Cancer during pregnancy: 10-year experience at a regional cancer reference center in Mexico

Teran-Porcayo, M. A.; Castillo-Rangel, A. C. Gomez-Del; Barrera-Lopez, N.; Zeichner-Gancz, I.

doi:10.1007/s12032-007-0003-2

Cited by 4 publications

(5 citation statements)

References 17 publications

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“…Breast cancer was diagnosed in 502 women during pregnancy and in 1068 women during lactation or postpartum. Of the studies reviewed, there were three case control studies, 12,22,23 six retrospective case series, 19,24-28 two retrospective cohorts, 2,29 three retrospective cancer registry reviews, [30][31][32] and one correlational mathematical modeling study. 33 Three common themes were addressed in the studies: 1) maternal age and gestation at diagnosis, 2) delay in PABC diagnosis, and 3) metastasis (Table 1).…”

Section: Resultsmentioning

confidence: 99%

“…Positive axillary node involvement was associated with a significantly poorer outcome for the women with PABC as compared with the women in the nonpregnant control group. 12,32 Women with PABC in one study had a mean survival time of 58 months compared with 74 months in the nonpregnant control group. 12 Women with PABC were more likely than nonpregnant women to have axillary node involvement and tumor size >2 cm at the time of diagnosis.…”

Section: Metastasismentioning

confidence: 98%

“…The women diagnosed with PABC in this literature review were found to be between the ages of 20 to 53. 19,[22][23][24]27,28,[30][31][32]34 Women in their third decade of life were the largest group of women represented in current PABC research. 2,19,24,27,28,31,35 The third decade of life is associated with an exponential increase in the incidence of breast cancer in the general female population.…”

Section: Maternal Age and Gestation At Diagnosismentioning

confidence: 99%

“…A delay in diagnosis of PABC contributed to a greater incidence of metastasis and subsequent poorer outcomes. 2,12,19,[22][23][24][25][26][27][28][29][30][31][32][33] Nettleton et al 33 quantified the risk of treatment delay in a mathematical model and predicted that the rate of axillary metastasis would double with each 2-month delay in diagnosis, resulting in increased risk of mortality. 34 A 2-month delay in diagnosis of PABC increases the risk of axillary metastases by 1.7%.…”

Section: Metastasismentioning

confidence: 99%

“…12 Women with PABC were more likely than nonpregnant women to have axillary node involvement and tumor size >2 cm at the time of diagnosis. 2,32 Women in China with PABC were significantly more likely to have advanced disease (stage III and IV breast cancer) and decreased survival rates compared to the nonpregnant counterparts. 22 Failure to detect and diagnose PABC was associated with increased occurrence of axillary node metastasis and high-grade tumors, resulting in increased morbidity and mortality.…”

Section: Metastasismentioning

confidence: 99%

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Pregnancy‐Associated Breast Cancer: Significance of Early Detection

Ulery¹,

Carter²,

McFarlin³

et al. 2009

J Midwife Womens Health

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Pregnancy-associated breast cancer (PABC) is defined as cancer of the breast diagnosed during pregnancy and up to 1 year postpartum. Delays in diagnosis are frequently associated with increased morbidity and mortality. The aim of this article is to determine the significance of early detection of PABC and to alert health care providers to include PABC in the differential diagnosis when evaluating a breast mass in the perinatal period. This integrative literature review evaluated 15 research studies by using the hypothetical deductive model of clinical reasoning to determine factors related to diagnosis of PABC. As women delay childbearing, the incidence of PABC increases with age. In the reviewed studies, breast cancer was diagnosed with greater frequency in the postpartum period than during any trimester in pregnancy. Delay in diagnosis is complicated by axillary lymph node metastasis, high-grade tumors at diagnosis, and poor outcomes. Early detection is a significant predictor of improved outcomes. Diagnostic modalities such as ultrasound, mammography, and biopsy can be safely used for diagnostic purposes in the evaluation of potential cases of PABC during pregnancy.

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Section: Resultsmentioning

confidence: 99%

Section: Metastasismentioning

confidence: 98%

Section: Maternal Age and Gestation At Diagnosismentioning

confidence: 99%

Section: Metastasismentioning

confidence: 99%

Section: Metastasismentioning

confidence: 99%

See 3 more Smart Citations

Pregnancy‐Associated Breast Cancer: Significance of Early Detection

Ulery¹,

Carter²,

McFarlin³

et al. 2009

J Midwife Womens Health

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The Impact of Gynecological Cancer on Reproductive Issues and Pregnancy:Psychological Implications

Canavarro¹,

Pires²

2011

CWHR

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Gynecological cancer is the fourth most common form of cancer among women. Over the past few decades, the growing number of survivors has been forced to cope with the consequences of the disease. Of these consequences, the impact of cancer on reproduction has been receiving increasing attention. Research shows that the health care of these women poses challenges other than medical ones. Although the inclusion of psychologists in health care teams has been particularly valued, studies focusing on the psychological implications of the impact of gynecological cancer on reproduction are scarce. Therefore, the first aim of this review is to critically reflect on the psychological implications of infertility, decision-making regarding childbirth, and pregnancy in the context of gynecological cancer. The second purpose of this review is to provide practice guidelines that account for the specificities and demands of these patients. Our findings suggest that gynecological cancer entails specific emotional and decisional challenges regarding reproductive issues, highlighting the importance of specialized psychological interventions with patients and their families. Providing emotional support and education about sexual and reproductive difficulties, supporting decision-making about fertility preservation and childbirth, promoting adjustment to cancer during pregnancy and supporting transition to motherhood are the main areas of intervention suggested. A 2 multidisciplinary treatment approach also seems to be essential, and the role of psychological teams can be particularly important because these professionals may enlighten and encourage skills in other health care providers.

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Cancer During Pregnancy: A Review of 10 Years of Experience

Eishi

Rahimi²,

Akhavan³

et al. 2012

Pakistan J. of Biological Sciences

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Cancer is the second most common cause of death among women who are in reproductive ages; however it is not common during pregnancy. There are few numbers of documents concerning cancer and its related treatment outcomes and prognosis during pregnancy. The aim of this study was to review our experience about gestational cancer. In this retrospective chart review study, 25 pregnant women with any kind of diagnosed malignancy who attended hospitals in Uremia and Sanandaj city since 10 years ago were assessed. Cancer cases were verified by a pathologist using pathology and TNM system for tumors staging. Then survival duration was analyzed using Kaplan-Maier plot. From all, 10 women had gynecologic cancers and 15 had non-gynecologic cancers. Ovarian cancer was the most common malignancy. The mean of survival was 67 months for all patients (CI95%: 23.7-110.3), 67 months for gynecologic cancer group (CI95%: 40.2-93.8) and 69 months for non-gynecologic cancer group (CI95%: 0-159) (p = 0.51). According to the results, the cancer complaints and symptoms must be examined thoroughly and do not take them as pregnancy complications since delays in prognosis leads to more severe problems and makes treatment difficult. If cancer is treated carefully after three months of gestation, probably it won't have severe side effects for fetus.

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Cancer during pregnancy: 10-year experience at a regional cancer reference center in Mexico

Cited by 4 publications

References 17 publications

Pregnancy‐Associated Breast Cancer: Significance of Early Detection

Pregnancy‐Associated Breast Cancer: Significance of Early Detection

The Impact of Gynecological Cancer on Reproductive Issues and Pregnancy:Psychological Implications

Cancer During Pregnancy: A Review of 10 Years of Experience

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