Online ISSN: 2149-3189
2015
Monthly
Nicaea Medical Publishing
Türkiye

Metastatic gastric adenocarcinoma in a pregnant woman

Raikan Büyükavcı, Hakan Apaydın, Semra Aktürk
DOI
https://doi.org/10.18621/eurj.368205
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 (gravida:4, para:0) 16-week pregnancy, complaining of nausea, vomiting, weight loss (~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 (107 mm/h) and anemia (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
References

[1] Franklin ME, Conner-Kerr T. An analysis of posture and back pain in the first and third trimesters of pregnancy. J Orthop Sports Phys Ther 1998;28:133-8.

[2] Ritchie JR. Orthopedic considerations during pregnancy. Clin Obstet Gynecol 2003;46:456-66.

[3] Kristiansson P, Svardsudd K, Von Schoultz B. Serum relaxin, symphyseal pain, and back pain during pregnancy. Am J Obstet Gynecol 1996;175:1342-7.

[4] Chan YL, Lam WW, Lau TK. Back pain in pregnancy: magnetic resonance imaging correlation. Clin Radiol 2002;57:1109-12.

[5] Pacheco S, Norero E, Canales C, Martínez JM, Herrera ME, Muñoz C, et al. The rare and challenging presentation of gastric cancer during pregnancy: a report of three cases. J Gastric Cancer 2016;16:271-6.

[6] Carvalho MECC, Lima LC, de Lira Terceiro CA, Pinto DRL, Silva MN, Cozer GA, et al. Low back pain during pregnancy. Rev Bras Anestesiol 2017;67:266-70.

[7] Cardonick E, Lacobucci A. Use of chemotherapy during human pregnancy. Lancet Oncol 2004;5:283-91.

[8] Nishie H, Mizushima T, Suzuki Y, Fukusada S, Inoue T, Kachi K, et al. Chemotherapy treatment of a pregnant woman with progressive gastric cancer. Intern Med. 2015;54:1207-12.

[9] Ishiguro T, Serikawa T, Yahata T, Enomoto T. Gestational choriocarcinoma: rare spinal metastasis during a viable pregnancy. J Obstet Gynaecol Res 2017;43:421-24.

[10] Naito Y, Akeda K, Kasai Y, Matsumine A, Tabata T, Nagao K, et al. Lumbar metastasis of choriocarcinoma. Spine (Phila Pa 1976) 2009;34:538-43.

[11] Chen Y, Li Y, Wang H, Lu J, Jin M, Zhang Z. Maternal gastric carcinoma with metastasis to the placenta: a case report. Oncol Lett 2014;8:2509-10.

[12] Cift T, Aydogan B, Akbaş M, Aydın B, Demirkiran F, Bakkaloglu DV, et al. Case report: gastric carcinoma diagnosed at the second trimester of pregnancy. Case Rep Obstet Gynecol 2011;2011:532854.

[13] Fujino T, Nakamura M, Sato T. [Pregnancy and gastric cancer]. Shusanki Igaku (Perinatal Medicine) 2002;32:1049-55. [Article in Japanese]

[14] Jaspers VK, Gillessen A, Quakernack K. Gastric cancer in pregnancy: do pregnancy, age or female sex alter the prognosis? Case report and review. Eur J Obstet Gynecol Reprod Biol 1999;87:13-22.

There are 14 references in total.
How to Cite
1.
Büyükavcı R, Apaydın H, Aktürk S. Metastatic gastric adenocarcinoma in a pregnant woman. Eur Res J. 2018;4(4):444-447. doi:10.18621/eurj.368205
License
Creative Commons License

Copyright (c) 2018 The European Research Journal
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

View Vol. 4 No. 4 (2018)

Vol. 4 No. 4 (2018)

Article Information

  • Article Type Case Report
  • Submitted February 21, 2026
  • Published October 3, 2018
  • Issue Vol. 4 No. 4 (2018)
  • Section Case Report
  • File Downloads 1124
  • Abstract Views 199
  • Altmetrics
  • Share
Download data is not yet available.