Abstract
Colorectal cancer in pregnancy is uncommon. Colorectal cancer is the second most prevalent cancer in women in the United States.1 In general this is a disease of the middle-aged and the elderly. It is estimated that only 10% of colorectal cancers develop in women under the age of 40, or about 1 in 2000. In women under 30 only about 2% of colorectal cancers occur in this age group.2,3 A review by Bernstein et al4 of 42 cases of colorectal cancer in pregnancy showed that the mean age of the patients at time of diagnosis was 31 years. Recent estimates of the incidence of colorectal cancer in pregnancy are 1 in 10,000.5 This incidence might continue to rise as women tend to delay pregnancy to the mid-late thirties and early forties.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Parker SL, Tong T, Bolden S, et al. Cancer statistics, 1996. Cancer J Clin 1996; 46: 5–27
Coffey RJ, Cardenas F. Cancer of the bowel in the young adult. Dis Colon Rectum 1964; 7: 491–2
Falterman KW, Hill CB, Markey JC, et al. Cancer of the colon, rectum and anus. A review of 2313 cases. Cancer 1974; 84: 951–9.
Bernstein MA, Madoff RD, Caushaj PF. Colon and rectal cancer in pregnancy. Dis Colon and Rectum 1993; 36: 172–8
Woods JB, Martin JN Jr, Ingram FH, et al. Pregnancy complicated by carcinoma of the colon above the rectum. Am J Perinatology 1992; 9: 102–10
Shushan A, Stemmer SM, Reubinoff BE, et al. Carcinoma of the colon during pregnancy. Obstet Gynecol Sury 1992; 47: 222–5
Isbister WH, Frasier J. Large-bowel cancer in the young: A national survival study. Dis Colon Rectum 1990; 33: 363–6
Ransohoff DF, Lang CA. Screening for colorectal cancer. N Engl J Med 1991; 325: 37–41
Girard RM, Lamarche J, Baillot R. Carcinoma of the colon associated with pregnancy: Report of a case. Dis Colon Rectum 1981; 24: 472–5
Silverberg E. Cancer Statistics. New York: American Cancer Society, 1981
Falterman KW, Hill CB, Markey JC, et al. Cancer of the colon, rectum, and anus: A review of 2313 cases. Cancer 1974; 34: 951–9
Cappell MS, Goldberg ES. The relationship between the clinical presentation and spread of colon cancer in 315 consecutive patients: A significant trend of earlier cancer detection from 1982 through 1988 at a university hospital. J Clin Gastroenterol 1992; 14: 227–35
Scott DE, Prichart JA. Iron deficiency in healthy young college women. JAMA 1967; 199: 147
Lamerz R, Reuder H. Significance of CEA determination in patients with cancer of the colon-rectum and the mammary gland in comparison to physiological states in connection with pregnancy. Bull Cancer 1976; 63: 575–86
Walsh C, Fazio V. Cancer of the colon, rectum, and anus during pregnancy. Gastroenterol Clin of North America, 1998; 27: 257–67
Heres P, Witltink J, Cuest MA, Burger CW, van Groeningen CJ, Meijers S. Colon Carcinoma during pregnancy: A lethal coincidence. Eur J Obstet Gynecol Reprod Biol 1993; 48: 149–52
Moertel CG, Fleming TR, MacDonald JS, et al. Levamisole and fluorouracil for adjuvant therapy of resected colon carcinoma. N Engl J Med 1990; 322: 352–8
Aviles A, Diaz-Maqueo JC, Talavara A, et al. Growth and development of children of mothers treated with chemotherapy during pregnancy: Current status of 43 children. Am J Hematol 1991; 36: 243–8
Nesbitt JC, Moise KJ, Sawyers JL. Colorectal carcinoma in pregnancy. Arch Surg 1985; 120: 636–40
Sommers GM, Kao MS. Using chemotherapeutic agents during pregnancy. Contemp Obstet Gynecol 1987; 30: 45–8
Pitluk H, Poticha SM. Carcinoma of the colon and rectum in patients less than 40 years of age. Surg Gynecol Obstet 1983; 157: 335–7
Matsuyama T, Tsukamoto N, Matsukuma K, et al. Malignant ovarian tumors associated with pregnancy. Report of six cases. Int J Gynecol Obstet 1989; 28: 61–6
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2001 Springer-Verlag London Limited
About this chapter
Cite this chapter
Stemmer, S.M. (2001). Colorectal Cancer in Pregnancy. In: Barnea, E.R., Jauniaux, E., Schwartz, P.E. (eds) Cancer and Pregnancy. Springer, London. https://doi.org/10.1007/978-1-4471-0707-1_8
Download citation
DOI: https://doi.org/10.1007/978-1-4471-0707-1_8
Publisher Name: Springer, London
Print ISBN: 978-1-4471-1184-9
Online ISBN: 978-1-4471-0707-1
eBook Packages: Springer Book Archive