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Scholars Journal of Applied Medical Sciences | Volume-11 | Issue-08
Breast Cancer and Pregnancy about a Case and Review of the Literature, Experience of the Obstetric Gynecology Department of the Military Training Hospital Mohamed V of Rabat
MA Balde, C. Dembele, H. Messaoudi, F. El Mangoub, A. Ait Bouhou, K. Guelzim, MR Hassani, A. Babahabib, J. Kouach
Published: Aug. 15, 2023 | 144 118
DOI: 10.36347/sjams.2023.v11i08.012
Pages: 1459-1461
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Abstract
The management of pregnancy-associated breast cancer is a challenge for physicians, often stemming from the mother's desire to carry the pregnancy to term despite the need for chemotherapy. 26-year-old patient, multiparous, with no particular history, followed from 20 weeks of amenorrhea (SA) for triple-negative infiltrating mammary carcinoma who underwent two courses of neo-adjuvant chemotherapy combining 5-Fluorouracil, Epirubicin and Cyclophosphamide after discussion in multidisciplinary consultation meeting (RCP) and the consent of the couple, who presented a threat of premature delivery at 34 WA, the day after their 2nd course of chemotherapy. The evolution of the pregnancy was favorable; the delivery was vaginally at 37 SA of a newborn with good neonatal adaptation. Several parameters must be considered when administering antineoplastics, hence the importance of close fetal and obstetric monitoring. A multidisciplinary approach is recommended for the therapeutic decision and follow-up.