Northwestern University Feinberg School of Medicine, Chicago, Illinois 60611, USA.
J Natl Compr Canc Netw. 2012 Feb;10(2):145-8. doi: 10.6004/jnccn.2012.0017.
Breast cancer is the most common malignancy associated with pregnancy and is a rare but well-recognized complication. It is hypothesized that as more women continue to delay childbearing, the incidence of breast cancer in pregnancy will increase. Because of the lack of clinical experience with breast cancer in the setting of pregnancy, given its relative infrequency, many patients and physicians believe the diagnosis puts the life of the mother at odds with that of the fetus, but available data suggest that termination of the pregnancy does not improve the outcome for pregnant women with breast cancer. Often diagnosis is delayed because neither patient nor physician suspects malignancy. This report presents a recent case of a young primigravid woman with a newly appreciated breast mass seen at Northwestern University Feinberg School of Medicine as a means of discussing diagnostic considerations, therapeutic options, and supportive care available to the practitioner when managing a pregnant patient with breast cancer.
乳腺癌是与妊娠相关的最常见恶性肿瘤，是一种罕见但已被认识到的并发症。据推测，随着越来越多的女性继续推迟生育，妊娠期间乳腺癌的发病率将会增加。由于妊娠期间乳腺癌的临床经验相对较少，且其相对罕见，许多患者和医生认为，诊断结果使母亲和胎儿的生命处于对立状态，但现有数据表明，终止妊娠并不能改善患有乳腺癌的孕妇的预后。通常，由于患者和医生都没有怀疑恶性肿瘤，因此诊断被延误。本报告介绍了西北大学范伯格医学院（Northwestern University Feinberg School of Medicine）最近诊治的一位年轻初产妇的病例，该患者新出现了乳腺肿块，以此来讨论诊断注意事项、治疗选择以及在管理妊娠合并乳腺癌患者时可提供给临床医生的支持性护理。
