Case Report
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Metastatic gastric adenocarcinoma in a pregnant woman

Year 2018, Volume: 4 Issue: 4, 444 - 447, 04.10.2018
https://doi.org/10.18621/eurj.368205

Abstract

Gastric cancers occur in only 0.025% to 0.1% of all
pregnancies. We present a pregnant woman with gastric adenocarcinoma associated
with bone metastasis. She is 36-year-old (gravida:4, para:0) 16-week pregnancy,
complaining of nausea, vomiting, weight loss (~15 kg) and low back pain.
Although the patient considered the condition to be related with pregnancy and
underestimated its importance. She had high erythrocyte sedimentation rate (107
mm/h) and anemia (hemoglobin = 9.4 gr/dl). Lumbar magnetic resonance imaging showed
L4 vertebrae malign compression fracture and diffuse bone metastasis. Because
of the patient's melena, esophagogastroduodenoscopy was performed and biopsy
result was reported as stomach adenocarcinoma. It is important to evaluate the
symptoms of low back pain and pregnancy related symptoms carefully and do not
cause delays in diagnosis due to overlapping symptoms. 

References

  • [1] Franklin ME, Conner-Kerr T. An analysis of posture and back pain in the first and third trimesters of pregnancy. J Orthop Sports Phys Ther 1998;28:133-8.
  • [2] Ritchie JR. Orthopedic considerations during pregnancy. Clin Obstet Gynecol 2003;46:456-66.
  • [3] Kristiansson P, Svardsudd K, Von Schoultz B. Serum relaxin, symphyseal pain, and back pain during pregnancy. Am J Obstet Gynecol 1996;175:1342-7.
  • [4] Chan YL, Lam WW, Lau TK. Back pain in pregnancy: magnetic resonance imaging correlation. Clin Radiol 2002;57:1109-12.
  • [5] Pacheco S, Norero E, Canales C, Martínez JM, Herrera ME, Muñoz C, et al. The rare and challenging presentation of gastric cancer during pregnancy: a report of three cases. J Gastric Cancer 2016;16:271-6.
  • [6] Carvalho MECC, Lima LC, de Lira Terceiro CA, Pinto DRL, Silva MN, Cozer GA, et al. Low back pain during pregnancy. Rev Bras Anestesiol 2017;67:266-70.
  • [7] Cardonick E, Lacobucci A. Use of chemotherapy during human pregnancy. Lancet Oncol 2004;5:283-91.
  • [8] Nishie H, Mizushima T, Suzuki Y, Fukusada S, Inoue T, Kachi K, et al. Chemotherapy treatment of a pregnant woman with progressive gastric cancer. Intern Med. 2015;54:1207-12.
  • [9] Ishiguro T, Serikawa T, Yahata T, Enomoto T. Gestational choriocarcinoma: rare spinal metastasis during a viable pregnancy. J Obstet Gynaecol Res 2017;43:421-24.
  • [10] Naito Y, Akeda K, Kasai Y, Matsumine A, Tabata T, Nagao K, et al. Lumbar metastasis of choriocarcinoma. Spine (Phila Pa 1976) 2009;34:538-43.
  • [11] Chen Y, Li Y, Wang H, Lu J, Jin M, Zhang Z. Maternal gastric carcinoma with metastasis to the placenta: a case report. Oncol Lett 2014;8:2509-10.
  • [12] Cift T, Aydogan B, Akbaş M, Aydın B, Demirkiran F, Bakkaloglu DV, et al. Case report: gastric carcinoma diagnosed at the second trimester of pregnancy. Case Rep Obstet Gynecol 2011;2011:532854.
  • [13] Fujino T, Nakamura M, Sato T. [Pregnancy and gastric cancer]. Shusanki Igaku (Perinatal Medicine) 2002;32:1049-55. [Article in Japanese]
  • [14] Jaspers VK, Gillessen A, Quakernack K. Gastric cancer in pregnancy: do pregnancy, age or female sex alter the prognosis? Case report and review. Eur J Obstet Gynecol Reprod Biol 1999;87:13-22.
Year 2018, Volume: 4 Issue: 4, 444 - 447, 04.10.2018
https://doi.org/10.18621/eurj.368205

Abstract

References

  • [1] Franklin ME, Conner-Kerr T. An analysis of posture and back pain in the first and third trimesters of pregnancy. J Orthop Sports Phys Ther 1998;28:133-8.
  • [2] Ritchie JR. Orthopedic considerations during pregnancy. Clin Obstet Gynecol 2003;46:456-66.
  • [3] Kristiansson P, Svardsudd K, Von Schoultz B. Serum relaxin, symphyseal pain, and back pain during pregnancy. Am J Obstet Gynecol 1996;175:1342-7.
  • [4] Chan YL, Lam WW, Lau TK. Back pain in pregnancy: magnetic resonance imaging correlation. Clin Radiol 2002;57:1109-12.
  • [5] Pacheco S, Norero E, Canales C, Martínez JM, Herrera ME, Muñoz C, et al. The rare and challenging presentation of gastric cancer during pregnancy: a report of three cases. J Gastric Cancer 2016;16:271-6.
  • [6] Carvalho MECC, Lima LC, de Lira Terceiro CA, Pinto DRL, Silva MN, Cozer GA, et al. Low back pain during pregnancy. Rev Bras Anestesiol 2017;67:266-70.
  • [7] Cardonick E, Lacobucci A. Use of chemotherapy during human pregnancy. Lancet Oncol 2004;5:283-91.
  • [8] Nishie H, Mizushima T, Suzuki Y, Fukusada S, Inoue T, Kachi K, et al. Chemotherapy treatment of a pregnant woman with progressive gastric cancer. Intern Med. 2015;54:1207-12.
  • [9] Ishiguro T, Serikawa T, Yahata T, Enomoto T. Gestational choriocarcinoma: rare spinal metastasis during a viable pregnancy. J Obstet Gynaecol Res 2017;43:421-24.
  • [10] Naito Y, Akeda K, Kasai Y, Matsumine A, Tabata T, Nagao K, et al. Lumbar metastasis of choriocarcinoma. Spine (Phila Pa 1976) 2009;34:538-43.
  • [11] Chen Y, Li Y, Wang H, Lu J, Jin M, Zhang Z. Maternal gastric carcinoma with metastasis to the placenta: a case report. Oncol Lett 2014;8:2509-10.
  • [12] Cift T, Aydogan B, Akbaş M, Aydın B, Demirkiran F, Bakkaloglu DV, et al. Case report: gastric carcinoma diagnosed at the second trimester of pregnancy. Case Rep Obstet Gynecol 2011;2011:532854.
  • [13] Fujino T, Nakamura M, Sato T. [Pregnancy and gastric cancer]. Shusanki Igaku (Perinatal Medicine) 2002;32:1049-55. [Article in Japanese]
  • [14] Jaspers VK, Gillessen A, Quakernack K. Gastric cancer in pregnancy: do pregnancy, age or female sex alter the prognosis? Case report and review. Eur J Obstet Gynecol Reprod Biol 1999;87:13-22.
There are 14 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Case Reports
Authors

Raikan Büyükavcı 0000-0002-2234-7158

Hakan Apaydın This is me 0000-0001-7219-1457

Semra Aktürk 0000-0001-9960-6851

Publication Date October 4, 2018
Submission Date December 18, 2017
Acceptance Date January 19, 2018
Published in Issue Year 2018 Volume: 4 Issue: 4

Cite

AMA Büyükavcı R, Apaydın H, Aktürk S. Metastatic gastric adenocarcinoma in a pregnant woman. Eur Res J. October 2018;4(4):444-447. doi:10.18621/eurj.368205

e-ISSN: 2149-3189 


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