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Year : 2004  |  Volume : 7  |  Issue : 2  |  Page : 69-72

Pregnancy-associated breast cancer; A management, dilemma in Nigeria

1 Department of Surgery, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria
2 Department of Obstetrics & Gynaecology University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria

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R S Jamabo
89 Victoria Street, P.M.B. 6185, Port Harcourt
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Source of Support: None, Conflict of Interest: None

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Pregnancy-associated breast cancer ( PABC) is uncommon. It s management is sometimes controversial and ma y present ethical proble ms . This paper presents cases treated in the University of P ort Harcourt T eaching Hospital from 1990 to 2002 . The case records of patients trea ted for pregn a n cy- as socia t e d breast cancer were retrieved , stu died an d are presented with a limited revie w of th e lite r a tu re o n th e current management of the disease. h ere were 5 nu lliparous young wom e n aged between 26 and 32 years with breast cancer invol ved in 6 pregna ncies . One patient had sequential bilateral mastectomy for carcinoma of the br e ast in pregnancy a t two pregnancies . three had th e cancer affecting one breast in pregnancy and one had th e mas t e ct omy but while on chemotherapy became pregnant and delivered successfully. One patient with advanced disease , refused biopsy and treatment. The diagnosis in 5 instances was in t raducta l carcinoma. The disease is un common but evokes significant emotion in patients and th eir doc t or s . T h e prognosis app e ars similar to that in non -pregnant women . Th e trea t me11t of PABC is similar to that in non-pregnant women except that radiotherapy and chemothe rapy may be co n traindicat ed at certain trimesters .

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