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Year : 2020  |  Volume : 18  |  Issue : 2  |  Page : 138-141

Carcinoma stomach in pregnancy: Report of a rare association

Department of Surgery, Unit 1 – General Head and Neck Surgery, Christian Medical College, Vellore, Tamil Nadu, India

Correspondence Address:
Prof. Pranay Gaikwad
Department of Surgery, Unit 1 – General Head and Neck Surgery, Christian Medical College, Vellore - 632 004, Tamil Nadu
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/cmi.cmi_64_19

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The occurrence of gastric cancer in pregnancy is rare and can potentially have devastating effects on both the mother and the fetus. There is often a delay in the diagnosis as the symptoms during pregnancy may confuse the presentation and may be overlooked. Not unexpectedly, gastric cancer in pregnancy is diagnosed at its late or advanced stage. In addition, in the presence of a live fetus, there is an ethical component to the decision-making for the best possible course of treatment. Treating physicians need to consider several factors such as the optimal surgical outcome, maternal safety, fetal safety, and prevention of miscarriage or preterm labor. This dilemma continues even postoperatively to decide on the further course of the treatment as indicated through several multi-disciplinary tumor board meetings to decide on the timings of the delivery, induction of labor, and adjuvant chemotherapy. We report the case of a 23-year-old female patient who presented with vomiting and loss of weight at 22 weeks of gestation was diagnosed to have poorly differentiated gastric cancer and underwent subtotal gastrectomy at 25 weeks of gestation. The article reviews the association of gastric cancer with pregnancy, discussing the pathogenesis and management of such a case.

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