Gastric carcinoma diagnosed at the third trimester: a case report.
Gastric carcinoma associated with pregnancy appears to be an extremely rare entity. It is usually diagnosed at advanced stages of the disease and presents a grave prognosis. Since the fatal outcome shows a rapid course within months of diagnosis, prompt gastroduodenal endoscopic examination following early clinical suspicion is mandatory. A case of 29 year-old pregnant woman with 31 weeks of gestation is herein presented. The women was diagnosed as gastric adenocarcinoma while being investigated for intractable nausea, vomiting, and a concomitant epigastric mass. She underwent radical gastric resection and received six cycles of adjuvant chemotherapy following vaginal delivery of a healthy 1950 g fetus. The patient was dead 20 weeks after the surgery due to pulmonary and hepatic metastasis.
Yücesoy
Gülseren
G
Department of Obstetrics and Gynecology, School of Medicine, University of Kocaeli, Mazhar Osman Sok 10/8, Feneryolu-Istanbul, Turkey. gulserene@superonline.com
Büyükgebiz
Oğuzhan
O
Yildiz
Kürsat
K
Cakiroğlu
Yiğit
Y
Ozkan
Sebiha
S
Bodur
Harika
H
D000230:Adenocarcinoma / Q000150:complications / Q000188:drug therapy / Q000601:surgery*; D000328:Adult; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D007751:Labor, Induced; D050498:Live Birth; D008297:Male; D009325:Nausea / Q000209:etiology; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000188:drug therapy / Q000601:surgery*; D011263:Pregnancy Trimester, Third; D013274:Stomach Neoplasms / Q000150:complications / Q000188:drug therapy / Q000601:surgery*; D014839:Vomiting / Q000209:etiology