Breast cancer in pregnancy; routine examination, diagnosis and management: A case report
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Date
2013-04-16Author
Kihara, Anne-Beatrice
Kiarie, Gladwell
Cheserem, J Eunice
Amin, Medhat
Bashir, Issak
Rogena, Emily
Kosgei J Rose
Language
enMetadata
Show full item recordAbstract
Pregnancy associated breast cancer is defined
as breast cancer diagnosed during pregnancy or
in the first postpartum year. The incidence is
rare; however it is important to be aware of its
occurrence with the increased challenges posed
by delays in diagnosis, treatment and optimiza-
tion of maternal and fetal outcomes. The case
report presented is of a 36 years old, Para 0 + 2
known diabetic and hypertensive pregnant wo-
man, first seen in the antenatal clinic at 14
weeks of gestation. The patient requested for a
breast examination following National campaigns
conducted during the International Breast Can-
cer Awareness month. The examination revealed
a grossly enlarged right breast with “peau de
orange” skin changes. The patient eventually
underwent radical mastectomy. Histopathology
revealed a grade 3 invasive ductal carcinoma
with lymphovascular invasion (Stage TNM). This
case is presented to highlight missed opportu-
nities in antenatal clinic settings for screening,
diagnosis and treatment of cancer of the breast
in pregnancy. The role of a multidisciplinary ap-
proach to management has also been empha-
sized.
Citation
Case Reports in Clinical Medicine 2 (2013) 119-122Publisher
University of Nairobi
Description
Journal Article
Collections
- Faculty of Health Sciences (FHS) [10377]