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+--- Thread: DCIS in 1st trimester-archer query - surgery24 (/showthread.php?tid=680646)
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DCIS in 1st trimester-archer query - surgery24 - ArchivalUser - 06-08-2012
A 35 y/o woman comes to you for a mass in her left breast. Her last menstrual period was 8 weeks ago and a pregnancy test returned positive. Further work up revealed ductal carcinoma in situ. She requests if she can keep the pregnancy and also does not ant to lose her breast. The appropriate response at this time:
a)She may undergo lumpectomy with radiotherapy but needs to undergo therapeutic abortion
b)She can go for lumpectomy with radiation and can keep the baby
c)We can postpone therapy untill the pregnancy is complete
d)We can just do lumpectomy for now and postpone RT for the pregnancy to complete
e)She must undergo radical mastectomy
Is DCIS treated the same as carcinoma in pregnancy, because you do modified radical mastectomy for carcimnoma in 1st trimester.
Is answer e or d?
please clarify
0 - ArchivalUser - 06-08-2012
DCIS rx is either lumpectomy + RT or mastectomy .
RT is not done in pregnancy so mastectiomy
0 - ArchivalUser - 06-09-2012
Thanks a lot sadhan.
0 - ArchivalUser - 06-09-2012
pregnancy and lactation is not contraindication for treatment or operation or therapy . Treatment is accoring do stage
BB is my ans .
0 - ArchivalUser - 06-11-2012
but radiation is contraindicated in pregnancy
0 - ArchivalUser - 10-09-2012
ee
0 - ArchivalUser - 10-09-2012
DCIS (Ductal carcinoma in situ)whc means its localized no need to do mastectomy ...lumpectomy should work fine and later on RT after completion of pregnancy
so D
0 - ArchivalUser - 10-09-2012
D
0 - ArchivalUser - 10-09-2012
If it were second or third trimester, lumpectomy can be done and RT postponed until delivery. This delay in RT does not worsen prognosis
But this is first trimester...too much delay if postponed...mastectomy recommended in first trimester.
0 - ArchivalUser - 10-09-2012
I agree docriti with answer D.