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Article #393: Breast Cancer & Pregnancy

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It is of prime importance that the certain forms of chemotherapy from three
obstetrician's take a thorough breast months onwards. This may be continued
examination of pregnant women to detect after the baby is born, although mothers
breast cancer. Often, the diagnosis is should not breast feed their babies while
delayed because doctors and pregnant they are having chemotherapy.
women assume that lumps in the breast are Treatments are planned around the
due to normal hormonal changes. expected delivery date and are
The threat of breast cancer is upsetting administered as close to term as
for anyone, particularly during possible, Through the process,
pregnancy, but it is not uncommon. oncologists communicate regularly with a
Pregnant women and physicians should woman's obstetrician. A substantially
become more aware of the risk associated greater number of pregnant women have
with cancer. The obstetricians are been treated now than ever before,
usually more focused on the health of the providing a growing confidence in the
unborn baby than the mother's possible safety and positive outcome of
illness but should be more aware of the chemotherapy for pregnant breast cancer
risk of breast cancer. Women should patients Carter and baby Emma are perfect
examine their breasts regularly and tell examples. Weighing 5 pounds, 14 ounces,
their doctor about any changes they Emma entered the world with a "full head
discover. of hair," laughs Carter, who says she was
Not only is diagnosis often delayed, but "completely bald" when her "miracle
there is a high rate of false-negative child" was born.
results of a mammography due to the Overall survival of pregnant women with
increased density of the breast during breast cancer may be worse than in non
pregnancy. pregnant women at all stages however,
Ultrasonogaphy is the best way to check this may be due primarily to delayed
for cancerous lumps in pregnant and diagnoses. Termination of pregnancy has
lactating women. Many studies have shown not been shown to have any beneficial
that the tumors in pregnant women are effect on breast cancer outcome and is
larger and are more likely to spread. not usually considered as a therapeutic
Pregnant women should be encouraged to option. Termination of pregnancy,
know that treatment is as successful and however, may be considered, based on the
safe as in non-pregnant women. Surgery is age of the fetus, and if maternal
the best route although there is a small treatment options, such as chemotherapy
risk of premature labor. Radiation and radiation therapy, are significantly
therapy is not offered during pregnancy limited by the continuation of the
but patients can be safely treated with pregnancy.






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