Pregnancy-Associated Breast Cancer: A Diagnostic and Therapeutic Challenge

Pregnancy-associated breast cancer (PABC) is commonly defined as a breast cancer occurring during pregnancy, throughout 1 year postpartum, or during lactation. Despite being a rare circumstance, PABC is one of the most common types of malignancies occurring during pregnancy and lactation, with growi...

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Main Authors: Francesca Galati, Valentina Magri, Paula Andrea Arias-Cadena, Giuliana Moffa, Veronica Rizzo, Marcella Pasculli, Andrea Botticelli, Federica Pediconi
Format: Article
Language:English
Published: MDPI AG 2023-02-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/13/4/604
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author Francesca Galati
Valentina Magri
Paula Andrea Arias-Cadena
Giuliana Moffa
Veronica Rizzo
Marcella Pasculli
Andrea Botticelli
Federica Pediconi
author_facet Francesca Galati
Valentina Magri
Paula Andrea Arias-Cadena
Giuliana Moffa
Veronica Rizzo
Marcella Pasculli
Andrea Botticelli
Federica Pediconi
author_sort Francesca Galati
collection DOAJ
description Pregnancy-associated breast cancer (PABC) is commonly defined as a breast cancer occurring during pregnancy, throughout 1 year postpartum, or during lactation. Despite being a rare circumstance, PABC is one of the most common types of malignancies occurring during pregnancy and lactation, with growing incidence in developed countries, due both to decreasing age at onset of breast cancer and to increasing maternal age. Diagnosis and management of malignancy in the prenatal and postnatal settings are challenging for practitioners, as the structural and functional changes that the breast undergoes may be misleading for both the radiologist and the clinician. Furthermore, safety concerns for the mother and child, as well as psychological aspects in this unique and delicate condition, need to be constantly considered. In this comprehensive review, clinical, diagnostic, and therapeutic aspects of PABC (including surgery, chemotherapy and other systemic treatments, and radiotherapy) are presented and fully discussed, based on medical literature, current international clinical guidelines, and systematic practice.
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spelling doaj.art-30fa4c04f55743de8f611dc0faa6093b2023-11-16T20:00:17ZengMDPI AGDiagnostics2075-44182023-02-0113460410.3390/diagnostics13040604Pregnancy-Associated Breast Cancer: A Diagnostic and Therapeutic ChallengeFrancesca Galati0Valentina Magri1Paula Andrea Arias-Cadena2Giuliana Moffa3Veronica Rizzo4Marcella Pasculli5Andrea Botticelli6Federica Pediconi7Department of Radiological, Oncological and Pathological Sciences, Sapienza-University of Rome, 00161 Rome, ItalyDepartment of Radiological, Oncological and Pathological Sciences, Sapienza-University of Rome, 00161 Rome, ItalyDepartment of Radiological, Oncological and Pathological Sciences, Sapienza-University of Rome, 00161 Rome, ItalyDepartment of Radiological, Oncological and Pathological Sciences, Sapienza-University of Rome, 00161 Rome, ItalyDepartment of Radiological, Oncological and Pathological Sciences, Sapienza-University of Rome, 00161 Rome, ItalyDepartment of Radiological, Oncological and Pathological Sciences, Sapienza-University of Rome, 00161 Rome, ItalyDepartment of Radiological, Oncological and Pathological Sciences, Sapienza-University of Rome, 00161 Rome, ItalyDepartment of Radiological, Oncological and Pathological Sciences, Sapienza-University of Rome, 00161 Rome, ItalyPregnancy-associated breast cancer (PABC) is commonly defined as a breast cancer occurring during pregnancy, throughout 1 year postpartum, or during lactation. Despite being a rare circumstance, PABC is one of the most common types of malignancies occurring during pregnancy and lactation, with growing incidence in developed countries, due both to decreasing age at onset of breast cancer and to increasing maternal age. Diagnosis and management of malignancy in the prenatal and postnatal settings are challenging for practitioners, as the structural and functional changes that the breast undergoes may be misleading for both the radiologist and the clinician. Furthermore, safety concerns for the mother and child, as well as psychological aspects in this unique and delicate condition, need to be constantly considered. In this comprehensive review, clinical, diagnostic, and therapeutic aspects of PABC (including surgery, chemotherapy and other systemic treatments, and radiotherapy) are presented and fully discussed, based on medical literature, current international clinical guidelines, and systematic practice.https://www.mdpi.com/2075-4418/13/4/604PABCpregnancylactationbreast imagingbreast cancer treatment
spellingShingle Francesca Galati
Valentina Magri
Paula Andrea Arias-Cadena
Giuliana Moffa
Veronica Rizzo
Marcella Pasculli
Andrea Botticelli
Federica Pediconi
Pregnancy-Associated Breast Cancer: A Diagnostic and Therapeutic Challenge
Diagnostics
PABC
pregnancy
lactation
breast imaging
breast cancer treatment
title Pregnancy-Associated Breast Cancer: A Diagnostic and Therapeutic Challenge
title_full Pregnancy-Associated Breast Cancer: A Diagnostic and Therapeutic Challenge
title_fullStr Pregnancy-Associated Breast Cancer: A Diagnostic and Therapeutic Challenge
title_full_unstemmed Pregnancy-Associated Breast Cancer: A Diagnostic and Therapeutic Challenge
title_short Pregnancy-Associated Breast Cancer: A Diagnostic and Therapeutic Challenge
title_sort pregnancy associated breast cancer a diagnostic and therapeutic challenge
topic PABC
pregnancy
lactation
breast imaging
breast cancer treatment
url https://www.mdpi.com/2075-4418/13/4/604
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AT paulaandreaariascadena pregnancyassociatedbreastcanceradiagnosticandtherapeuticchallenge
AT giulianamoffa pregnancyassociatedbreastcanceradiagnosticandtherapeuticchallenge
AT veronicarizzo pregnancyassociatedbreastcanceradiagnosticandtherapeuticchallenge
AT marcellapasculli pregnancyassociatedbreastcanceradiagnosticandtherapeuticchallenge
AT andreabotticelli pregnancyassociatedbreastcanceradiagnosticandtherapeuticchallenge
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