery during pregnancy involves the risk of bleeding and miscarriage if done before 14 weeks [6]. Chemotherapy can be started during the second or third trimester without increased risk of fetal loss or malformation [7]. Radiotherapy is not possible during pregnancy because of the risk of lethal fetal malformation, and it should be delayed until after labor.…”

Section: Discussionmentioning

confidence: 99%

Fulminant Adenocarcinoma of the Rectum with Hepatic Metastasis in a Young Pregnant Woman: A Case Report

Júnior¹,

Campanharo²,

Sun³

et al. 2012

Case Rep Oncol

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Cancer is the second leading cause of death during the reproductive years, but the incidence during pregnancy is low. The incidence of cancer of the rectum during pregnancy is very rare (1:50,000 to 1:100,000 pregnancies). Usually, the symptoms of this type of cancer are nonspecific and sometimes they are confused with normal changes of pregnancy. The diagnosis of rectal cancer is usually made in the late stage of pregnancy. The treatment of this cancer involves surgery, chemotherapy and radiotherapy, but each type of treatment involves risks to the fetus and the pregnant woman. We present a case of a young primiparous woman who had a quick and bad evolution of an adenocarcinoma of the rectum diagnosed during pregnancy. This patient had extensive involvement of the liver with metastasis and she died two weeks after diagnosis. In this case, we present the clinical, radiological and pathology findings of this disease.

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