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乳腺癌与妊娠管理中的难点

The Difficulties in the Management of Breast Cancer and Pregnancy.

作者信息

Kridis Wala B, Feki Jihène, Khanfir Afef, Toumi Nabile, Boudawara Tahia, Daoud Jamel, Frikha Mounir

机构信息

Department of Oncology Habib Bourguiba Hospital 3029, Sfax Tunisia.

出版信息

Rev Recent Clin Trials. 2016;11(2):141-4. doi: 10.2174/1574887111666151113123436.

DOI:10.2174/1574887111666151113123436
PMID:26564176
Abstract

INTRODUCTION

Breast cancer and pregnancy is rare. It is defined by the discovery of breast cancer during pregnancy or within one year after delivery. Throughout this study, we analyzed the characteristics of this entity with review of the literature.

MATERIALS AND METHODS

We report through a retrospective study of breast cancer in pregnant women, a series of 11 cases collected at the oncology department in Sfax between 1994 and 2012.

RESULT

The average age of our patients at diagnosis was 35 years. The average term of pregnancy was 22 weeks. Nine cases were diagnosed during pregnancy. The pregnancy outcome was well with babies in a good health, in 10 cases. The prognosis was excellent with complete remission after a mean follow of 39 months in 7 cases (2years-9years).

CONCLUSION

The diagnosis of breast cancer in pregnant women is often delayed because of physiological changes of pregnancy and the young age which explain the poor prognosis of this entity. The prognosis was excellent in our series compared to the literature.

摘要

引言

乳腺癌合并妊娠较为罕见。它被定义为在妊娠期或分娩后一年内发现乳腺癌。在本研究中,我们通过文献回顾分析了这一实体的特征。

材料与方法

我们通过对孕妇乳腺癌的回顾性研究,报告了1994年至2012年期间在斯法克斯肿瘤科室收集的11例病例。

结果

我们的患者诊断时的平均年龄为35岁。平均孕周为22周。9例在孕期被诊断出。10例患者的妊娠结局良好,婴儿健康。7例患者在平均随访39个月(2年 - 9年)后完全缓解,预后良好。

结论

由于妊娠的生理变化和患者年龄较轻,孕妇乳腺癌的诊断常常延迟,这也解释了该实体预后较差的原因。与文献相比,我们系列病例的预后良好。

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