What is Pregnancy Associated Breast Cancer ? Dr. Manish Singhal | Oncologist in Noida
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Pregnancy-associated breast cancer has been researched quite a lot now and there are unique challenges to breast cancer which are diagnosed during pregnancy.
There are so many changes in the breast during pregnancy that most of the time the cancer is missed.
Not only by the doctor or the gynecologist but also by the patient because this is the last thing to expect when you are undergoing pregnancy.
There are a lot of hormonal changes which happen during the pregnancy.
Pregnancy-Associated Breast Cancer is divided into Two Parts
Postpartum Breast Cancer (PPBC)
For the diagnosis of breast cancer, X-rays are often used, but they are not performed during pregnancy because the radiation from X-rays can harm the baby.
During pregnancy the best way to diagnose Breast Cancer
Ultrasound
Needle Biopsy.
MRI is also not absolutely safe for the child but in the second trimester, one can think of doing an MRI in case that is required. but usually, ultrasound and biopsy would suffice and you have to keep an index of suspicion if there is a hard mass in the breast then you have to think that it can be something that requires further investigation.
In the second trimester, it is absolutely safe to give most of the chemotherapies which are effective in breast cancer. This chemotherapy is not going to harm the child at all.
Your aim is not only to save the mother but also save the child and abortion is not usually an option because it becomes very risky.
It will not harm the child, Anesthesia will not harm the Child
Chemotherapy can be administered before or after surgery, both during the second and third trimesters of pregnancy.
The treatment of surgery and chemotherapy is over, the baby is born healthy, then radiation therapy can also be accomplished.
Hormone therapy cannot be given during the peak of the pregnancy.
Only after the baby has been delivered, hormone therapy can be given.
However, in cases where there is a hard mass, ultrasound and two-cut biopsy are safe procedures, while CT scans and X-rays should be avoided.
The treatments can be done, only radiation therapy and hormone therapy cannot be done. Surgery and chemotherapies can be accomplished in the second and third trimester. A healthy child can be delivered and you can successfully beat breast cancer diagnosed during pregnancy.
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