Document Detail


Pregnancy-associated breast cancer--a review analysis.
MedLine Citation:
PMID:  21061786     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
MATERIALS AND METHODS: Articles were obtained from Medline (1988 present) using as keywords breast cancer, pregnancy, breastfeeding, lactation, carcinoma and pregnancy.
RESULTS: Unfortunately, delays in diagnosis and treatment are common during pregnancy and the prognosis is thus worsened. Nulliparity, early menarche and late age at first pregnancy are associated with increased risk for breast cancer. Breastfeeding confers a protective effect on risk of breast cancer, which appears to be related to the duration of breastfeeding. In cases of advanced metastatic disease during the first 14 to 15 weeks of pregnancy when chemotherapy is necessary for prompt treatment, termination of pregnancy may be proposed, particularly if the patient is ER-positive. Modified radical mastectomy is probably the procedure most frequently used today. In general chemotherapy should be delayed until after 14 to 15 weeks of gestation and radiation should be reserved until post delivery. Several authorities generally advise that future pregnancy should be delayed for at least two years after breast cancer treatment.
CONCLUSION: Breast cancer has an equivalent prognosis in pregnant and non pregnant patients when matched by age and stage at diagnosis. Women are invariably best treated by multidisciplinary teams.
Authors:
A Daniilidis; C Giannoulis; C Sardeli; K Dinas; M Nasioutziki; T Tantanasis; A Loufopoulos; J Tzafettas
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  European journal of gynaecological oncology     Volume:  31     ISSN:  0392-2936     ISO Abbreviation:  Eur. J. Gynaecol. Oncol.     Publication Date:  2010  
Date Detail:
Created Date:  2010-11-10     Completed Date:  2010-12-13     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8100357     Medline TA:  Eur J Gynaecol Oncol     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  485-90     Citation Subset:  IM    
Affiliation:
2nd Department of Obstetrics and Gynecology, Hippokratio University Hospital, School of Medicine, Aristotle University of Thessaloniki, Greece. angedan@hotmail.com
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MeSH Terms
Descriptor/Qualifier:
Abortion, Induced
Breast Feeding
Breast Neoplasms / complications*,  diagnosis*,  surgery
Chemotherapy, Adjuvant
Delayed Diagnosis
Female
Humans
Mastectomy, Modified Radical
Pregnancy
Pregnancy Complications, Neoplastic*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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