[Termination of pregnancy during or after treatment of carcinoma of the breast. A review (author's transl)].
The problems of medical, eugenic and social or psycho-social indication are discussed on the basis of the literature published during the past 40 years. Prognosis is not as unfavourable as generally assumed, especially during the lactation period. The processes of gestation have no clearly identifiable unfavourable influence on prognosis. On the contrary, in cases of completed carcinoma therapy, the survival rates in women who became subsequently pregnant and stood through the entire period of gestation, are distinctly improved. There is no medical indication for an abortion. A eugenic indication may be present especially in early pregnancy, if percutaneous subsequent irradiation and adjuvant chemotherapy are considered necessary. A social or psycho-social indication can be present if the individual prognosis and situation of the patient in question is taken into consideration. The decision becomes particularly difficult if the carcinoma is diagnosed during the second half of the period of gestation. In that case, prognosis deteriorates to the negative side. The fate as such, however, cannot be influenced by performing an abortion. To achieve viability of the child, adjuvant therapy must be delayed for a period of not longer than 12 weeks. Whether such a waiting period is justified or not, can only be decided from case to case by mutual consultation between the mother and the doctor.
D000025:Abortion, Eugenic; D000028:Abortion, Induced; D000328:Adult; D001943:Breast Neoplasms / Q000628:therapy*; D005260:Female; D006801:Humans; D007774:Lactation; D008875:Middle Aged; D011247:Pregnancy; D011248:Pregnancy Complications / Q000628:therapy*; D011262:Pregnancy Trimester, Second; D011263:Pregnancy Trimester, Third; D011379:Prognosis
Schwangerschaftsabbruch während oder nach Behandlung eines Mammakarzinoms. Eine Ubersicht.