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KMID : 0356720050210020100
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Journal of the Korean Society of Coloproctology
2005 Volume.21 No. 2 p.100 ~ p.104
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Colorectal Cancer during Pregnancy or Postpartum -A Review of 7 Cases-
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Park In-Ja
Kim Hee-Cheol
Yu Chang-Sik
Kim Jin-Cheon
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Abstract
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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.
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KEYWORD
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Colorectal neoplasm, Pregnancy
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