Department of Medicine, Division of Haematology Oncology, European Institute of Oncology, Via Ripamonti 435, 20141 Milan, Italy.
Breast. 2010 Dec;19(6):527-31. doi: 10.1016/j.breast.2010.05.018.
Little is known regarding the safety and feasibility of breastfeeding in women with a history of breast cancer. We have performed a survey among breast cancer patients who completed their pregnancy following breast cancer management to examine their lactation behaviours and its effect on breast cancer outcome. Out of 32 women identified, 20 were reachable and accepted to take the questionnaire. Ten women initiated breastfeeding, 4 stopped within one month and 6 had long-term success with a median period of 11 months (7-17 months). The latter were all previously subjected to breast conserving surgery and received qualified lactation counselling at delivery. The main reasons for not initiating breastfeeding were "uncertainty regarding maternal safety" and "a priori unfeasibility" expressed either by the obstetrician or by the oncologist. At a median follow-up of 48 months following delivery, all 20 women were alive with two relapses; one in each group (i.e., lactating and non-lactating). This analysis adds to the limited available evidence on the feasibility and safety of breastfeeding in breast cancer survivors. Proper fertility and survivorship counselling is crucial and requires more attention in breast cancer clinics.
关于有乳腺癌病史的女性进行母乳喂养的安全性和可行性知之甚少。我们对完成乳腺癌管理后怀孕的乳腺癌患者进行了一项调查，以检查她们的哺乳行为及其对乳腺癌结局的影响。在确定的 32 名女性中，有 20 名可联系且愿意接受问卷调查。其中 10 名女性开始母乳喂养，4 名女性在一个月内停止，6 名女性母乳喂养成功，中位数为 11 个月（7-17 个月）。后者均接受过保乳手术，并在分娩时接受了合格的哺乳咨询。不开始母乳喂养的主要原因是“对母亲安全的不确定性”和“事先认为不可行”，这是由产科医生或肿瘤医生表达的。在分娩后中位随访 48 个月时，所有 20 名女性均存活，无复发；每组（即哺乳组和非哺乳组）各 1 例。这项分析增加了有限的关于乳腺癌幸存者母乳喂养的可行性和安全性的证据。适当的生育和生存咨询至关重要，在乳腺癌诊所需要更多关注。
