[Colorectal cancer discovered during pregnancy].
Colorectal carcinoma during pregnancy is very rare. Prognosis is severe because of the advanced stage due to delay in diagnosis and the aggressiveness of this widespread metastatic disease. We report the case of colon metaststic adenocarcinoma during a twin pregnancy with a good outcome. In the light of epidemiology, pathogeny and immunology, the diagnostic challenge for clinicians is distinguishing pregnancy symptoms from the warning signs of colorectal cancer and, we describe recommended medical and surgical management.
Chêne
G
G
Département de Chirurgie Digestive et Viscérale, Centre Hospitalier de Vichy, boulevard Denière, BP 2757, 03201 Vichy Cedex. chenegautier@yahoo.fr
Tardieu
A-S
AS
Favard
A
A
Lebel
A
A
Voitellier
M
M
D000230:Adenocarcinoma / Q000175:diagnosis* / Q000628:therapy; D000328:Adult; D017024:Chemotherapy, Adjuvant; D015179:Colorectal Neoplasms / Q000175:diagnosis* / Q000628:therapy; D005260:Female; D006801:Humans; D010534:Peritoneal Neoplasms / Q000175:diagnosis / Q000556:secondary / Q000628:therapy; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000175:diagnosis* / Q000628:therapy