As we all know, in addition to leukemia, other cancers all have mass, so the diagnosis of breast lumps are also an important basis for breast cancer is one. Women in pregnancy, its breasts with intrauterine fetal growth and endocrine changes in physiological development and size of emergence increased, if the breast lump appears at this time would undoubtedly have been larger breasts conceal is bound to bring some diagnosed impact. It is reported that the diagnosis of breast cancer during pregnancy than in normal circumstances be delayed for 2-15 months. The results will definitely affect the prognosis, should be a high priority.
Principle of treatment of breast cancer during pregnancy with non-pregnancy breast cancer, basically the same. However, as gestational breast cancer in stage of disease, pregnancy, patient treatment needs and aspirations of the different birth, and therefore a specific law on the governance and bad head. General proposals:
1. In patients with breast cancer at the 1,2, the pregnancy can continue to go on with the general principles of treatment of breast cancer treatment. However, if within 3 months of pregnancy, termination of pregnancy is best, if not willing to termination of pregnancy should be avoided chemotherapy and radiotherapy should be good to protect the uterus. Be done in patients with breast-conserving part of the mastectomy, then must terminate the pregnancy, postoperative chemotherapy, radiotherapy.
2. The end of breast cancer, pregnancy, viable radical mastectomy, maternity after chemotherapy, radiotherapy, or to be treated after birth.
3. Pregnancy was found in advanced breast cancer (3,4 phase) of the patients, their prognosis is poor, should termination of pregnancy.
4. Since most pregnancy estrogen receptor in breast cancer patients (the positive or negative prognosis for treatment and observation as a regular basis) often negative, so the termination of pregnancy does not change the tumor growth and prognosis, and similarly, use of preventive castration (defined as using various methods, such as surgery, drugs, radiotherapy and other methods to remove ovarian function) is not necessarily valid, so do not emphasize the termination of pregnancy on the clinical and preventive castration of the therapeutic effect of breast cancer during pregnancy.
Many examples show that in a breast cancer, the prognosis of breast cancer during pregnancy is better than non-pregnancy breast cancer, pregnancy after breast cancer treatment, the prognosis than the end of pregnancy Fortunately, not only after 5-year survival rate has increased , but after axillary lymph node metastasis or distant metastasis decreased significantly. It appears that early pregnancy breast cancer is not “useless.”
Fertility after treatment of breast cancer for women, about 7% to fertility. But this is limited to early lesions, their axillary lymph nodes were negative, pregnancy, time should be selected more than 2 years after treatment.
