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Pregnancy-associated Breast Cancer

VISWANATHAN, SRIVIDYA MD; RAMASWAMY, BHUVANESWARI MD, MRCP

Clinical Obstetrics & Gynecology: December 2011 - Volume 54 - Issue 4 - p 546–555
doi: 10.1097/GRF.0b013e318236e436
Cancer In Pregnancy

As women delay childbirth, the incidence of pregnancy-associated breast cancer is expected to increase. A high degree of suspicion is necessary to ensure timely investigation and diagnosis of breast cancer in a pregnant woman with a suspicious breast lump. Surgery as an initial approach is more suitable when diagnosis is made in the first trimester and systemic therapy can be delayed to second trimester. Diagnosis of breast cancer in the later stages of pregnancy can be managed with primary chemotherapy or surgery. A multidisciplinary approach involving medical and surgical oncologists, high-risk obstetric care, genetic counselors, pharmacists, radiation oncologists, and neonatologist is highly recommended for the successful management of cancer and pregnancy.

Division of Medical Oncology, Arthur G. James Cancer Hospital, Richard J. Solove Research Institute, The Ohio State University, Columbus, Ohio

The authors declare that they have nothing to disclose.

Correspondence: Bhuvaneswari Ramaswamy, MD, MRCP, Division of Medical Oncology, Arthur G. James Cancer Hospital, Richard J. Solove Research Institute, The Ohio State University, B406 Starling-Loving Hall, OH . E-mail: bhuvaneswari.ramaswamy@osumc.edu.

© 2011 Lippincott Williams & Wilkins, Inc.