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임신 및 산욕기에 진단된 대장암

Colorectal Cancer during Pregnancy or Postpartum -A Review of 7 Cases-

대한대장항문학회지 2005년 21권 2호 p.100 ~ 104
박인자 ( Park In-Ja ) - 울산대학교 의과대학 외과학교실

김희철 ( Kim Hee-Cheol ) - 울산대학교 의과대학 외과학교실
유창식 ( Yu Chang-Sik ) - 울산대학교 의과대학 외과학교실
김진천 ( Kim Jin-Cheon ) - 울산대학교 의과대학 외과학교실

Abstract


Colorectal cancer during pregnancy is a very rare condition with a reported incidence between 0.001% and 0.1%. Delayed diagnosis is common because of the similarity between the early signs and symptoms of colon cancer and the gastrointestinal symptoms related to pregnancy, which results in a poor prognosis. Only two cases, related with pregnancy were reported in Korea prior to 2004. We report seven cases of colorectal cancer during pregnancy or postpartum, as well as a literature review. We experienced 7 cases of colorectal cancer which were discovered during pregnancy or 2 weeks after delivery. The chief complaints were abdominal pain, discomfort, and hematochezia. The locations were the rectum in two cases, the right-side colon in two cases, the splenic flexure in two cases, and the sigmoid colon in one case. The stages of the disease were advanced in two cases: one with ovarian metastasis and the other with breast metastasis. There were four stage II patients who survived for 70, 34, 47, and 15 months, respectively. one patient had intra-mucosal cancer, which was identified incidentally during examination. The patient with ovarian metastasis died at 57 months postoperatively and the patient with breast metastasis died at 3 months.

키워드

대장암;임신
Colorectal neoplasm;Pregnancy
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