Challenges to diagnosing colorectal cancer during pregnancy. Journal Articles

abstract

• QUESTION: My patient is 13 weeks pregnant and has experienced rectal bleeding and vomiting. Should I send her for a colonoscopy to rule out colorectal malignancies or should I wait until after delivery? ANSWER: The data on colorectal cancer in pregnancy are scarce; however, as the presenting features of colorectal cancer overlap with those of pregnancy itself, there is a risk of development of advanced disease, with poorer prognosis at diagnosis. Therefore, it is strongly recommended that this patient, who is in her second trimester, undergo at least a flexible sigmoidoscopy, which is presumed safe during pregnancy, with or without a liver ultrasound and carcinoembryonic antigen detection based on pretest probability according to her other risk factors.

authors

• Yaghoobi, Mohammad
• Koren, Gideon
• Nulman, Irena

status

• published 

publication date

• September 2009

has subject area

• 1117 Public Health and Health Services (FoR)
• Colonoscopy (MeSH)
• Colorectal Neoplasms (MeSH)
• Diagnosis, Differential (MeSH)
• Endosonography (MeSH)
• Female (MeSH)
• General & Internal Medicine (Science Metrix)
• Humans (MeSH)
• Magnetic Resonance Imaging (MeSH)
• Pregnancy (MeSH)
• Pregnancy Complications, Neoplastic (MeSH)
• Reproducibility of Results (MeSH)

published in

• Canadian Family Physician  Journal

keywords

• Colonoscopy
• Colorectal Neoplasms
• Diagnosis, Differential
• Endosonography
• Female
• Humans
• Magnetic Resonance Imaging
• Pregnancy
• Pregnancy Complications, Neoplastic
• Reproducibility of Results

start page

• 881

end page

• 885

volume

• 55

issue

• 9