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Breast cancer in pregnancy
Does pregnancy increase the risk of breast cancer?
No
What are the symptoms of breast cancer during pregnancy?
The symptoms are generally:
** Breast pain
** Feeling of swelling or a lump
** Changes in the position and protrusion of the nipple
** Changes in the skin covering the breast
**Bloody discharge from the nipple
** Weight loss and loss of appetite
** Symptoms of the spread of the tumor to other organs (for example, headache if it spreads to the brain)
How are breast lumps treated during pregnancy?
They are evaluated using breast ultrasound
Can a mammogram be used during pregnancy?
Yes, but a shield must be used to cover the abdomen and protect the fetus
Can a breast biopsy be performed during pregnancy?
Yes
Can a CT scan be used during pregnancy?
Not recommended due to the high level of radiation that the fetus is exposed to
Can a bone scan using radioisotopes be used during pregnancy to assess the extent of the tumor spread?
No due to the high level of radiation that the fetus is exposed to
Is breast cancer during pregnancy a reason to terminate pregnancy?
This depends on the extent of the disease, its stage, the patient's need for treatment, and the expected survival rate.
What is the treatment for breast cancer during pregnancy?
Care should be shared between the gynecologist, obstetrician, breast surgeon, oncologist, and other related specialties to ensure the best outcome for the woman.
Treatment may be:
** Surgical removal of the breast and surrounding lymph nodes
**Radiotherapy
**Chemotherapy
What are the precautions for radiation therapy during pregnancy?
It is best to postpone it until after delivery, but if it is necessary during pregnancy, a shield should be placed on the abdomen to protect the fetus
What are the precautions for chemotherapy during pregnancy?
It should be avoided in the first trimester of pregnancy because it causes fetal anomalies
Can drugs that act on estrogen receptors be used during pregnancy?
No, their use should be postponed until after delivery
When should delivery take place?
This depends on the degree and stage of the disease, the mother's health condition and her treatment requirements
Can a woman who was treated for breast cancer during pregnancy breastfeed after giving birth?
If there is breast tissue left that produces milk, then yes she can breastfeed, but there are some treatments that are secreted with milk and therefore breastfeeding should be avoided while using them
Can women who have had breast cancer use birth control pills?
It is better to avoid them and use non-hormonal contraceptive methods
When can a woman get pregnant after recovering from breast cancer?
This depends on each case and its requirements, but in general, you should wait two years before getting pregnant again
