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Psychological management of pregnancy-related breast cancer

Rosanna Zanetti-Dällenbach1, Sibil Tschudin, Olav Lapaire

  • 1Department of Obstetrics and Gynaecology, University Hospital Basel, Spitalstrasse 21, 4031 Basel, Switzerland.

Breast (Edinburgh, Scotland)
|March 27, 2007
PubMed

The comprehensive care of a pregnant patient in whom breast cancer is diagnosed presents a challenge to the biomedical and psychological competence of the medical team. Illustrated by a case presentation the different phases of psychological care are delineated and discussed: the confrontation with the diagnosis of a life-threatening disease in a situation in which the beginning of a future life is celebrated. Special attention is given to breaking bad news, the establishment of a stable and trustful physician-patient relationship, communicating risk and to the extremely difficult decision-making process regarding termination or continuation of pregnancy (shared decision-making). The delicate balance between oncological care for the mother with a high-risk disease and a high-risk pregnancy and neonatal care for the foetus is outlined, including regular talks about emotions and concerns.

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