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  #1  
Old 08-14-2012
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ObGyn Case of breast cancer in pregnancy

A 32-year-old woman in the 2nd month of pregnancy is found to have a 5-cm mass in the upper outer quadrant of her left breast. Mammogram shows no other lesions, and core biopsy reveals infiltrating ductal carcinoma. Which of the following would be the best course of action at this time?

a)Chemotherapy now, deferring surgery until after delivery
b)Radiation therapy now, deferring surgery until after delivery
c)Lumpectomy and axillary sampling, followed in 6 weeks by radiotherapy
d)Modified radical mastectomy now, deferring systemic therapy until later
e) Immediate therapeutic abortion and palliative breast surgery

explain also.....
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Old 08-14-2012
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Options with chemotherapy and radiotherapy to be used now can be knocked off...since she is pregnant...and that is options A,B,C....

Tumor Size of 5cm is an indication for modified radical mastectomy
Also... tumor size greater than 1cm (which is also satisfied here) is an indication for systemic therapy (which should be deferred till later)

Best answer is D.....


E..is obviously to complete the options...lol
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Old 08-15-2012
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yes its D based on tumor size n contraind to radio n hemo.
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Old 08-15-2012
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Breast cancer management is same as that in non pregnant excet that Chemotheraphy and radiotherapy is not indicated in pregnany..
So in this case MRM

Hence answer d.
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Old 11-14-2012
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Mtb 3 says anytype of breast cosevative surgery isnot done in pregnancy so. If it had been < 5 cms still then mrm
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Old 11-20-2012
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hey what is the correct ans?
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Old 11-20-2012
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Quote:
Originally Posted by heartbeat View Post
hey what is the correct ans?
d)Modified radical mastectomy now, deferring systemic therapy until later
You can't give Chemo or Radio during pregnancy and since the lesion is 5 cm you have to do a MRM.
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