Clinical Decision Making in the Management of Breast Cancer Diagnosed During Pregnancy: A Review and Case Series Analysis.

Safi, N; Saunders, C; Anazodo, A; Dickinson, JE; Boyle, F; Ives, A; Wang, A; Li, Z; Sullivan, E

Clinical Decision Making in the Management of Breast Cancer Diagnosed During Pregnancy: A Review and Case Series Analysis.

Safi, N

Saunders, C Anazodo, A Dickinson, JE Boyle, F Ives, A Wang, A Li, Z Sullivan, E

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Publisher:: Mary Ann Liebert Inc
Publication Type:: Journal Article
Citation:: J Adolesc Young Adult Oncol, 2021
Issue Date:: 2021-11-23

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Field	Value	Language
dc.contributor.author	Safi, N https://orcid.org/0000-0001-8473-0980
dc.contributor.author	Saunders, C
dc.contributor.author	Anazodo, A
dc.contributor.author	Dickinson, JE
dc.contributor.author	Boyle, F
dc.contributor.author	Ives, A
dc.contributor.author	Wang, A
dc.contributor.author	Li, Z
dc.contributor.author	Sullivan, E
dc.date.accessioned	2022-01-12T11:32:30Z
dc.date.available	2022-01-12T11:32:30Z
dc.date.issued	2021-11-23
dc.identifier.citation	J Adolesc Young Adult Oncol, 2021
dc.identifier.issn	2156-5333
dc.identifier.issn	2156-535X
dc.identifier.uri	http://hdl.handle.net/10453/153007
dc.description.abstract	Purpose: To highlight the various options available for the management of breast cancer diagnosed during pregnancy by describing the investigations, treatment, and outcomes in relation to these women. Methods: This is a narrative review of the literature to describe the issues related to pregnancy and obstetric management in patients with breast cancer. It incorporates a description of six cases of women (aged 29-39 years) with a first-time diagnosis of breast cancer during pregnancy to illustrate a number of issues that need to be considered during different trimesters. Results: Of the six cases, two were diagnosed in each pregnancy trimester. A painless breast mass was the presenting symptom in five cases (83%). In all cases, breast ultrasound was the primary diagnostic imaging procedure. Chest X-ray was performed in 3 (50%) and computed tomography in 2 (33%). A core needle biopsy was performed in all cases, and sentinel lymph node biopsy in 3 (50%) cases. Four women had grade 3 tumor; five had estrogen receptor-positive tumors. Four women had breast surgery during pregnancy. Five women gave birth after the induction of labor and/or cesarean section. In all six cases, a multidisciplinary team was involved in the delivery of health care. Conclusion: Regular breast examinations are needed for all pregnant woman during prenatal visits. Breast ultrasonography should be offered if a breast lump or other symptoms are detected. Breast surgery can be safely performed during all pregnancy trimesters, and some systemic therapeutic agents can be administered safely in the second and third trimesters.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	Mary Ann Liebert Inc
dc.relation.ispartof	J Adolesc Young Adult Oncol
dc.relation.isbasedon	10.1089/jayao.2021.0054
dc.rights	info:eu-repo/semantics/embargoedAccess
dc.subject	1110 Nursing, 1112 Oncology and Carcinogenesis, 1117 Public Health and Health Services
dc.title	Clinical Decision Making in the Management of Breast Cancer Diagnosed During Pregnancy: A Review and Case Series Analysis.
dc.type	Journal Article
utslib.location.activity	United States
utslib.for	1110 Nursing
utslib.for	1112 Oncology and Carcinogenesis
utslib.for	1117 Public Health and Health Services
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	embargoed	*
dc.date.updated	2022-01-12T11:32:29Z
pubs.publication-status	Published online

Abstract:

Purpose: To highlight the various options available for the management of breast cancer diagnosed during pregnancy by describing the investigations, treatment, and outcomes in relation to these women. Methods: This is a narrative review of the literature to describe the issues related to pregnancy and obstetric management in patients with breast cancer. It incorporates a description of six cases of women (aged 29-39 years) with a first-time diagnosis of breast cancer during pregnancy to illustrate a number of issues that need to be considered during different trimesters. Results: Of the six cases, two were diagnosed in each pregnancy trimester. A painless breast mass was the presenting symptom in five cases (83%). In all cases, breast ultrasound was the primary diagnostic imaging procedure. Chest X-ray was performed in 3 (50%) and computed tomography in 2 (33%). A core needle biopsy was performed in all cases, and sentinel lymph node biopsy in 3 (50%) cases. Four women had grade 3 tumor; five had estrogen receptor-positive tumors. Four women had breast surgery during pregnancy. Five women gave birth after the induction of labor and/or cesarean section. In all six cases, a multidisciplinary team was involved in the delivery of health care. Conclusion: Regular breast examinations are needed for all pregnant woman during prenatal visits. Breast ultrasonography should be offered if a breast lump or other symptoms are detected. Breast surgery can be safely performed during all pregnancy trimesters, and some systemic therapeutic agents can be administered safely in the second and third trimesters.

Please use this identifier to cite or link to this item:

http://hdl.handle.net/10453/153007