Abstract
A 30-year-old, 7-months pregnant woman presented with per anum bleeding. Rectoscopy showed the cause to be a polyp the size of a fingertip 9 cm from the anus. Since the bleeding stopped spontaneously and therefore the need for radical intervention, and due to the advanced pregnancy stage, no biopsy was done. About 1 year later, the same patient experienced sharp pains and anal bleeding during defecation. A poorly defined neuroendocrine carcinoma was diagnosed. Seeking a prognosis optimal for the newborn child, the interdisciplinary decision was made for primary surgery with adjuvant chemotherapy. Other options for this malignancy during and after pregnancy are also discussed.
Publication types
-
Case Reports
-
English Abstract
MeSH terms
-
Adult
-
Biopsy
-
Diagnosis, Differential
-
Disease Progression
-
Female
-
Humans
-
Infant, Newborn
-
Intestinal Mucosa / pathology
-
Intestinal Mucosa / surgery
-
Intestinal Polyps / diagnosis*
-
Intestinal Polyps / pathology
-
Intestinal Polyps / surgery
-
Lymphatic Metastasis
-
Melena / etiology*
-
Melena / pathology
-
Melena / surgery
-
Neoplasm Invasiveness
-
Neoplasm Staging
-
Neuroendocrine Tumors / diagnosis*
-
Neuroendocrine Tumors / pathology
-
Neuroendocrine Tumors / surgery
-
Pregnancy
-
Pregnancy Complications / etiology*
-
Pregnancy Complications / pathology
-
Pregnancy Complications / surgery
-
Pregnancy Complications, Neoplastic / diagnosis*
-
Pregnancy Complications, Neoplastic / pathology
-
Pregnancy Complications, Neoplastic / surgery
-
Puerperal Disorders / diagnosis*
-
Puerperal Disorders / pathology
-
Puerperal Disorders / surgery
-
Rectal Neoplasms / diagnosis*
-
Rectal Neoplasms / pathology
-
Rectal Neoplasms / surgery
-
Rectum / pathology
-
Rectum / surgery