Gebelik ve meme kanseri: olgu sunumu
Küçük Resim Yok
Tarih
2014
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Maltepe Üniversitesi
Erişim Hakkı
Attribution-NonCommercial-NoDerivs 3.0 United States
info:eu-repo/semantics/openAccess
info:eu-repo/semantics/openAccess
Özet
Meme kanseri gebelik sırasında nadir görülür ancak gebelikte en sık görülen kanserdir. Gebelikte ve laktasyon döneminde oluşan memelerdeki hassasiyet ve büyüme nedeni ile bu dönemde ortaya çıkan bir kitle ve dolayısı ile meme kanserinin tanısı gecikebilir. Kadın doğum, genel cerrahi ve onkoloji kliniklerinin birlikte takip etmeleri gereken bir patolojidir. Gebelikle ilgili meme kanseri terimi, gebelik sırasında ya da gebeliği takiben 1 yıl içinde görülen meme kanserlerini kapsamaktadır. Gebelik ve laktasyonda olan fizyolojik değişiklikler nedeniyle fizik muayene bu hastalarda klinisyen için problem oluşturabilir. Bu dönemde kitle saptanırsa ultrasonografi ve ince iğne aspirasyon biyopsisi yapılarak kitle araştırılmalıdır. Gebelikte meme kanseri tanısı ileri evrelerde konulmaktadır. 25 Yaşında G3P2 olan hasta son gebeliğinin yedinci ayında sağ memesinde gittikçe büyüyen kitle nedeniyle hastaneye başvurmuş. Yapılan meme ultrasonografisinde sağ memede BIRADS 5 kriterlerine uyan kitle tespit edilmiş ve yapılan biyopsi sonucuna göre invaziv duktal karsinom tanısı almıştır. Öncelikle kadın doğum uzmanı görüşü alınıp genel cerrahi tarafından sağ modifiye radikal mastektomi ve aksiller diseksiyon uygulandı. Operasyon sonrası medikal onkoloji ve kadın doğum uzmanlarının takibine alınan hasta 33. gebelik haftasında sezeryanla doğum yaptı ve adjuvan kemoterapi programına alındı.
The breast cancer is rare in pregnancy but it is the most frequent malignant tumor in pregnant women. The natural tenderness and enlargement of the breasts of pregnant and lactating women may hinder detection of discrete masses and therefore, early diagnosis of breast cancer may be delayed. It is a pathology that must be followed by obstetrics and gynecology, general surgery and oncology clinics. The term of the breast cancer associated pregnancy contains the breast cancer diagnosed during pregnancy or within one year after birth. The physical examination in these patients may pose a problem for the clinician because of the physiological changes during pregnancy and lactation. If the mass is detected during this period, it should be investigated by ultrasound and fine-needle aspiration biopsy. Diagnosis of the breast cancer in the pregnancy is diagnosed at a late stage. 25 years old patient admitted to the hospital because of a mass in her right breast being steadily growing at the end of the seventh month of her gestation. In her right breast a mass was determined with BRIADS 5 criteria by breast ultrasound and the result of the biopsy revealed invasive ductal carsinoma. First, the right modified radical mastectomy and axillary dissection was performed by general surgery, with obstetrics and gynecology's opinion. Then she was followed by oncology, obstetrics and gynecology clinics and gave birth by cesarean section in the 33rd week of pregnancy. Then, she was received adjuvant chemotherapy regimen.
The breast cancer is rare in pregnancy but it is the most frequent malignant tumor in pregnant women. The natural tenderness and enlargement of the breasts of pregnant and lactating women may hinder detection of discrete masses and therefore, early diagnosis of breast cancer may be delayed. It is a pathology that must be followed by obstetrics and gynecology, general surgery and oncology clinics. The term of the breast cancer associated pregnancy contains the breast cancer diagnosed during pregnancy or within one year after birth. The physical examination in these patients may pose a problem for the clinician because of the physiological changes during pregnancy and lactation. If the mass is detected during this period, it should be investigated by ultrasound and fine-needle aspiration biopsy. Diagnosis of the breast cancer in the pregnancy is diagnosed at a late stage. 25 years old patient admitted to the hospital because of a mass in her right breast being steadily growing at the end of the seventh month of her gestation. In her right breast a mass was determined with BRIADS 5 criteria by breast ultrasound and the result of the biopsy revealed invasive ductal carsinoma. First, the right modified radical mastectomy and axillary dissection was performed by general surgery, with obstetrics and gynecology's opinion. Then she was followed by oncology, obstetrics and gynecology clinics and gave birth by cesarean section in the 33rd week of pregnancy. Then, she was received adjuvant chemotherapy regimen.
Açıklama
Anahtar Kelimeler
gebelik, meme kanseri, kemoterapi, pregnancy, breast cancer, chemotherapy
Kaynak
Maltepe Tıp Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
6
Sayı
2
Künye
Akgün, F. S., Sezgin, G., Kaya, F. Ö., Deveci, U., Yener, A. N., Çelik, A., Manukyan, M. N. ve Türken, O. (2014) . Gebelik ve meme kanseri: olgu sunumu / Pregnancy and breast cancer: case report. Maltepe Tıp Dergisi. 6(2), s. 1-3.
