ISSN 1301 - 0883 / E-ISSN 1309 - 3886
 
 








  Management of gastric cancer with liver metastasis in a pregnant woman [Eastern J Med]
Eastern J Med. 2017; 22(4): 204-207 | DOI: 10.5505/ejm.2017.21931  

Management of gastric cancer with liver metastasis in a pregnant woman

Numan Cim1, Erbil Karaman1, Osman Toktas2, Gulhan Gunes1, Esra Andıc1, Serhat Ege3, Recep Yildizhan1
1Department of Obstetric and Gynecology, Medical Faculty, Yuzuncu Yil University, Van,Turkey
2Department of General Surgery, Medical Faculty, Yuzuncu Yil University, Van,Turkey
3Department of Obstetric and Gynecology, Republic of Turkey- Ministry of Health Diyarbakır Gazi Yasargil Training and Research Hospital,Diyarbakir, Turkey

Gastric cancer during pregnancy is very rarely seen. The complaints and symptoms of gastric cancer are non-specific and many of these symptoms are frequently masked by factors related to normal pregnancy. Also abdominal examination cannot be done easily and in an optimal manner due to the gravid uterus. Here we report the treatment and follow up management of metastatic gastric cancer in a 38 year-old multiparous woman with 31 weeks of pregnancy.
A 38 year-old woman with G10P8A1 and 31 weeks of pregnancy was admitted to maternity outpatient clinic with the complaints of nausea, vomiting and constipation since 4 days. On palpation a solid lesion with 1.5 cm size was palpable in the subxiphoid region. The abdominal examination could not be performed due to the gravid uterus however, a solid nodule with largest diameter of 5 cm was observed on the liver suspected as metastasis. On the explorative laparotomy, a tumoral mass with multiple peripheral lymphadenopathies were observed in the posterior gastric antrum, pancreas and colon median entry-invasive artery. Multiple metastases in the omentum and liver with large amount of acid in the abdomen were present.
Early diagnosis and treatment is important for the prognosis of the gastric cancer. The complaints and symptoms of gastric cancer are non-specific and many of these symptoms can be seen similarly during normal pregnancy period. If the same symptoms recur during pregnancy or failure to respond to therapy, gastrointestinal system should be evaluated endoscopically.

Keywords: Pregnancy, liver metastasis, gastric cancer


Numan Cim, Erbil Karaman, Osman Toktas, Gulhan Gunes, Esra Andıc, Serhat Ege, Recep Yildizhan. Management of gastric cancer with liver metastasis in a pregnant woman. Eastern J Med. 2017; 22(4): 204-207

Corresponding Author: Numan Cim, Türkiye


TOOLS
Full Text PDF
Print
Download citation
RIS
EndNote
BibTex
Medlars
Procite
Reference Manager
Share with email
Share
Send email to author

Similar articles
PubMed
Google Scholar




 
Copyright © 2020 Eastern Journal of Medicine. All Rights Reserved.
Home        |        Contact
LookUs & OnlineMakale