title: [Treatment of pregnancy-associated breast cancer].
abstract: METHODS
  A 25-year-old primipara, in the thirty-second week of her pregnancy observed a nodule in the upper outer quadrant of her left breast during self-examination. Complex breast examination revealed calcification with 4 cm of diameter. Ductal malignant cells (C5) were identified by fine-needle aspiration biopsy, while core biopsy verified invasive ductal carcinoma, grade III (B5b). No manifestations of metastases were presented. After pregnancy termination wide excision with additional axillary sentinel lymph node biopsy was performed. Because of its positivity block dissection of axillary lymph nodes was carried out. The surgical therapy was followed by adjuvant chemo-, radio- and hormonal therapy. Later an angiomyxoma appeared in the right inguinal region, which was excised in toto.
  
  
  CONCLUSIONS
  The incidence of pregnancy related malignant diseases is increasing, of which breast cancer predominates. Breast cancer, which is diagnosed during pregnancy or within the first year of delivery is called pregnancy-associated breast cancer. Because of the physiological changes in pregnancy the recognition of the disease is difficult. Therapy is complex, as besides the treatment of the mother, the safety of the fetus should be emphasized. The treatment strategies are different in the three trimesters. The surgical treatment can be performed during the whole pregnancy. The use of radiotherapy is controversial, because of teratogenic effects, while chemotherapy is permitted in the second and third trimesters. Nearly three years after the operation, our patient does not have any symptoms, her son is healthy.
authors.affiliation: Szegedi Tudományegyetem Sebészeti Klinika 6720 Szeged Szőkefalvi-Nagy u. 6.
authors.forename: János
authors.initials: J
authors.lastname: Tajti
authors.affiliation: Szegedi Tudományegyetem Sebészeti Klinika 6720 Szeged Szőkefalvi-Nagy u. 6.
authors.forename: József
authors.initials: J
authors.lastname: Pieler
authors.affiliation: Szegedi Tudományegyetem Sebészeti Klinika 6720 Szeged Szőkefalvi-Nagy u. 6.
authors.forename: Zsolt
authors.initials: Z
authors.lastname: Simonka
authors.affiliation: Szegedi Tudományegyetem Sebészeti Klinika 6720 Szeged Szőkefalvi-Nagy u. 6.
authors.forename: Attila
authors.initials: A
authors.lastname: Paszt
authors.affiliation: Szegedi Tudományegyetem Sebészeti Klinika 6720 Szeged Szőkefalvi-Nagy u. 6.
authors.forename: György
authors.initials: G
authors.lastname: Lázár
mesh_terms: D000328:Adult; D018931:Antineoplastic Agents, Hormonal / Q000627:therapeutic use; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000627:therapeutic use; D001365:Axilla; D001707:Biopsy, Needle / Q000295:instrumentation; D001943:Breast Neoplasms / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy*; D018270:Carcinoma, Ductal, Breast / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy*; D002585:Cesarean Section; D017024:Chemotherapy, Adjuvant; D005260:Female; D006119:Groin; D006801:Humans; D008197:Lymph Node Excision; D015412:Mastectomy, Segmental; D009232:Myxoma / Q000601:surgery; D060787:Neoplasm Grading; D011247:Pregnancy; D011252:Pregnancy Complications, Neoplastic / Q000175:diagnosis / Q000628:therapy*; D018714:Radiotherapy, Adjuvant; D021701:Sentinel Lymph Node Biopsy; D016896:Treatment Outcome
chemical_list: D018931:Antineoplastic Agents, Hormonal
keywords: breast cancer; emlőmegtartó műtét; emlőtumor; oncology; onkológia; pregnancy; surgical therapy; terhesség