Abstract
A case report of normal delivery more than 6 years after the surgery for gastric carcinoma is presented. The patient was a 22 years-old woman who came to our hospital in 1982 because of abdominal fullness. Gastroscopy disclosed a Borrmann type II gastric carcinoma in the antrum. Subtotal gastrectomy with second level lymphnode resection and partial resection of the transverse colon were performed. Pathological study of the resected specimen revealed poorly differentiated, scirrhous type adenocarcinoma invading the transverse colon, without lymphnode metastasis. After a series of adjuvant chemotherapy with 5 FU, adriacin, and mitomycin C, she was discharged from the hospital. Six years after the operation, she became pregnant and delivered a normal female baby in July 1989. In November 1990, ie., eight years after the operation, she died of carcinomatous peritonitis. To our knowledge, there have been 9 case reports of pregnancy and delivery after surgery for gastric carcinoma in Japanese literature, ; and these data may suggest that pregnancy be acceptable only if gastric cancer is in early stage, absolute curative resection is performed and if estrogen receptor of the tumor is negative.
