[Breast cancer during pregnancy].
Marc Schnetz1, Athina Stravodimou2, Christophe Cisarovsky1
1Service d'oncologie médicale, Département d'oncologie, CHUV, 1011 Lausanne.
Revue Medicale Suisse
|May 19, 2021
Summary
Managing pregnancy and breast cancer requires careful coordination between oncology and obstetrics. Treatments like surgery and chemotherapy are often feasible during pregnancy, ensuring a similar prognosis for expectant mothers.
Area of Science:
- Oncology
- Obstetrics
- Maternal-Fetal Medicine
Background:
- Managing breast cancer during pregnancy presents unique challenges for patient care.
- Effective management necessitates close collaboration between oncology and obstetrics teams.
- Creating a supportive environment is crucial during this high-stress period for patients.
Purpose of the Study:
- To outline the complexities of managing breast cancer in pregnant patients.
- To detail treatment modalities compatible with pregnancy and those requiring postpartum initiation.
- To discuss imaging considerations for pregnant breast cancer patients.
Main Methods:
- Review of current clinical practices and literature regarding breast cancer in pregnancy.
- Analysis of treatment timelines and safety profiles for various oncological interventions.
- Evaluation of imaging technique compatibility and contraindications during gestation.
Main Results:
- Pregnancy can often continue alongside timely initiation of oncological treatments.
- Surgery and chemotherapy are generally considered safe during pregnancy.
- Endocrine therapy, radiotherapy, and antibody treatments are typically deferred until postpartum.
Conclusions:
- Multidisciplinary coordination is key to optimizing care for pregnant breast cancer patients.
- Many breast cancer treatments can be safely administered during pregnancy, maintaining a favorable prognosis.
- Careful consideration of treatment timing and imaging modalities is essential for maternal and fetal well-being.
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