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Re: breast cancer in pregnant womenFrom: 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 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
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