Lectures on mammary adenomas and pregnancy

2021-03-20 12:00 AM

Breast cancer is endocrine-dependent cancer, especially estrogen, so during pregnancy, high levels of estrogen make the tumour grow faster.

Breast and pregnancy cysts

A mammary cyst is a form of mammary cystic dystrophy, which is caused by the dilation of the milk ducts, the size of the follicle can range from a few millimetres to 1-2 cm and many cysts. The cyst has a clear boundary, a uniform margin, a slightly solid density, homogeneous, and contains fluid inside. As a form of mammary follicular dystrophy, progestin is often treated outside of pregnancy. Hormonal changes during pregnancy also do not affect cyst development, nor do cysts affect pregnancy. So when pregnant, there is no need to intervene. The cyst should be removed outside of pregnancy and the postpartum period.

Breast cancer and pregnancy

Breast cancer is a common disease in women and has a high mortality rate. Breast cancer is endocrine-dependent cancer, especially estrogen, so during pregnancy, high estrogen levels cause tumours to grow faster.

In terms of pathology, there are two types of breast cancer:

Cancer arises from the cytoplasm of the spleen or ducts: this type of cancer is predominant.

Cancer arising from affiliated organizations: this type is rare.

Breast cancer is rare in pregnant people, this rate is about 1/3000.

Breast cancer affects pregnancy

When breast cancer is detected, it is often indicated to suspend pregnancy in the first 3 months.

Breast cancer often requires surgical intervention, so the fetus is affected by anaesthesia or surgical complications.

Due to surgical intervention, the consequences will cause miscarriage or preterm delivery.

After surgery, the patient must have acrid chemotherapy for additional treatment. These chemicals contribute to the destruction of the fetus, causing fetal death or abnormalities in the formation and development of the fetus.

Patients must use X-rays for diagnosis or treatment, thus causing miscarriages, stillbirths and developmental abnormalities that cause fetal malformations.

Pregnancy affects breast cancer

During pregnancy, high estrogen levels are secreted by the placenta, stimulating the receptors in the mammary glands to work strongly, making breast cancer grow rapidly, making the disease worse.

Pregnancy is the physician and the patient has to think about choosing an appropriate treatment, which has delayed the time to start treatment.

For pregnancy in the second and third trimester, if the patient wants to keep the pregnancy, chemotherapy and radiation therapy must be withdrawn until the woman gives birth, recovering health after giving birth before starting treatment. The prolongation of the time due to waiting for additional chemotherapy and radiation therapy, limits the results of treatment, increases the death rate for patients.

To solve

Pregnancy in the first quarter: abortion, waiting for stabilization, surgery and treatment like those who are not pregnant.

Pregnancy in the second and third quarters: surgical treatment as soon as the condition permits. After giving birth, wait for health recovery, chemotherapy and additional radiation therapy as soon as possible.

In the second quarter, if you do not want to keep the pregnancy, you can suspend the pregnancy and then proceed with cancer treatment.