妊娠期乳腺癌

目的：介绍妊娠期乳腺癌的研究进展。方法：复习近年来有关文献并进行综述。结果：妊娠期乳腺癌常被延误诊断，确诊主要靠穿刺细胞学检查和活检。治疗原则同一般乳腺癌，但需考虑胎儿因素；终止妊娠并不能改善预后。结论：妊娠期乳腺癌与普通乳腺癌相比，临床诊断更晚，预后更差，但与同年龄同期乳腺癌比较，两者的预后差异并不明显。早期乳腺癌患者治疗2年后可考虑再次妊娠。

Breast Cancer During Pregnancy

Objective To study the advances in research of breast cancer during pregnancy. Methods The literatures in recent years were reviewed. Results A lot of evidences suggested that the diagnosis may be delayed easily. The diagnosis was primarily made by needle aspiration cytology and biopsy. The treatment of pregnant breast cancer was not different from ordinary breast cancer, however the factor of foetus should be taken into account. Termination of pregnancy did not improve survival.Conclusion Pregnant breast cancer is mostly at later stage at the time of diagnosis and has poorer prognosis than ordinary breast cancer. The patients with breast cancer during pregnancy usually have an equivalent survival rate when compared with age and stage-matched ordinary group. Future pregnancy may be allowed after two years of treatment in patients with early breast cancer.