http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
Seiya Oga,Masahiro Hachisuga,Nobuhiro Hidaka,Yasuyuki Fujita,Hiroshi Tomonobe,Hidetaka Yamamoto,Kiyoko Kato 대한산부인과학회 2019 Obstetrics & Gynecology Science Vol.62 No.5
Gastric cancer involving the placenta during pregnancy is rare; however, we present 1 such case in this report. A31-year-old Japanese woman was referred at 26 weeks of gestation for the evaluation of a swollen left supraclavicularlymph node. Biopsy revealed poorly differentiated adenocarcinoma, and esophagogastroduodenoscopy with biopsyof the stomach confirmed the diagnosis of gastric cancer. Her epigastric and back pain became more pronouncedand her general status worsened, and we performed a cesarean delivery at 29 weeks. Microscopic examination ofthe placental specimen revealed poorly differentiated adenocarcinoma cells diffused into the intervillous space. Postpartum chemotherapy consisted of S-1 plus oxaliplatin. Unfortunately, this treatment was ineffective, and thepatient died 3 months after delivery. The infant did well, without clinical or laboratory manifestations of metastasis. In patients with advanced gastric cancer during pregnancy, it is important to perform a microscopic examination ofthe placenta to evaluate for metastatic involvement.