06-08-2012, 10:51 AM
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
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