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Challenges Associated with Colorectal Cancer in Pregnancy

Colorectal cancer is epidemiologically a disease of the middle-aged and elderly. However, it may occur in the young where it presents with virulent biological behavior and poor prognosis. The symptoms of colorectal cancer may be masked by symptoms of pregnancy and the patient may attribute it to the...

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Autores principales: Amarjothi, J.M.V., Ramasamy, Villalan, Senthil Kumaran, G.R., Naganath Babu, O.L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger AG 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6600118/
https://www.ncbi.nlm.nih.gov/pubmed/31275088
http://dx.doi.org/10.1159/000500078
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author Amarjothi, J.M.V.
Ramasamy, Villalan
Senthil Kumaran, G.R.
Naganath Babu, O.L.
author_facet Amarjothi, J.M.V.
Ramasamy, Villalan
Senthil Kumaran, G.R.
Naganath Babu, O.L.
author_sort Amarjothi, J.M.V.
collection PubMed
description Colorectal cancer is epidemiologically a disease of the middle-aged and elderly. However, it may occur in the young where it presents with virulent biological behavior and poor prognosis. The symptoms of colorectal cancer may be masked by symptoms of pregnancy and the patient may attribute it to the pregnancy, especially in multiparous patients whose anxiety and apprehension levels may be lower and hence present late to health care providers. Antenatal women who present with such symptoms must be investigated further under the available repertoire of investigations possible in pregnancy without causing any maternal or fetal hazard. Treatment with chemotherapy and radiation for cancer in this setting is further hampered by justifiable concerns over fetal well-being. We present a case of colorectal cancer in a young multiparous female and the associated difficulties in diagnosis and management. The challenges with colorectal cancers and pregnancies are expected to rise in the future with a decreasing trend in age of colorectal cancer occurrence and an increasing age of pregnancy due to lifestyle changes.
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spelling pubmed-66001182019-07-03 Challenges Associated with Colorectal Cancer in Pregnancy Amarjothi, J.M.V. Ramasamy, Villalan Senthil Kumaran, G.R. Naganath Babu, O.L. Case Rep Gastroenterol Case and Review Colorectal cancer is epidemiologically a disease of the middle-aged and elderly. However, it may occur in the young where it presents with virulent biological behavior and poor prognosis. The symptoms of colorectal cancer may be masked by symptoms of pregnancy and the patient may attribute it to the pregnancy, especially in multiparous patients whose anxiety and apprehension levels may be lower and hence present late to health care providers. Antenatal women who present with such symptoms must be investigated further under the available repertoire of investigations possible in pregnancy without causing any maternal or fetal hazard. Treatment with chemotherapy and radiation for cancer in this setting is further hampered by justifiable concerns over fetal well-being. We present a case of colorectal cancer in a young multiparous female and the associated difficulties in diagnosis and management. The challenges with colorectal cancers and pregnancies are expected to rise in the future with a decreasing trend in age of colorectal cancer occurrence and an increasing age of pregnancy due to lifestyle changes. S. Karger AG 2019-06-13 /pmc/articles/PMC6600118/ /pubmed/31275088 http://dx.doi.org/10.1159/000500078 Text en Copyright © 2019 by S. Karger AG, Basel http://creativecommons.org/licenses/by-nc/4.0/ This article is licensed under the Creative Commons Attribution-NonCommercial-4.0 International License (CC BY-NC) (http://www.karger.com/Services/OpenAccessLicense). Usage and distribution for commercial purposes requires written permission.
spellingShingle Case and Review
Amarjothi, J.M.V.
Ramasamy, Villalan
Senthil Kumaran, G.R.
Naganath Babu, O.L.
Challenges Associated with Colorectal Cancer in Pregnancy
title Challenges Associated with Colorectal Cancer in Pregnancy
title_full Challenges Associated with Colorectal Cancer in Pregnancy
title_fullStr Challenges Associated with Colorectal Cancer in Pregnancy
title_full_unstemmed Challenges Associated with Colorectal Cancer in Pregnancy
title_short Challenges Associated with Colorectal Cancer in Pregnancy
title_sort challenges associated with colorectal cancer in pregnancy
topic Case and Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6600118/
https://www.ncbi.nlm.nih.gov/pubmed/31275088
http://dx.doi.org/10.1159/000500078
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