Update on the Management of Breast Cancer during Pregnancy
The diagnosis of breast cancer during pregnancy represents a challenging situation for the patient, her caregivers and physicians. Pregnancy adds complexity to oncological treatment planning, as many therapies can be potentially dangerous to the fetus. Therefore, a multidisciplinary approach is need...
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Published in | Cancers Vol. 12; no. 12; p. 3616 |
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Main Authors | , , , , , , , , , |
Format | Journal Article |
Language | English |
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03.12.2020
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Abstract | The diagnosis of breast cancer during pregnancy represents a challenging situation for the patient, her caregivers and physicians. Pregnancy adds complexity to oncological treatment planning, as many therapies can be potentially dangerous to the fetus. Therefore, a multidisciplinary approach is needed to offer a proper care for obtaining the best possible outcomes for the mother and the future child. Breast surgery is feasible throughout the pregnancy while radiotherapy should be postponed after delivery. Administration of chemotherapy is considered safe and can be given during the second and third trimesters, while it is contraindicated in the first trimester due to the high risk of fetal malformations. Endocrine therapy and targeted agents are not recommended during the whole pregnancy period; however, limited data are available on the use of the majority of new anticancer drugs in this context. The aim of the current review is to provide an update on the current state of art about the management of women diagnosed with breast cancer during pregnancy. |
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AbstractList | The diagnosis of breast cancer during pregnancy represents a challenging situation for the patient, her caregivers and physicians. Pregnancy adds complexity to oncological treatment planning, as many therapies can be potentially dangerous to the fetus. Therefore, a multidisciplinary approach is needed to offer a proper care for obtaining the best possible outcomes for the mother and the future child. Breast surgery is feasible throughout the pregnancy while radiotherapy should be postponed after delivery. Administration of chemotherapy is considered safe and can be given during the second and third trimesters, while it is contraindicated in the first trimester due to the high risk of fetal malformations. Endocrine therapy and targeted agents are not recommended during the whole pregnancy period; however, limited data are available on the use of the majority of new anticancer drugs in this context. The aim of the current review is to provide an update on the current state of art about the management of women diagnosed with breast cancer during pregnancy. |
Author | Lambertini, Matteo Pirrone, Chiara Cosso, Maurizio Molinelli, Chiara Poggio, Francesca Del Mastro, Lucia Soldato, Davide Tagliamento, Marco Conte, Benedetta Fregatti, Piero |
AuthorAffiliation | 2 U.O. Oncologia Medica 2, Medical Oncology Department, IRCCS Ospedale Policlinico San Martino, 16132 Genova, Italy; tagliamento.marco@gmail.com (M.T.); chiara.pirrone.92@gmail.com (C.P.); davide.soldato@gmail.com (D.S.); bntconte@gmail.com (B.C.); chiara.molinelli91@gmail.com (C.M.) 6 Department of Integrated Diagnostic Surgical Sciences, School of Medicine, University of Genova, 16132 Genova, Italy 1 Breast Unit, IRCCS Ospedale Policlinico San Martino, 16132 Genova, Italy; francescabenedetta.poggio@hsanmartino.it (F.P.); lucia.delmastro@hsanmartino.it (L.D.M.) 7 U.O.C. Clinica di Oncologia Medica, Medical Oncology Department, IRCCS Ospedale Policlinico San Martino, 16132 Genova, Italy 4 Department of Radiology, IRCCS Ospedale Policlinico San Martino, 16132 Genova, Italy; maurizio.cosso@hsanmartino.it 5 U.O.C. Clinica di Chirurgia Senologica, Department of Surgery, IRCCS Ospedale Policlinico San Martino, 16132 Genova, Italy; piero.fregatti@unige.it 3 Department of Internal Medicine and Medi |
AuthorAffiliation_xml | – name: 3 Department of Internal Medicine and Medical Specialties (DiMI), School of Medicine, University of Genova, 16132 Genova, Italy – name: 6 Department of Integrated Diagnostic Surgical Sciences, School of Medicine, University of Genova, 16132 Genova, Italy – name: 1 Breast Unit, IRCCS Ospedale Policlinico San Martino, 16132 Genova, Italy; francescabenedetta.poggio@hsanmartino.it (F.P.); lucia.delmastro@hsanmartino.it (L.D.M.) – name: 2 U.O. Oncologia Medica 2, Medical Oncology Department, IRCCS Ospedale Policlinico San Martino, 16132 Genova, Italy; tagliamento.marco@gmail.com (M.T.); chiara.pirrone.92@gmail.com (C.P.); davide.soldato@gmail.com (D.S.); bntconte@gmail.com (B.C.); chiara.molinelli91@gmail.com (C.M.) – name: 7 U.O.C. Clinica di Oncologia Medica, Medical Oncology Department, IRCCS Ospedale Policlinico San Martino, 16132 Genova, Italy – name: 4 Department of Radiology, IRCCS Ospedale Policlinico San Martino, 16132 Genova, Italy; maurizio.cosso@hsanmartino.it – name: 5 U.O.C. Clinica di Chirurgia Senologica, Department of Surgery, IRCCS Ospedale Policlinico San Martino, 16132 Genova, Italy; piero.fregatti@unige.it |
Author_xml | – sequence: 1 givenname: Francesca surname: Poggio fullname: Poggio, Francesca organization: Breast Unit, IRCCS Ospedale Policlinico San Martino, 16132 Genova, Italy – sequence: 2 givenname: Marco orcidid: 0000-0001-7461-023X surname: Tagliamento fullname: Tagliamento, Marco organization: Department of Internal Medicine and Medical Specialties (DiMI), School of Medicine, University of Genova, 16132 Genova, Italy – sequence: 3 givenname: Chiara surname: Pirrone fullname: Pirrone, Chiara organization: Department of Internal Medicine and Medical Specialties (DiMI), School of Medicine, University of Genova, 16132 Genova, Italy – sequence: 4 givenname: Davide surname: Soldato fullname: Soldato, Davide organization: Department of Internal Medicine and Medical Specialties (DiMI), School of Medicine, University of Genova, 16132 Genova, Italy – sequence: 5 givenname: Benedetta surname: Conte fullname: Conte, Benedetta organization: Department of Internal Medicine and Medical Specialties (DiMI), School of Medicine, University of Genova, 16132 Genova, Italy – sequence: 6 givenname: Chiara surname: Molinelli fullname: Molinelli, Chiara organization: Department of Internal Medicine and Medical Specialties (DiMI), School of Medicine, University of Genova, 16132 Genova, Italy – sequence: 7 givenname: Maurizio surname: Cosso fullname: Cosso, Maurizio organization: Department of Radiology, IRCCS Ospedale Policlinico San Martino, 16132 Genova, Italy – sequence: 8 givenname: Piero surname: Fregatti fullname: Fregatti, Piero organization: Department of Integrated Diagnostic Surgical Sciences, School of Medicine, University of Genova, 16132 Genova, Italy – sequence: 9 givenname: Lucia orcidid: 0000-0002-9546-5841 surname: Del Mastro fullname: Del Mastro, Lucia organization: Department of Internal Medicine and Medical Specialties (DiMI), School of Medicine, University of Genova, 16132 Genova, Italy – sequence: 10 givenname: Matteo orcidid: 0000-0003-1797-5296 surname: Lambertini fullname: Lambertini, Matteo organization: U.O.C. Clinica di Oncologia Medica, Medical Oncology Department, IRCCS Ospedale Policlinico San Martino, 16132 Genova, Italy |
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Keywords | targeted therapy pregnancy during breast cancer immunotherapy pregnancy radiotherapy breast cancer chemotherapy endocrine therapy surgery |
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SubjectTerms | Antitumor agents Biology Biopsy Breast cancer Cancer therapies Chemotherapy Contraindications Cytotoxicity Drug dosages Endocrine therapy Fetuses Genomes Gestational age Lymphatic system Medical prognosis Mutation Patients Pregnancy Radiation therapy Review Surgery Womens health |
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Title | Update on the Management of Breast Cancer during Pregnancy |
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