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Keywords:
Cancer, Diagnostic procedure, Biopsy, Ultrasound, Percutaneous, Mammography, Breast
Authors:
R. M. Viguer Benavent, P. Rudenko, M. �. Sánchez Fuster, G. Montoliu Fornas; Valencia/ES
DOI:
10.1594/ecr2015/C-1365
Conclusion
During pregnancy,
mammary physiological changes decrease the mammography sensitivity,
so the ultrasound plays a more important role in diagnosis of gestational breast cancer.
Mammography should be used as a supporting diagnosis method,
and can be performed with abdominal protection.
The use of MRI is not accepted in general lines,
but can be performed after pregnancy.
The management of gestational breast cancer should be preferably done from a multidisciplinary unit of breast pathology.
In general lines,
common recommendations must be followed,
adapting the management to the parameters of each case (gestational age,
reproductive desires,
tumor characteristics).
Certain lines of chemotherapy have shown safety from 2nd trimester of pregnancy.
Tumor characteristics seem to depend more on the age of the patient than of the status of pregnancy.
In our series at similar cancer staging,
patients had equal evolution to the general population.