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Breast cancer associated with pregnancy
J T Parente1, M Amsel, R Lerner
1Department of Obstetrics and Gynecology, Bronx-Lebanon Hospital Center, New York.
Obstetrics and Gynecology
|June 1, 1988
Summary
Detecting breast cancer during pregnancy is challenging due to hormonal changes and focus on gestation. Early diagnosis and prompt treatment are crucial for improved prognosis in pregnant patients.
Area of Science:
- Oncology
- Obstetrics & Gynecology
- Radiology
Background:
- Breast cancer detection during pregnancy is complicated by physiological changes and clinical focus on the pregnancy.
- Hormonal influences can cause breast tissue engorgement, potentially masking tumors.
Purpose of the Study:
- To report on the incidence and management of breast cancer diagnosed during pregnancy.
- To suggest a management plan for breast cancer in pregnant patients based on limited experience.
Main Methods:
- Retrospective review of eight cases of breast cancer diagnosed during pregnancy over a five-year period.
- Diagnosis confirmed by surgical biopsy.
- Analysis of patient demographics, tumor detection, and treatment outcomes.
Main Results:
- Eight cases of breast cancer were identified in 12,500 pregnancies (1 in 1,562).
- Five tumors were self-detected; two patients requested abortion, with no apparent benefit in advanced disease.
- Seven of eight patients were aged 35-40 years.
Conclusions:
- Breast cancer during pregnancy presents diagnostic challenges but requires prompt evaluation.
- A multidisciplinary approach focusing on early detection, responsible screening, and timely therapy is recommended.
- Improved outcomes for breast cancer in pregnancy are achievable with vigilant breast examinations and prompt treatment.