妊娠中に診断された肝転移を伴う遺伝性非ポリポーシス大腸癌の１例

DOI Web Site 被引用文献4件 参考文献39件

書誌事項

タイトル別名
  • A Case of Hereditary Nonpolyposis Colorectal Cancer with Multiple Liver Metastases During Pregnancy

この論文をさがす

抄録

A 40-year-old woman 22 weeks and 5 days pregnant suffered right upper abdominal pain. Her history showed that her father had rectal cancer and died of liver failure, and her sister had colon cancer. This family matched the criteria of Hereditary Non-Polyposis Colorectal Cancer (Amsterdam criteria II). Ultrasonography (US) of the abdomen showed liver tumors finally diagnosed as sigmoid colon cancer with multiple liver metastases at 23 weeks and 2 days of pregnancy. After discussion with the patient and her family, we decided to wait until 28 weeks into the pregnancy to ensure a safe delivery, then therapy for cancer would be done. Due to the pa-tient's worsening condition, however, we had to conduct emergency surgery 24 weeks and 4 days into the pregnancy, resulting in fatal death 4 hours postoperatively and the patient's death of multiple organ failure 13 days postoperatively. The treatment of cancer during pregnancy thus requires best selection of therapy based on the many factors attending the particular pregnancy.

収録刊行物

被引用文献 (4)*注記

もっと見る

参考文献 (39)*注記

もっと見る

キーワード

詳細情報 詳細情報について

問題の指摘

ページトップへ