Breastfeeding in breast cancer survivors: Pattern, behaviour and effect on breast cancer outcome

Azim, Hatem A.; Bellettini, Giulia; Liptrott, Sarah; Armeni, M. E.; Dell’Acqua, V.; Torti, Francesca; Nubila, Brunella Di; Galimberti, Viviana; Peccatori, Fedro Alessandro

doi:10.1016/j.breast.2010.05.018

Cited by 50 publications

(34 citation statements)

References 21 publications

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“…Recent qualitative investigations in limited samples of breast cancer survivors reported both the high motivation and satisfactory outcomes in breastfeeding, despite the difficulties of lactating mostly or entirely with one breast [62,65,66]. Women should not be discouraged by their physicians from breastfeeding after breast cancer [67] but need adequate counseling and practical information and should not receive any additional therapy given the risk of drug transmission through the breast milk [62,68].…”

Section: Methodsmentioning

confidence: 99%

Pregnancy after breast cancer: if you wish, ma’am

Pagani

Partridge

Korde

et al. 2011

Breast Cancer Res Treat

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A growing number of young breast cancer survivors consider reproductive health issues, including subsequent fertility and pregnancy, of great importance, but many questions regarding safety remain unanswered. We conducted a comprehensive literature search and review of published articles, control-matched, population-based, and co-operative group reports that addressed various aspects of pregnancy after breast cancer (patients' expectations, fertility damage, assessment and preservation, maternal and fetal outcome, breast feeding). Overall, available data support pregnancy and breast feeding after breast cancer as safe and feasible for women at low risk of recurrence. This retrospective and population-based evidence is, however, frequently incomplete; usually not representative of the entire population, it can be biased by patients' related effects or underpowered and is often not controlled for biological factors and risk determinants in the statistical model used. Before making any definitive assumption on this delicate and fundamental aspect of a woman's life after breast cancer, we should demonstrate without any reasonable doubt that the scattered information available today is scientifically sound. The Breast International Group and North American Breast Cancer Group are planning a global prospective study in young women with endocrine responsive, early breast cancer who desire pregnancy, to assess both patients' and pregnancy outcomes. The trial will include an observational phase investigating the feasibility and impact of a temporary treatment interruption to allow conception and an experimental phase investigating the optimal duration of the subsequent endocrine treatment after delivery or the last failed attempt to get pregnant.

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Section: Methodsmentioning

confidence: 99%

Pregnancy after breast cancer: if you wish, ma’am

Pagani

Partridge

Korde

et al. 2011

Breast Cancer Res Treat

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“…Unilateral breastfeeding should be encouraged and supported in BCa patients because it is frequently enough for baby's growth. Great importance should be given to breastfeeding counseling and to supporting patients, since misinformation is the main cause for avoiding breastfeeding [31].…”

Section: Discussionmentioning

confidence: 99%

Attitudes on fertility issues in breast cancer patients: an Italian survey

Biglia

Torrisi

D’Alonzo

et al. 2015

Gynecological Endocrinology

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Background: Fertility issues should be discussed with young women before the start of any anticancer treatment. The study is aimed to investigate the attitude on fertility among Italian oncologists and breast surgeons dealing with BCa, and to report the consensus achieved on specific statements. Methods: One hundred and sixty-two panelists anonymously expressed an opinion through a web-based platform on 19 statements based on the Delphi method. Results: Ninety-one percent of oncologists considered important to discuss with patients about fertility issues and 83% believed estrogens could stimulate the growth of hidden cancer cells in ER + tumors. Difficulties in accessing fertility preservation procedures were mainly due to patients' reluctance, but also to lack of coordination with the assisted reproduction specialists. No full consensus was reached on the prognostic role of pregnancy after BCa. Fifty-four percent of oncologists declared that pregnancy does not affect oncologic prognosis. Treatment with GnRHa during chemotherapy was considered the only mean for preserving ovarian function. Conclusions: Fertility preservation in BCa patients is a well-accepted practice among Italian oncologists. A poor knowledge of this specific issue emerged from the survey, even if a certain degree of agreement was observed on most fertility-related issues.

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“…Another survey analysis was performed investigating the breastfeeding patterns and habits in breast cancer survivors [ 33 ]. Hypoplasia and hypotrophia of the operated and irradiated breast were observed, with consequent reduced milk production, nipple pain, physical changes and discomfort during latching.…”

Section: Breastfeeding After Breast Cancermentioning

confidence: 99%