妊娠哺乳期乳腺癌  

Breast Cancer Eomcomittant with Pregnancy and Lactation

作　　者：庄志刚 庄传经[2] 

机构地区：[1]上海第一妇婴保健院乳腺科,上海200040 [2]上海复旦大学附属肿瘤医院乳腺科,上海200032

出　　处：《肿瘤防治杂志》2001年第5期569-572,共4页China Journal of Cancer Prevention and Treatment

摘　　要：发生于妊娠哺乳期的乳腺癌较少见 ,约占全部女性乳腺癌发病率的 1%～ 2 % ,目前尚无证据表明妊娠和哺乳与乳腺癌的发病及病程有关系。妊娠前的乳腺检查是很重要的 ,对实质性肿块在乳腺充血前作活组织检查。虽然妊娠哺乳期乳腺癌患者的临床分期较晚 ,但和相同年龄的非孕患者比较 ,生存率没有明显的差异。治疗性流产手术仅在个体中采用 ,因为那些患者需要化疗和放疗 ,且化疗和放疗对发育中的胎儿是有影响的 ,而延迟治疗对母亲来说又是有害的。早期患者乳腺癌治疗 2年后可再次妊娠 。Breast cancer is not the most frequently seen cancer in pregnancy and lactation,and the incidence is low.Only1% to 2% of breast cancer overall is diagnosed during pregnancy or lactation.There is no evidence to implicate pregnancy or lactation in either the etiology or the progression of breast cancer.Careful breast examination before pregnancy is very important to find solid masses that require biopsy before breast engorgement.Although pregnant patients present at a later stage of breast cancer,survival stage for stage is the same when pregnant patients are compared with young nonpregnant patients with breast cancer.Therapeutic abortion should be performed only on an individual basis,namely in patients in whom necessary radiation or chemotherapy would be detrimental to the developing fetus and in whom a significant delay of this treatment would be harmful.In patients with early stage disease,it is recommended to wait 2 years after treatment of breast cancer for subsequent pregnancy;however,in women with advanced disease,subsequent pregnancy should be discouraged.

关 键 词：妊娠 哺乳期 乳腺癌 诊断 治疗 

分 类 号：R737.9[医药卫生—肿瘤]