title: Metastatic pancreatic adenocarcinoma presented as back pain in pregnancy: case report and review of literature.
abstract: OBJECTIVE
  To report a case of pancreatic adenocarcinoma complicating pregnancy with a review of literature.
  
  
  METHODS
  A literature search of all English articles on pancreatic adenocarcinoma in pregnancy till December 2014.
  
  
  RESULTS
  A 35-year-old patient presented at 22 weeks of gestation for back pain and weight loss. Subsequent she was confirmed to have metastatic pancreatic adenocarcinoma. There were in total eleven case reports identified. Abdominal pain and back pain were the presenting symptoms in 75% and 33.3% of patients respectively.
  
  
  CONCLUSIONS
  Pancreatic adecnocarcinoma is a rare cancer in pregnancy. A high index of suspicion is required in case of atypical symptoms.
authors.affiliation: a Department of Obstetrics and Gynecology , Queen Mary Hospital, The University of Hong Kong , Hong Kong.
authors.forename: Man-Wa
authors.initials: MW
authors.lastname: Lui
authors.affiliation: a Department of Obstetrics and Gynecology , Queen Mary Hospital, The University of Hong Kong , Hong Kong.
authors.forename: Carman Wing Sze
authors.initials: CW
authors.lastname: Lai
authors.affiliation: a Department of Obstetrics and Gynecology , Queen Mary Hospital, The University of Hong Kong , Hong Kong.
authors.forename: Charas Yeu-Theng
authors.initials: CY
authors.lastname: Ong
mesh_terms: D000230:Adenocarcinoma / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D000328:Adult; D001416:Back Pain / Q000209:etiology; D005260:Female; D006801:Humans; D010190:Pancreatic Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000175:diagnosis* / Q000628:therapy
keywords: Malignancy in pregnancy; metastatic cancer; palliative care; pancreatic adenocarcinoma; pancreatic cancer