title: Lactic acidosis. A presentation of metastatic breast cancer arising in pregnancy.
abstract: Lactic acidosis B is a rare metabolic complication of malignancy. It usually is associated with advanced and extensive metastatic disease. The authors report a case in which lactic acidosis was the presenting feature of a previously undiagnosed case of metastatic breast cancer in a pregnant woman and that resolved with successful antineoplastic treatment. The authors review the likely cause and management of the condition.
authors.affiliation: Department of Medical Oncology, St. George's Hospital Medical School, London, United Kingdom.
authors.forename: T R
authors.initials: TR
authors.lastname: Evans
authors.forename: R C
authors.initials: RC
authors.lastname: Stein
authors.forename: H T
authors.initials: HT
authors.lastname: Ford
authors.forename: J C
authors.initials: JC
authors.lastname: Gazet
authors.forename: G V
authors.initials: GV
authors.lastname: Chamberlain
authors.forename: R C
authors.initials: RC
authors.lastname: Coombes
mesh_terms: D000140:Acidosis, Lactic / Q000175:diagnosis / Q000209:etiology*; D000230:Adenocarcinoma / Q000150:complications* / Q000556:secondary; D000328:Adult; D001943:Breast Neoplasms / Q000150:complications*; D005260:Female; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications / Q000378:metabolism*; D011252:Pregnancy Complications, Neoplastic / Q000378:metabolism; D011263:Pregnancy Trimester, Third