Advanced mucinous adenocarcinoma in pregnancy: Ovarian vs. colorectal

Roberto Angioli, Salih Y Yasin, Ricardo Estape, Mike Janicek, Abdallah Adra, Christine Sopo, Maryam Minhaj, Manuel Penalver

Research output: Contribution to journalArticle

Abstract

The incidence of masses in pregnancy is estimated to occur in 1/81 to 1/2,500 pregnancies. The development of colorectal carcinoma during pregnancy is a more rare event, with less than 30 cases above the peritoneal reflection reported in the last 70 years. The differential diagnosis of mucinous adenocarcinoma of ovarian vs. gastrointestinal origin is often difficult. We report a pregnant patient affected by advanced colorectal cancer, who presented with an asymptomatic unilateral adnexal mass on ultrasound. A 28-year old woman was referred to our hospital after a routine ultrasound examination at 26 weeks gestation showing a right adnexal mass. At elective exploratory laparotomy, the patient was found to have metastatic mucinous adenocarcinoma. Diagnostic and treatment choices of such a cancer in a pregnant patient were explored. The final diagnosis of colorectal cancer was made only at the time of a subsequent emergency laparotomy. The goal of an obstetrician/gynecologist and other care givers of pregnant patients, is to achieve a healthy mother and child. Unfortunately, physicians may unwillingly sacrifice the health of the mother by denying or delaying her procedures or treatments simply because she is pregnant. It is especially important in the case of adnexal masses and their related pathology, due to the difficulty in detection and management of such cases during pregnancy, that doctors actively assume the responsibility of assuring that pregnant patients receive the proper care they need.

Original languageEnglish
Pages (from-to)501-503
Number of pages3
JournalOncology Reports
Volume4
Issue number3
StatePublished - May 1 1997

Fingerprint

Mucinous Adenocarcinoma
Pregnancy
Colorectal Neoplasms
Laparotomy
Mothers
Case Management
Caregivers
Emergencies
Differential Diagnosis
Pathology
Physicians
Incidence
Health
Therapeutics
Neoplasms

Keywords

  • adenocarcinoma
  • colorectal cancer
  • ovarian cancer

ASJC Scopus subject areas

  • Cancer Research
  • Oncology

Cite this

Angioli, R., Yasin, S. Y., Estape, R., Janicek, M., Adra, A., Sopo, C., ... Penalver, M. (1997). Advanced mucinous adenocarcinoma in pregnancy: Ovarian vs. colorectal. Oncology Reports, 4(3), 501-503.

Advanced mucinous adenocarcinoma in pregnancy : Ovarian vs. colorectal. / Angioli, Roberto; Yasin, Salih Y; Estape, Ricardo; Janicek, Mike; Adra, Abdallah; Sopo, Christine; Minhaj, Maryam; Penalver, Manuel.

In: Oncology Reports, Vol. 4, No. 3, 01.05.1997, p. 501-503.

Research output: Contribution to journalArticle

Angioli, R, Yasin, SY, Estape, R, Janicek, M, Adra, A, Sopo, C, Minhaj, M & Penalver, M 1997, 'Advanced mucinous adenocarcinoma in pregnancy: Ovarian vs. colorectal', Oncology Reports, vol. 4, no. 3, pp. 501-503.
Angioli R, Yasin SY, Estape R, Janicek M, Adra A, Sopo C et al. Advanced mucinous adenocarcinoma in pregnancy: Ovarian vs. colorectal. Oncology Reports. 1997 May 1;4(3):501-503.
Angioli, Roberto ; Yasin, Salih Y ; Estape, Ricardo ; Janicek, Mike ; Adra, Abdallah ; Sopo, Christine ; Minhaj, Maryam ; Penalver, Manuel. / Advanced mucinous adenocarcinoma in pregnancy : Ovarian vs. colorectal. In: Oncology Reports. 1997 ; Vol. 4, No. 3. pp. 501-503.
@article{5f3bc44a7bcd4d998fe59cdfc8278665,
title = "Advanced mucinous adenocarcinoma in pregnancy: Ovarian vs. colorectal",
abstract = "The incidence of masses in pregnancy is estimated to occur in 1/81 to 1/2,500 pregnancies. The development of colorectal carcinoma during pregnancy is a more rare event, with less than 30 cases above the peritoneal reflection reported in the last 70 years. The differential diagnosis of mucinous adenocarcinoma of ovarian vs. gastrointestinal origin is often difficult. We report a pregnant patient affected by advanced colorectal cancer, who presented with an asymptomatic unilateral adnexal mass on ultrasound. A 28-year old woman was referred to our hospital after a routine ultrasound examination at 26 weeks gestation showing a right adnexal mass. At elective exploratory laparotomy, the patient was found to have metastatic mucinous adenocarcinoma. Diagnostic and treatment choices of such a cancer in a pregnant patient were explored. The final diagnosis of colorectal cancer was made only at the time of a subsequent emergency laparotomy. The goal of an obstetrician/gynecologist and other care givers of pregnant patients, is to achieve a healthy mother and child. Unfortunately, physicians may unwillingly sacrifice the health of the mother by denying or delaying her procedures or treatments simply because she is pregnant. It is especially important in the case of adnexal masses and their related pathology, due to the difficulty in detection and management of such cases during pregnancy, that doctors actively assume the responsibility of assuring that pregnant patients receive the proper care they need.",
keywords = "adenocarcinoma, colorectal cancer, ovarian cancer",
author = "Roberto Angioli and Yasin, {Salih Y} and Ricardo Estape and Mike Janicek and Abdallah Adra and Christine Sopo and Maryam Minhaj and Manuel Penalver",
year = "1997",
month = "5",
day = "1",
language = "English",
volume = "4",
pages = "501--503",
journal = "Oncology Reports",
issn = "1021-335X",
publisher = "Spandidos Publications",
number = "3",

}

TY - JOUR

T1 - Advanced mucinous adenocarcinoma in pregnancy

T2 - Ovarian vs. colorectal

AU - Angioli, Roberto

AU - Yasin, Salih Y

AU - Estape, Ricardo

AU - Janicek, Mike

AU - Adra, Abdallah

AU - Sopo, Christine

AU - Minhaj, Maryam

AU - Penalver, Manuel

PY - 1997/5/1

Y1 - 1997/5/1

N2 - The incidence of masses in pregnancy is estimated to occur in 1/81 to 1/2,500 pregnancies. The development of colorectal carcinoma during pregnancy is a more rare event, with less than 30 cases above the peritoneal reflection reported in the last 70 years. The differential diagnosis of mucinous adenocarcinoma of ovarian vs. gastrointestinal origin is often difficult. We report a pregnant patient affected by advanced colorectal cancer, who presented with an asymptomatic unilateral adnexal mass on ultrasound. A 28-year old woman was referred to our hospital after a routine ultrasound examination at 26 weeks gestation showing a right adnexal mass. At elective exploratory laparotomy, the patient was found to have metastatic mucinous adenocarcinoma. Diagnostic and treatment choices of such a cancer in a pregnant patient were explored. The final diagnosis of colorectal cancer was made only at the time of a subsequent emergency laparotomy. The goal of an obstetrician/gynecologist and other care givers of pregnant patients, is to achieve a healthy mother and child. Unfortunately, physicians may unwillingly sacrifice the health of the mother by denying or delaying her procedures or treatments simply because she is pregnant. It is especially important in the case of adnexal masses and their related pathology, due to the difficulty in detection and management of such cases during pregnancy, that doctors actively assume the responsibility of assuring that pregnant patients receive the proper care they need.

AB - The incidence of masses in pregnancy is estimated to occur in 1/81 to 1/2,500 pregnancies. The development of colorectal carcinoma during pregnancy is a more rare event, with less than 30 cases above the peritoneal reflection reported in the last 70 years. The differential diagnosis of mucinous adenocarcinoma of ovarian vs. gastrointestinal origin is often difficult. We report a pregnant patient affected by advanced colorectal cancer, who presented with an asymptomatic unilateral adnexal mass on ultrasound. A 28-year old woman was referred to our hospital after a routine ultrasound examination at 26 weeks gestation showing a right adnexal mass. At elective exploratory laparotomy, the patient was found to have metastatic mucinous adenocarcinoma. Diagnostic and treatment choices of such a cancer in a pregnant patient were explored. The final diagnosis of colorectal cancer was made only at the time of a subsequent emergency laparotomy. The goal of an obstetrician/gynecologist and other care givers of pregnant patients, is to achieve a healthy mother and child. Unfortunately, physicians may unwillingly sacrifice the health of the mother by denying or delaying her procedures or treatments simply because she is pregnant. It is especially important in the case of adnexal masses and their related pathology, due to the difficulty in detection and management of such cases during pregnancy, that doctors actively assume the responsibility of assuring that pregnant patients receive the proper care they need.

KW - adenocarcinoma

KW - colorectal cancer

KW - ovarian cancer

UR - http://www.scopus.com/inward/record.url?scp=0030994599&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0030994599&partnerID=8YFLogxK

M3 - Article

C2 - 21590085

AN - SCOPUS:0030994599

VL - 4

SP - 501

EP - 503

JO - Oncology Reports

JF - Oncology Reports

SN - 1021-335X

IS - 3

ER -