CANCER COLIQUE ET GROSSESSE

We are reporting a case of colonic adenocarcinoma in a 18 weeks pregnant woman aged 42 years. We realised a left segmental colectomy completed by an adjuvant chemotherapy after a normal delivery. For months later, a bilateral ovarian metastasis were diagnose. Therfore, an hysterectomy and a bilateral ablation of annexes with an omentectomy was done. The ovulation was good without recurrence for four months later. Discussion : The adivised therapeutical attitude is to stop pregnancy before intervention during the first trimester, in the second trimester surgical treatment is indicated regardless pregnancy, in the thied trimester, it is necessary to wait until full pulmonary maturity of the foetus is seached, then intervene by a caesarian section and a curative surgical treatment at the some time. The diagnosis of cancer colon associated with pregnancy is difficult and needs a strong multidisciplinary collaboration. The prognosis of cancer colon is aggravted in pregnant women. It can not be emproved except with an early diagnosis.