دورية أكاديمية

[A pregnant woman with gastric cancer and placental involvement].

التفاصيل البيبلوغرافية
العنوان: [A pregnant woman with gastric cancer and placental involvement].
عنوان ترانسليتريتد: Een zwangere vrouw met maagkanker en placentaire metastasen.
المؤلفون: Kleijn TG; Universitair Medisch Centrum Groningen, afd. Pathologie, Groningen.; Contact: T. G. Kleijn (t.g.kleijn@umcg.nl)., Scholten I; Deventer Ziekenhuis, afd. Gynaecologie, Deventer., Knol HM; Isala ziekenhuis, afd. Gynaecologie, Zwolle., Zwart JJ; Deventer Ziekenhuis, afd. Gynaecologie, Deventer., Hoogland AM; Isala ziekenhuis, afd. Pathologie, Zwolle.
المصدر: Nederlands tijdschrift voor geneeskunde [Ned Tijdschr Geneeskd] 2022 Jun 15; Vol. 166. Date of Electronic Publication: 2022 Jun 15.
نوع المنشور: Case Reports; Journal Article
اللغة: Dutch; Flemish
بيانات الدورية: Publisher: Vereniging NTvG Country of Publication: Netherlands NLM ID: 0400770 Publication Model: Electronic Cited Medium: Internet ISSN: 1876-8784 (Electronic) Linking ISSN: 00282162 NLM ISO Abbreviation: Ned Tijdschr Geneeskd Subsets: MEDLINE
أسماء مطبوعة: Publication: 2017?-: Amsterdam : Vereniging NTvG
Original Publication: Houten : Bohn Stafleu van Loghum
مواضيع طبية MeSH: Hyperemesis Gravidarum*/diagnosis , Stomach Neoplasms*/diagnosis, Adult ; Female ; Humans ; Nausea ; Placenta ; Pregnancy ; Pregnant Women
مستخلص: Background: About 200 pregnant women in the Netherlands are yearly diagnosed with cancer. Pregnant women with cancer are often diagnosed later than non-pregnant women because symptoms of cancer are common during pregnancy and may elude suspicion. We report a patient with gastric carcinoma masquerading as hyperemesis gravidarum.
Case Description: A 39-year-old pregnant woman was admitted at 25 weeks' gestation for the evaluation of persistent nausea, vomiting and weight loss (29 kg) since the beginning of her pregnancy. A presumptive diagnosis of hyperemesis gravidarum was made. Endoscopic examination was not performed. At 28 weeks' gestation caesarean was performed due to fetal distress and revealed a gastric tumour with abnormalities of the omentum. Microscopic examination of the omentum and placental specimen demonstrated poorly differentiated adenocarcinoma cells.
Conclusion: This case illustrates that endoscopic examination should be conducted in pregnant patients presenting with persistent gastrointestinal symptoms for the differential diagnosis of hyperemesis gravidarum.
تواريخ الأحداث: Date Created: 20220623 Date Completed: 20220627 Latest Revision: 20220628
رمز التحديث: 20231215
PMID: 35736396
قاعدة البيانات: MEDLINE