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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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