Korean J Perinatol.
2007 Dec;18(4):419-423.
A Case of Advanced Gastric Cancer Diagnosed by Endoscopy Performed in the Second Trimester due to Persistent Nausea and Vomiting
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- 1Department of Obstetrics and Gynecology, College of Medicine, Pusan National University, Busan, Korea. ohchoi@webmail.pusan.ac.kr
Abstract
- Gastric cancer is rarely associated with pregnancy and its incidence is reported to be 0.1%. The dilemma in the treatment of this rare occasion is that it is usually diagnosed at an advanced stage. The most common reason for delayed diagnosis is that early symptoms of gastric cancer, such as nausea, vomiting and epigastric discomfort, are nonspecific and usually misinterpreted as those related to pregnancy. Clinicians' reluctance to request diagnostic studies is another reason for delayed diagnosis. So these make the prognosis much worse. We must consider the rare possibility of gastric cancer in case of persistent nausea and vomiting. We report a case of advanced gastric cancer diagnosed by gastroscopic examination performed in the second trimester because of persistent nausea and vomiting.
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