Re: breast cancer in pregnant women

From: Dib Abdalla Chacur (chacur@rol.com.br)
Wed Oct 13 10:44:20 1999


Gabriela Torres Cerino wrote:

> Nice to meet you: My name is Gabriela Torres Cerino,I'm argentine, I'm
> 26 and I got my degree in medicine last year.
> I contact you because I'm writting a monography about breast cancer in
> pregnant women and I would apreciate any help from you.
> Sorry if my request is not formal but this is the first time I do this.
> Thank you.
> Dr. Torres Cerino.

Dear colleague Gabriela,

1. I had15 days ago a patient with breast cancer, 35 y. o., with 16 weeks of pregnacy. It was a T3N1M0 ( stage III ).

2. In stage III I usually do Qt pre-op., after that I do a radical modified mastectomy (Patey ), and after the surgery Qt again and Irradiation.

3. In this case I have decided to do first surgery( during the surgery I saw that the tumor infiltrated the pectoralis major, and then I had to do a Halsted surgery). Macroscopically there was several axillar linfonodes with metastasis. I did not receive yet the histopathology.

4. The pregnancy, BY ITSELF, does not worsen the prognostic of breast cancer. In fact, these cases have a bad prognostic due the age of the patient. As you know, in this age breast cancer is more agressive, and has bad prognostic factors.

5. I will talk with the patient about Qt in third trimester.

What is your opinion? Do you agree with me? What think the members of the list ? Best regards Dib

--
DIB ABDALLA CHACUR
Gynecology - Mastology
Teacher of Gynecology and Head of Gynecology and Obstetrics Dpto.
CAMPOS SCHOOL OF MEDICINE
Campos - RJ - Brazil

chacur@rol.com.br

Rua Barão de Miracema, 237 Fone (024) 7231759 Campos, RJ Brazil CEP 28.030-360

CLÍNICA FEMINA Rua Ovidio Manhães,127 Fone (024) 7332424 Fax (024) 7330361 Campos, RJ Brazil





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