Manejo del cáncer colorrectal en el embarazo

Cancer during pregnancy has increased due to delayed motherhood and the known occurrence of age-dependent malignant tumors. With the increase in colorectal cancer diagnosed in young adults, the number of cases during pregnancy is likely to increase. Colorectal cancer is one of the 3 most common type...

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Detalhes bibliográficos
Autor: Reyna-Villasmil, Eduardo
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2020
País:Perú
Recursos:Sociedad Peruana de Obstetricia y Ginecología
Repositorio:Revista Peruana de Ginecología y Obstetricia
Idioma:español
inglés
OAI Identifier:oai:ginecologiayobstetricia.pe:article/2287
Acesso em linha:https://ginecologiayobstetricia.pe/index.php/RPGO/article/view/2287
Access Level:acceso abierto
Palavra-chave:Colorectal neoplasms
Pregnancy
Pregnancy complications
neoplastic
Cáncer colorrectal
Embarazo
Complicaciones neoplásicas del embarazo
Descrição
Resumo:Cancer during pregnancy has increased due to delayed motherhood and the known occurrence of age-dependent malignant tumors. With the increase in colorectal cancer diagnosed in young adults, the number of cases during pregnancy is likely to increase. Colorectal cancer is one of the 3 most common types of cancer in women, but the occurrence during pregnancy is rare and is associated with a large number of diagnostic and therapeutic challenges since the diagnosis is usually made in advanced stages. Besides, early diagnosis is difficult because the signs/symptoms (vomiting, constipation, anemia, rectorrhagia, pain and bloating) can simulate those observed during pregnancy. After diagnosis, the therapeutic plan must be established immediately, according to gestational age, by a multidisciplinary medical team. Doctors who care for pregnant women with colorectal cancer face two problems: the need for early maternal cancer treatment and timing of pregnancy termination. Professionals must become familiar with the challenges associated with systemic treatment, since antineoplastic treatment presents several unknowns for its use.