0
Invited Critique |

Breast Cancer in Pregnancy—Invited Critique

Patricia J. Numann, MD
Arch Surg. 2003;138(1):99. doi:10.1001/archsurg.138.1.99.
Text Size: A A A
Published online

Extract

Although breast cancer is the most common nongynecological malignancy during pregnancy, surgeons diagnose few women with breast cancer while they are pregnant. This article provides a thorough review of all of the issues that surgeons must understand and consider in the pregnant woman with breast cancer. Although not explicitly stated, the review makes it clear that termination of the pregnancy is not necessary to adequately treat these women.

The recommendation for a thorough breast examination in pregnant women should be strengthened to include examinations at the beginning of each trimester, particularly in high-risk women. Women with a genetic predisposition, who have had a previous breast cancer or premalignant abnormality such as atypical ductal hyperplasia and lobular carcinoma in situ, who are older than 40 years, and who have new breast complaints should be considered at higher risk than the average pregnant women. Although implicit in the data, the need to accurately diagnose a localized breast mass in a pregnant woman is essential. Women rarely get cysts during pregnancy. Fine-needle aspiration and, for that matter, core biopsy are of minimal morbidity during pregnancy. Although both ultrasonography and mammography have a role in the assessment of breast masses, a tissue diagnosis is still the gold standard.

Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
/>
First page PDF preview

Figures

Tables

References

Correspondence

CME
Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment

Multimedia

Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...
Articles Related By Topic
Related Topics
PubMed Articles
Jobs
JAMAevidence.com

Users' Guides to the Medical Literature
Table 9.2-2 Refuted Evidence From Studies of Physiologic or Surrogate Endpoints

The Rational Clinical Examination
Make the Diagnosis: Breast Cancer

brightcove.createExperiences();