PREGNANCY-ASSOCIATED BREAST CANCER: THERAPEUTIC DECISIONS AND MATERNAL AND FETAL OUTCOMES
DOI:
https://doi.org/10.63330/sasciencesv6n2-281Keywords:
Breast neoplasms, Maternal and child health, Pregnancy, Pregnancy outcome, TherapeuticsAbstract
Breast cancer diagnosed during pregnancy presents therapeutic challenges involving maternal cancer treatment and the assessment of potential effects on the fetus. This narrative review aimed to analyze treatment decisions in this context and their relationship with maternal, fetal, and neonatal outcomes. Clinical guidelines and scientific publications on the diagnosis, treatment, and follow-up of patients with cancer during pregnancy and of children exposed to anticancer therapies in utero were analyzed. The studies indicated that surgery can be performed during pregnancy and that certain chemotherapy regimens may be considered from the second trimester onward. Other treatment modalities, such as endocrine therapy and HER2-targeted therapies, have restrictions during pregnancy. Maternal and neonatal outcomes were generally favorable in selected patients, although interpretation is limited by the heterogeneity of the studies and the predominance of observational data. It is concluded that treatment decisions should consider tumor stage and subtype, gestational age, associated risks, and patient preferences. Multidisciplinary care, delivery planning, and follow-up of children are essential for continuity of care.
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