TY - JOUR
T1 - Challenges to diagnosing colorectal cancer during pregnancy
AU - Yaghoobi, Mohammad
AU - Koren, Gideon
AU - Nulman, Irena
PY - 2009/9
Y1 - 2009/9
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=70349337725&partnerID=8YFLogxK
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C2 - 19752253
AN - SCOPUS:70349337725
SN - 0008-350X
VL - 55
SP - 881
EP - 885
JO - Canadian Family Physician
JF - Canadian Family Physician
IS - 9
ER -