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Management of pregnant women with breast cancer
Julie A Guidroz1, Carol E H Scott-Conner, Ronald J Weigel
1Department of Surgery, University of Iowa, Iowa City, Iowa 52242, USA.
Pregnancy complicates the diagnosis and treatment of breast cancer. Surgical treatment options of mastectomy or breast-conservation can be used as for non-pregnant patients. Sentinel lymph node biopsy can be safely used with lymphoscintigraphy. Chemotherapy is appropriate in the second and third trimesters, however, radiation therapy should be delayed until after delivery. Multidisciplinary care, including High-Risk Obstetrics, remains the best approach to managing this complex patient population.
Pregnancy complicates the diagnosis and treatment of breast cancer. Surgical treatment options of mastectomy or breast-conservation can be used as for non-pregnant patients. Sentinel lymph node biopsy can be safely used with lymphoscintigraphy. Chemotherapy is appropriate in the second and third trimesters, however, radiation therapy should be delayed until after delivery. Multidisciplinary care, including High-Risk Obstetrics, remains the best approach to managing this complex patient population.
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