A 3o yrs pregnant woman " golden baby" with a mass in right breast, CNB result: invasive ductal carcinoma grade II ER + PR+ HER2+. No familial breast cancer history. sonography axial was negative.what is your plan.
Hi
which trimester is she in ?
what is the size and location (site) of the tumor ?
Need more data: What trimester of pregnancy?
What is the wish of the patient? she wants to breastfeed?
Patient is happy with your breasts?
Patient ever had the desire to increase or decrease the breasts before pregnancy?
Without these answers, the answer is: treat as she wasn´t pregnant, taking into account the staging, the molecular type. breast size and tumor size
Sorry Dear friends , the patients is in 11w of pregnancy. i suppose this data was erased in question.
Dear Dr Alavi,
Thanks for your attention.The mass size is 2*2.5 cm in UOQ.
You are welcome Dr.Mahmoodzadeh,
I recommend breast conserving surgery and SLNB then chemotherapy. If there was indication for radiation ,it will be done after delivery.The main question (for me as a surgeon) is doing sentinel node in this pregnant woman or no .Based on data , SLNB with radiolabeled drug is more safe than blue dye in pregnancy . I would discuss possible risks to the patient and if she didn't agree for SLNB ,I will do 1st level sampling and check 2nd and 3rd level by palpation.
- Badges
- Science topic
- Similar topics
- Chemistry
- Pharmacology