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- $Unique_ID{BRK00338}
- $Pretitle{}
- $Title{Breast Cancer Surgery and Pregnancy}
- $Subject{breast cancer cancers pregnancy Pregnancy Childbirth chemotherapy
- anticancer medication medications hormones recurrence size tumor signs spread
- development intense therapy fetus carcinoma}
- $Volume{K-19}
- $Log{}
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- Copyright (c) 1991-92,1993 Tribune Media Services, Inc.
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- Breast Cancer Surgery and Pregnancy
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- QUESTION: I lost a breast to cancer before I was thirty, two years ago. I am
- now going with a man who loves me very much, but would like to have a family.
- How does my past history affect the possibility of pregnancy?
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- ANSWER: Since the question may be interpreted in two ways, I'll try to answer
- both questions for you. The surgery has had no effect on your ability to
- become pregnant. Even with the assumption that you had chemotherapy
- (anticancer medication) after the operation, your hormonal functions now may
- be considered normal, and the chances of becoming pregnant are the same as
- before the operation. The advisability of becoming pregnant is, however,
- another important question. In pregnancy, the production and flow of the
- female hormones change considerably, and their effect on the breast and cancer
- change as well. While some studies show an improved outlook during pregnancy,
- the risk of developing cancer in the other breast may be increased. The
- possibility of recurrence depends upon a number of important factors, the size
- of your first tumor, any signs of spread, the length of time between the
- development of the cancer and its treatment, and the kind of tumor are all
- considerations, and difficult for me to evaluate without more information. It
- is important to know that should a new cancer be discovered while you are
- pregnant, immediate and intense therapy would be necessary, and depending upon
- the the stage of your pregnancy would expose the fetus to many risks.
- However, many women in this situation carry the pregnancy to term, without
- harm to the baby. While there are varying opinions amongst the experts, it is
- generally advisable to wait at least three years following a course of breast
- cancer treatment before trying to conceive. Since there are many factors to
- take into consideration, you would be well advised to sit down with your
- physician and boyfriend for a full discussion. It's the only way you can come
- to the very best decision for yourself, for it is you that must make the final
- choice.
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- The material contained here is "FOR INFORMATION ONLY" and should not replace
- the counsel and advice of your personal physician. Promptly consulting your
- doctor is the best path to a quick and successful resolution of any medical
- problem.
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