TY - JOUR A2 - Fujimoto, Akihisa AU - Petruzzelli, Paolo AU - Zizzo, Roberto AU - Tavassoli, Elisabetta AU - Sutera, Miriam AU - Tin, Michela Chiadò Fiorio AU - Petruzzelli, Luca AU - Benedetto, Mariachiara AU - D’Anna, Maria Rosa AU - De Paolis, Paolo AU - Menato, Guido PY - 2020 DA - 2020/11/23 TI - Colon Adenocarcinoma during Pregnancy: A Case Report and Review of the Literature SP - 8894722 VL - 2020 AB - Colorectal cancer (CRC) during pregnancy presents an estimated incidence of 1 : 13,000, and it is associated with diagnostic and therapeutic challenges. Here, we present the case of a 38-year-old woman, 25 weeks and 5 days pregnant, who was transferred to our Obstetrics and Gynecology Department from a local hospital with the diagnosis of intestinal obstruction. Magnetic Resonance Imaging (MRI) showed marked distension with hydroaerial levels of the enterocolic loops upstream of a concentric parietal thickening of the descending colon, stenosing, extended longitudinally for about 4 cm. An exploratory laparotomy was performed with resection of the colon splenic flexure and mechanical end-terminal anastomosis. Histological examination of the operating piece highlighted the presence of moderately differentiated (G2) colon adenocarcinoma (stage pT3N1b). The operation was followed by a single course of oxaliplatin and 5-FU plus leukovorin. The patient had a vaginal delivery at 37. 周 + 2 胎儿的日子，促进劳动力并生下一个男性婴儿，其重量为2670克，APGAR 9/9。我们强调了关注未指定症状，早期诊断和在改变CRC临床过程中的临床过程中的关注作用。SN - 2090-6684 UR - https://doi.org/10.1155/2020/8894722 do - 10.1155 / 2020/8894722 jf - 妇产科妇科pb - hindawikw - er -