Metastatic gastric adenocarcinoma in a pregnant woman

Authors : Raikan Büyükavcı, Hakan Apaydın, Semra Aktürk

Pages : 444-447

Doi:10.18621/eurj.368205

View : 13 | Download : 13

Publication Date : 2018-10-04

Article Type : Other Papers

Abstract :Gastric cancers occur in only 0.025% to 0.1% of all pregnancies. We present a pregnant woman with gastric adenocarcinoma associated with bone metastasis. She is 36-year-old insert ignore into journalissuearticles values(gravida:4, para:0); 16-week pregnancy, complaining of nausea, vomiting, weight loss insert ignore into journalissuearticles values(~15 kg); and low back pain. Although the patient considered the condition to be related with pregnancy and underestimated its importance. She had high erythrocyte sedimentation rate insert ignore into journalissuearticles values(107 mm/h); and anemia insert ignore into journalissuearticles values(hemoglobin = 9.4 gr/dl);. Lumbar magnetic resonance imaging showed L4 vertebrae malign compression fracture and diffuse bone metastasis. Because of the patient`s melena, esophagogastroduodenoscopy was performed and biopsy result was reported as stomach adenocarcinoma. It is important to evaluate the symptoms of low back pain and pregnancy related symptoms carefully and do not cause delays in diagnosis due to overlapping symptoms. 
Keywords : pregnancy, lower back pain, stomach neoplasms