《2011RCOG怀孕和乳腺癌》内容简介:
This document aims to provide clinical guidance to health professionals caring for women of childbearingage with a diagnosis or history of breast cancer.The management of pregnancy in relation to breast canceris multidisciplinary.The guideline will be of value to obstetricians and gynaecologists, fertility specialistsand midwives as well as oncologists and breast care nurses.
《2011RCOG怀孕和乳腺癌》内容预览:
Breast cancer is the most common cancer in females, with a lifetime risk of one in nine in the UK, and isthe leading cause of death in women aged 35–54 years. Fifteen percent of cases are diagnosed before theage of 45 years, thus breast cancer affects almost 5000 women of reproductive age in the UK annually.Between 1991 and 1997 there were 1.3–2.4 cases of breast cancer in women per 10 000 live births,1,2although when breast cancer is diagnosed in women aged 30 years or less, 10–20% of cases may beassociated with pregnancy or occur within 1 year postpartum.
The prognosis of breast cancer is improving, with 5-year survival around 80% for the under 50s age group;however,the survival rate may be lower in very young women.3Treatment of pregnancy-associated cancershould be in a multidisciplinary team according to standard UK guidelines4with inclusion of the obstetricteam as core members.
Fewer than 10% of women diagnosed with breast cancer subsequently become pregnant,5,6but increasingnumbers of women are seeking pregnancy following treatment.Young women presenting with breastcancer often have fertility-related concerns7–9and need well-***rmed discussions on fertility, pregnancyand lactation after breast cancer and the availability of fertility preservation procedures.
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