A growing dilemma--breast cancer and pregnancy.
BACKGROUND
Breast cancer and pregnancy are events that have an enormous impact on the lives of women. When these events are associated they become a highly emotive issue with possible devastating consequences.


OBJECTIVE
While information on breast cancer is widely available, much less is reported on the association between breast cancer and pregnancy. This article reviews the available evidence on which general practitioners can base their management of women with gestational breast cancer or breast cancer survivors who may want to conceive.


CONCLUSIONS
Breast cancer can be diagnosed during pregnancy or in the 12 months postpartum (including lactation), known as gestational breast cancer or pregnancy associated breast cancer. Previous treatment for breast cancer may have detrimental effects for women who subsequently conceive or wish to conceive. General practitioners, as the primary care giver, have an integral role in the successful education, management and support of these women.
Ives
Angela
A
WA Safety and Quality of Surgical Care Project, Centre for Health Services Research, School of Population Health, University of Western Australia. iangela@dph.uwa.edu.au
Semmens
James
J
Saunders
Christobel
C
Puckridge
Phillip
P
D000328:Adult; D001943:Breast Neoplasms / Q000150:complications* / Q000628:therapy*; D003267:Contraception / Q000379:methods; D003657:Decision Making; D018450:Disease Progression; D005193:Family Planning Services; D005260:Female; D006801:Humans; D015994:Incidence; D010358:Patient Participation; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000628:therapy*; D011256:Pregnancy Outcome; D017741:Survivors