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Metastatic pancreatic cancer in late pregnancy: a case report and review of the literature. | LitMetric

Metastatic pancreatic cancer in late pregnancy: a case report and review of the literature.

J Matern Fetal Neonatal Med

Department of Gynecology, Perinatology and Child Health, University of Rome La Sapienza, Viale Regina Elena 324, I-00161 Rome, Italy.

Published: April 2006

AI Article Synopsis

  • Pancreatic carcinoma is extremely rare in young patients, especially during pregnancy, as shown in a case of a woman diagnosed with pancreatic adenocarcinoma and metastases while in her third trimester.
  • Diagnostic procedures included ultrasounds, MRIs, and a pancreatic biopsy, leading to complications like severe preeclampsia and fetal growth restriction.
  • Ultimately, the woman underwent a cesarean section at 30 weeks due to her deteriorating condition and died 50 days later, highlighting the need for awareness of pancreatic cancer symptoms in pregnant patients for better outcomes.

Article Abstract

The occurrence of pancreatic carcinoma in a young patient is rare and even more so in pregnancy. In this case report, we discuss the presentation and management of pancreatic adenocarcinoma, with lung and liver metastases, diagnosed in a woman in her third trimester of pregnancy (28 weeks). Ultrasound and magnetic resonance imaging scans were carried out and pancreatic mass biopsy during endoscopic retrograde cholangiopancreatography was performed. Severe preeclampsia and fetal growth restriction occurred. A female infant was delivered by cesarean section at 30 weeks of gestation for worsening of maternal clinical conditions and hepatic and pancreatic tests. The patient died 50 days after delivery. Although pancreatic cancer is a very rare event in pregnancy, it should be suspected when epigastric abdominal pain and laboratory parameters suggestive of biliary tract obstruction occur in pregnancy to ensure, at the least, a better pregnancy outcome.

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Source
http://dx.doi.org/10.1080/14767050600591407DOI Listing

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