| Diagnosis and management of pancreatic carcinoma during pregnancy. | |
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MedLine Citation:
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PMID: 20664439 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Acute, persistent abdominal pain due to ruptured pancreatic carcinoma and perforated stomach is extremely rare during pregnancy. CASE: We evaluated a woman at 34 weeks of gestation presenting with uterine contractions. Computed tomography scanning revealed a large retroperitoneal mass, and her blood carbohydrate antigen 19-9 level was elevated. Immediately after an emergency cesarean delivery, pancreatic cancer was detected, and pancreatoduodenectomy was performed. The patient underwent chemotherapy and remains disease-free at 2 years. CONCLUSION: Delayed diagnosis and treatment are associated with high morbidity of both neonate and mother in cases of pancreatic cancer during pregnancy. Computed tomography scanning and carbohydrate antigen 19-9 levels are useful for diagnosis, after which radical surgery should be performed immediately in late pregnancy. |
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Authors:
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Toshimichi Onuma; Yoshio Yoshida; Takara Yamamoto; Fumikazu Kotsuji |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Obstetrics and gynecology Volume: 116 Suppl 2 ISSN: 1873-233X ISO Abbreviation: Obstet Gynecol Publication Date: 2010 Aug |
Date Detail:
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Created Date: 2010-07-28 Completed Date: 2010-08-24 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0401101 Medline TA: Obstet Gynecol Country: United States |
Other Details:
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Languages: eng Pagination: 518-20 Citation Subset: AIM; IM |
Affiliation:
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Department of Obstetrics and Gynecology, Fukui Aiiku Hospital, Fukui-city, Japan. i_love_music_andjp@yahoo.co.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adenocarcinoma
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complications,
diagnosis*,
surgery* Adult CA-19-9 Antigen / blood Cesarean Section Female Humans Pancreatic Neoplasms / complications, diagnosis*, surgery* Pancreaticoduodenectomy Pregnancy Pregnancy Complications, Neoplastic / diagnosis*, surgery* Rupture, Spontaneous Stomach Diseases / etiology, surgery Tomography, X-Ray Computed |
| Chemical | |
Reg. No./Substance:
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0/CA-19-9 Antigen |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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