Gastric cancer diagnosis. Neoplaziile tractului digestiv în timpul sarcinii – diagnostic şi management


The diagnosis of digestive cancer in a pregnant woman can be difficult, be­­cause it can be disguised by the common signs and symp­toms of pregnancy.

gastric cancer diagnosis pastile de vierme pentru tratament și prevenire

Gastric cancer, especially un­dif­fe­ren­tia­ted adenocarcinoma associated with diffuse bone meta­sta­sis accompanied by hematological disorders, is excep­tio­nally encountered and the prognosis is very poor.

A mean survival period of months was attributed to gas­tric cancer with bone metastasis. The management of preg­nancy-associated digestive cancer represents a challenge for clinicians, requiring a multidisciplinary approach. Diagnosticul poate fi gastric cancer diagnosis, deoarece poate fi mascat de semnele şi simptomele specifice sarcinii.

gastric cancer diagnosis paraziți zilnici

Cancerul gastric, în special adenocarcinomul nediferenţiat asociat cu metastaze osoase difuze însoţite de tulburări hematologice, este întâlnit în mod excepţional, iar prognosticul este foarte rezervat.

Un timp mediu de supravieţuire de luni a fost atribuit acestui stadiu.

Chișinău: [s. Abstract: Background.

Managementul cancerului digestiv întâlnit în sarcină reprezintă o provocare pentru obstetrician şi necesită o abordare multidisciplinară. The physiological changes occur in pregnancy during the fetal development and have the role to prepare the mother for labor and delivery 1.

Pregnancy-associated digestive cancer – diagnosis and management

Gastric cancer diagnosis is important to differentiate between normal and pathological changes, because some physiologic changes mimic the symptoms of a variety of conditions, and vice versa 1. Pregnancy involves changes in maternal physiology, including alterations in hematologic parameters like expansion in maternal blood and plasma volume 1,2.

gastric cancer diagnosis crioterapie negi

Thus, the result is that, the increasing in plasma volume, which is relatively larger than the increase in red cell mass, will cause a decrease in hemoglobin concentration 1,2. Generally, the predominant cause of anemia in pregnancy is iron deficiency 2. However, oxygen-carrying capacity remains normal during pregnancy 3. Hematocrit normally increases immediately after birth 3.

Several types of anemia can develop during preg­nancy. The most common causes include iron deficiency, folate deficiency and vitamin B12 deficiency 4.

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The early symptoms of anemia are usually non-specific 5. The most common symptoms of anemia are: fatigue, weakness, shortness of breath, dizziness, light headaches, shortness of breath, chest pain, and cold hands and feet 5.

Other signs may include pallor and, if the anemia is severe, tachycardia or hypotension 5,6. There are many forms of anemia, each with its own cause. Anemia can be temporary or long term, and it can range from mild to severe 6.

Source: Clujul Medical. Jun, Vol.

Anemia increases the risk of preterm delivery and postpartum maternal infections 7,8. Also, anemia is the only symptom in different types of cancers occurring during pregnancy. Materials and method We performed an observational retrospective analysis of all women diagnosed with digestive cancer during pregnancy admitted in the Department of Obstetrics and Gynecology of the Bucharest University Emergency Hospital, a tertiary center in Romania, between the 1st of January and the 31st of October The information gastric cancer diagnosis pregnancy, delivery outcomes and neonatal data was retrieved from the hospitalization sheets and the data base system of the Bucharest University Emergency Hospital.

We analyzed the types of anemia and the incidence of pregnancy-associated anemia in order to determine correlations between anemia and digestive cancers.

GASTRIC CANCER TUMOR MARKERS – Romanian Medical Journal

The most frequent pathologies associated with anemia in pregnancy were also studied. Extensive histopathological analysis and comparison between the types of cancer were also performed in order to determine the correlations between the signs and symptoms, the severity of anemia and a particular type of digestive cancer during pregnancy. Results A total of 7, pregnant patients, with a gestational age over 20 weeks of amenorrhea, were admitted in the Department of Obstetrics and Gynecology of the Bucharest University Emergency Hospital between the 1st of January and the 31st of October The incidence of pregnancy-associated anemia was This percentage corresponds to the analysis of cases of pregnancy-associated anemia admitted in our unit during those three years.

As shown in Figure 1, the predominant conditions that lead to pregnancy-related anemia are spontaneous Many other pathologies related to anemia in pregnancy appeared with a lower incidence.

Беккер поднялся на ноги, пытаясь выровнять дыхание. Попробовал добрести до двери. Меган скрылась во вращающейся секции, таща за собой сумку. Беккер почти вслепую приближался к двери. - Подожди! - крикнул .

During the three-year period, three pregnant wo­men were diagnosed with a digestive type of cancer. Two patients were diagnosed with gastric cancer and one of them with colon cancer.

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All three women were aged between 30 and 39 years old and were diagnosed with metastatic disease. Regarding the parity, the patients were primiparous or secundiparous. At the time when the patients were diagnosed, they were between 23 and 33 weeks of gestations.

  1. Neoplaziile tractului digestiv în timpul sarcinii – diagnostic şi management
  2. Загорелое лицо консьержа расплылось еще шире.
  3. В другой стороне комнаты зазвонил телефон.
  4. Gastric Cancer in Pregnancy
  5. «Сейчас переключит.

The two patients with gastric cancer were diagnosed early, at 23 weeks and 24 weeks of pregnancy, while the patient with colon cancer was diagnosed at 33 weeks of amenorrhea. None of the patients had a personal medical or family history of malignancy.

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The symptoms of the patients were various, but they were all correlated with a digestive condition. The patient with colon cancer, at the time of the admission in our hospital, had abdominal pain, constipation and a history of multiple hospitalizations for gastric cancer diagnosis episodes.

Both patients with gastric cancer presented nausea and fatigue in the moment of the hospitalization.

At the physical examination, all three patients presented pale teguments and mucous membranes and they were all known with anemic syndrome from the first trimester of pregnancy, treated with iron supplements. The blood samples revealed anemia with different levels of hemoglobin, between 6. The patient with colon cancer had the liver markers seriously modified, with high levels of direct bilirubin, fibrinogen and transaminases.

All three patients were tested for tumor markers: alpha-fetoprotein, carcinoembryonic antigen, CA and CA The patient with 23 weeks of pregnancy and gastric cancer and the patient with colon cancer had a positive result for CA