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[Breast cancer in puerperium]
M Sviteková1, L Minár, Z Pacovský
1Gynekologicko-porodnická klinika, Lékarské Fakulty Masarykovy Univerzity, Fakultní nemocnice Brno. msvitekova@fnbrno.cz
Klinicka Onkologie : Casopis Ceske a Slovenske Onkologicke Spolecnosti
|December 24, 2008
Summary
Pregnancy and postpartum can present challenges in diagnosing breast cancer. Early detection and appropriate diagnostic methods are crucial for managing invasive ductal carcinoma during this period.
Area of Science:
- Oncology
- Obstetrics & Gynecology
- Radiology
Background:
- Breast cancer during pregnancy and puerperium is rare.
- Early detection is critical for effective management.
Observation:
- A 29-year-old woman presented with a palpable breast mass during late gestation.
- Initial symptoms were attributed to hormonal changes.
- Postpartum ultrasonography and biopsy confirmed invasive ductal carcinoma, grade 3, at an advanced stage (T4b N2 M1).
Findings:
- The patient received neoadjuvant chemotherapy and radiotherapy.
- Positron Emission Tomography (PET) scan showed residual tumor in the breast but no metastasis in the liver post-chemotherapy.
- Disease relapse occurred 3 months after treatment completion.
- Palliative chemotherapy is planned 14 months postpartum.
Implications:
- Obstetricians must be vigilant for breast changes in pregnant patients.
- Uncertain breast findings warrant prompt and appropriate diagnostic workup.
- Timely diagnosis and management are essential for improving outcomes in pregnancy-associated breast cancer.
