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Obstetricians Should Do Breast Exams

ESMO: Extra Checks For Breast Cancer In Pregnancy Needed

EDINBURGH, SCOTLAND -- June 20, 2003 -- Obstetricians should perform a thorough breast examination of pregnant women to detect breast cancer, according to a study presented today (20 June).

Too often the diagnosis is delayed because doctors and pregnant women assume that lumps in the breast are due to normal hormonal changes.

The threat of breast cancer is frightening for anyone, particularly during pregnancy, but it is not uncommon. Around one in every thousand women gets breast cancer every year. Pregnant women and physicians should be more aware of the risk of cancer.

Speaking at the European Society for Medical Oncology conference in Edinburgh, Dr Blanca Hernando from the University Hospital Clinic in Valencia, Spain, said, "The obstetrician is usually more focused on the health of the unborn baby than the mother's possible illness but should be more aware of the risk of breast cancer." Women should examine their breasts regularly and tell their doctor about any changes they discover.

Not only is diagnosis often delayed, but there is a high rate of false-negative results of a mammography due to the increased density of the breast during pregnancy.

Ultrasonogaphy is the best way to check for cancerous lumps in pregnant and lactating women. Many studies have shown that the tumours in pregnant women are larger and are more likely to spread.

Pregnant women should be encouraged to know that treatment is as successful and safe as in non-pregnant women. Surgery is the best route although there is a small risk of premature labour. Radiation therapy is not offered during pregnancy but patients can be safely treated with certain forms of chemotherapy from three months onwards.

This may be continued after the baby is born, although mothers should not breast feed their babies while they are having chemotherapy.

Thanks to 06/23/2003; Doctor's Guide

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