Department of Obstetrics and Gynecology, Oregon Health & Science University, Portland, Oregon.
Obstet Gynecol. 2018 Jul;132(1):122-125. doi: 10.1097/AOG.0000000000002647.
A 34-year-old primigravid woman presents for a routine prenatal visit at 18 weeks of gestation with a breast lump. On examination, she has a painless, firm breast mass measuring 3-4 cm in diameter with overlying skin dimpling. A diagnostic mammogram shows findings suspicious for malignancy (Breast Imaging Reporting and Data System [BI-RADS] 4), and core biopsy demonstrates an invasive ductal carcinoma with both estrogen and progesterone receptor-positive staining. The patient asks: "How will this affect my pregnancy, and what is the safest course of action?"
一位 34 岁的初产妇在妊娠 18 周时因乳房肿块就诊。检查发现她有一个无痛、坚硬的乳房肿块，直径约 3-4 厘米，表面皮肤有酒窝。乳腺造影检查显示为恶性肿瘤可疑（乳腺影像报告和数据系统[BI-RADS]4 级），活检显示为雌激素和孕激素受体阳性的浸润性导管癌。患者问：“这会对我的怀孕产生什么影响，什么是最安全的治疗方法？”
