Management and outcome of colorectal cancer during pregnancy: report of 41 cases
Jazyk angličtina Země Anglie, Velká Británie Médium print-electronic
Typ dokumentu časopisecké články, pozorovací studie
- Klíčová slova
- Colon, cancer, outcome, pregnancy, rectum, treatment,
- MeSH
- adjuvantní chemoterapie MeSH
- dospělí MeSH
- kohortové studie MeSH
- kolorektální nádory mortalita patologie chirurgie MeSH
- kombinovaná terapie MeSH
- lidé MeSH
- lokální recidiva nádoru mortalita MeSH
- míra přežití MeSH
- nádorové komplikace v těhotenství mortalita patologie chirurgie MeSH
- novorozenec MeSH
- porodní hmotnost MeSH
- registrace MeSH
- staging nádorů MeSH
- těhotenství MeSH
- výsledek těhotenství MeSH
- Check Tag
- dospělí MeSH
- lidé MeSH
- novorozenec MeSH
- těhotenství MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- pozorovací studie MeSH
- Geografické názvy
- Československo MeSH
BACKGROUND: Colorectal cancer in pregnancy is rare, with an incidence of 0.8 per 100,000 pregnancies. Advanced disease (stage III or IV) is diagnosed more frequently in pregnant patients. We aimed to review all cases of colorectal cancer in pregnancy from the International Network on Cancer, Infertility and Pregnancy database in order to learn more about this rare disease and improve its management. METHODS: Data on the demographic features, symptoms, histopathology, diagnostic and therapeutic interventions and outcomes (obstetric, neonatal and maternal) were analysed. RESULTS: Twenty-seven colon and 14 rectal cancer cases were identified. Advanced disease was present in 30 patients (73.2%). During pregnancy, 21 patients (51.2%) received surgery and 12 patients (29.3%) received chemotherapy. Thirty-three patients (80.5%) delivered live babies: 21 by caesarean section and 12 vaginally. Prematurity rate was high (78.8%). Eight babies were small for gestational age (27.6%). Three patients (10.7%) developed recurrence of disease. Overall 2-year survival was 64.4%. CONCLUSION: Despite a more frequent presentation with advanced disease, colorectal cancer has a similar prognosis in pregnancy when compared with the general population. Diagnostic interventions and treatment should not be delayed due to the pregnancy but a balance between maternal and foetal wellbeing must always be kept in mind.
b Department of Obstetrics and Gynaecology VU University Medical Centre Amsterdam Netherlands
c Department of Oncology KU Leuven Leuven Belgium
e Department of Gynaecological Surgery Institute Gustave Roussy Villejuif France
j Division of Gynaecologic Oncology University Hospitals Leuven Leuven Belgium
k Centre for Gynaecologic Oncology Amsterdam Academic Medical Centre Amsterdam Netherlands
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