2013
DOI: 10.5468/ogs.2013.56.3.143
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Breast diseases during pregnancy and lactation

Abstract: Breast is a typical female sexual physiologic organ that is influenced by steroid hormone from menarche until menopause. Therefore various diseases can be developed by continuous action of estrogen and progesterone. Breast diseases are mainly categorized as benign and malignant. It is very important to distinguish the malignancy from breast diseases. However, it is very difficult to diagnose malignancy in pregnant and lactating women even though the same breast diseases took place. Therefore, we will review br… Show more

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Cited by 72 publications
(181 citation statements)
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“…In the "near-gain" knobologic field (Figure 2), posterior acoustic enhancement and mass echo patterns are often associated with grand breast lesions [15]; [8]. As seen in Figure 2 for confirmation of breast galactocele, ventral or dorsal echogenic rim should be exhibited by this cyst (classified as a type II), note the posterior acoustic shadowing.…”
Section: Discussionmentioning
confidence: 99%
“…In the "near-gain" knobologic field (Figure 2), posterior acoustic enhancement and mass echo patterns are often associated with grand breast lesions [15]; [8]. As seen in Figure 2 for confirmation of breast galactocele, ventral or dorsal echogenic rim should be exhibited by this cyst (classified as a type II), note the posterior acoustic shadowing.…”
Section: Discussionmentioning
confidence: 99%
“…Ultrasound evaluation of the breasts during pregnancy and lactation represents a great challenge to physicians, especially because of the various physiological changes, which make the examination more difficult, often preventing or hindering the appropriate interpretation of the findings (1-3) . The changes seen on ultrasound imaging of the breast during those periods can simulate the presence of some diseases, as well as making it difficult to assess other, pre-existing, diseases (4) .…”
Section: Introductionmentioning
confidence: 99%
“…Most breast lesions diagnosed during pregnancy and lactation, even some specific ones such as lactation and adenoma galactocele, are benign (3) . The diagnosis of breast cancer, which is difficult to elucidate and is less common among women who are pregnant or lactating than among those of the same age who are not, continues to be a challenge for clinicians (1) . In addition, the understanding of the various breast problems and of the characteristics of the corresponding images is essential to establishing an appropriate approach to such patients (2) .…”
Section: Introductionmentioning
confidence: 99%
“…Normally, breast cancer cells which express ER multiply faster in response to these gestational hormones. Since PABC tumors lack ER/PR (progesterone receptor)expression , estrogen or progesterone are thought to be involved in PABC by indirect binding to related receptors expressed by breast epithelial cells [27,30,31,38]. The exact mechanisms for this is still unclear but it is estimated that direct tumor-initiating effects occur through the induction of enzymes and proteins involved in nucleic acid synthesis and through the activation of certain oncogenes.…”
Section: The Effect Of Gestational Hormones On Breast Carcinogenesismentioning
confidence: 99%
“…The hormonal factors associated with pregnancy play a complex role in the occurrence of PABC along with a specific genetic background [30]. It is suspected that PABC prevalence might be higher in BRCA1 mutation carriers than in BRCA2 mutation [16,31]. BRCA1 expression is induced during puberty and pregnancy and is believed to promote differentiation.…”
Section: The Effect Of Gestational Hormones On Breast Carcinogenesismentioning
confidence: 99%