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Vol. 20, No. 5, 2005
Issue release date: September–October 2005
Fetal Diagn Ther 2005;20:442–444
(DOI:10.1159/000087114)

Infiltrative Breast Cancer during Pregnancy and Conservative Surgery

Annane K. · Bellocq J.-P. · Brettes J.-P. · Mathelin C.
aService de Gynécologie-Obstétrique, Hôpitaux Universitaires de Strasbourg et bService d’Anatomie Pathologique, Hôpital de Hautepierre, Strasbourg, France

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Abstract

Mastectomy is considered as the standard therapy for gestational breast cancer. Since radiation therapy is harmful for the fetus, conservative surgery is rarely used during pregnancy. Among 16 patients with gestational breast cancer, 10 and 6 were treated with conservative surgery and mastectomy, respectively. No local recurrences occurred with a median follow-up time of 87 months. Among the 10 patients treated with conservative surgery, 3 chose therapeutic abortion and 7 opted to continue their pregnancy. Concerning these 7 fetuses, there were no congenital anomalies, nor growth restriction. All children were normal physically and neurologically. We concluded that conservative breast surgery may be an alternative to mastectomy in the treatment of gestational breast cancer and is safe for the fetus.



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References

  1. National Cancer Institute: Breast cancer in pregnancy. Cancer.gov at: http://cancer.gov/cancerinfo/pdq/treatment/breast-cancer-and-pregnancy/healthprofessional/
  2. Nettleton J, Long J, Kuban D, Wu R, Shaefffer J, El-Mahdi A: Breast cancer during pregnancy: Quantifying the risk of treatment delay. Obstet Gynecol 1996;87:414–418.
  3. Keleher AJ, Theriault RL, Gwyn KM, Hunt KK, Stelling CB, Singletary SE, et al: Multidisciplinary management of breast cancer concurrent with pregnancy. J Am Coll Surg 2002;194:54–64.
  4. Kuerer HM, Gwyn K, Ames FC, Theriault RL: Conservative surgery and chemotherapy for breast carcinoma during pregnancy. Surgery 2002;131:108–110.


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