Open AccessCase of HER2-Enriched Multifocal Breast Cancer Associated with Pregnancy
Author(s) -
Suman Khanal,
Yogendra Singh,
Shreya Shrivastav
Publication year - 2019
Publication title -
journal of institute of medicine
Language(s) - English
Resource type - Journals
eISSN - 1993-2987
pISSN - 1993-2979
DOI - 10.3126/jiom.v41i3.37377
Subject(s) - medicine , pregnancy , breast cancer , chemotherapy , obstetrics , first trimester , cancer , fetus , gynecology , oncology , surgery , genetics , biology
Pregnancy-associated breast cancer is less common and often presents in advanced stage. Management is similar to non-pregnant cases with trimester-specific considerations. In this case report, we present a case of worrisome mother with locally advanced multifocal pregnancy-associated breast cancer who was so much concerned about effects of neoadjuvant chemotherapy on fetus leading to its delayed initiation, and show why targeted therapy is still not within reach in a developing economy like Nepal. Short term data of chemotherapy though reveal relative safety, long term data are lacking. This may be a hindrance in counselling, when patients are more anxious and worrisome.