Gastric carcinoma with ovarian metastases under the mask of pregnancy pathology


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Background. Gastric carcinoma in pregnancy is rare and extremely difficult to diagnose due to the fact that most of the symptoms of the disease mimic the manifestations of pregnancy pathologies. Description. This paper describes a case of gastric carcinoma with ovarian metastases during pregnancy. The patient delivered at 28-29 weeks’ gestation for progressive preeclampsia. A left ovarian tumor-like mass was intraoperatively found. The histological findings revealed signet-ring cell carcinoma of the stomach. Conclusion. Thus, the course of the disease during pregnancy failed to timely diagnose gastric carcinoma. The symptoms of the disease were masked by obstetric complications.

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作者简介

Pavel Kuznetsov

City Hospital 24, Perinatal center; Russian National Research Medical University named after N.I. Pirogov

Email: poohsmith@mail.ru
PhD, chief of the Consultative Department; Associate professor of the Department of Obstetrics and Gynecology, Faculty of Medicine

Anna Tyagunova

Russian National Research Medical University named after N.I. Pirogov

Email: antmarll@yandex.ru
PhD, associate professor of the Department of Obstetrics and Gynecology, Medical Faculty

Anton Olenev

City Hospital 24

Email: felidis@mail.ru
PhD, deputy chief of the Perinatal center, head of the branch “Perinatal Center”

Lela Dzhokhadze

Russian National Research Medical University named after N.I. Pirogov

Email: Anton-bl@mail.ru
PhD, assistant of the Department of Obstetrics and Gynecology, Faculty of Medicine

Olga Seliverstova

Russian National Research Medical University named after N.I. Pirogov

Email: seliverstova.o.m@gmail.com
student of the Medical Faculty

Yuliya Dobrokhotova

Russian National Research Medical University named after N.I. Pirogov

Email: pr.dobrohotova@mail.ru
SPIN 代码: 2925-9948
MD, professor, head of the Department of Obstetrics and Gynecology, Therapeutic faculty

参考

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  5. https://www.cancer.gov/types/stomach/hp/stomach-treatment-pdq
  6. Леваков С.А., Крапивин А.А., Боровкова Е.И., Муравина Е.Л., Ванке Н.С., Билявская О.С., Обухова Е.А. Опухоли яичников и беременность. Вопросы гинекологии, акушерства и перинатологии. 2016; 15(1): 53-7.
  7. Palmer J., Vatish M., Tidy J. Epithelial ovarian cancer in pregnancy: a review of the literature. BJOG. 2009; 116(4): 480-91.

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