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摘要
目的：分析懷孕期發生的乳癌的診斷、治療與預後。方法：回溯1992-2001間四例懷孕相關乳癌、分析其延遲診斷、治療與預後。結果：四例平均年齡36.7歲，四例在懷孕中即有自覺症狀，分別於產後一個月、四個月、六個月被診斷為乳癌，平均延遲診斷為11.5個月。病理分期其中三例為二期上、一例為三期上，四例目前均存活，存活至2003年10月分別為9年8個月、8年6個月、3年3個月、2年5個月。結論：懷孕中乳癌因患者害怕證實或乳房腫脹不易診斷，其延遲診斷較非懷孕婦女為長，醫師應積極使用乳房超音波以期早期發現乳癌。在避開懷孕第一期後，輔助性化療仍可進行而不影響胎兒健康，經由適當治療，其預後並不差於一般婦女。
並列摘要
Pregnancy associated breast cancer (PABC) is a breast cancer diagnosed during the gestational or lactational period or in the year following birth. Traditionally, PABC was considered to have a poorer prognosis than breast cancer in nonpregnant patients. However, recent studies have shown that PABC patient have similar survival to nonpregnant patients with PABC is due to a significant delay in diagnosis and treatment. We reviewed the charts of 4 women who were postpartum one year of breast cancer diagnosis between 1993 and 2001. Their mean age was 36.7 years. The mean interval of delay in diagnosis was 11 months. All 4 patients had survived at last follow up in October 2003. These findings suggest that with prompt diagnosis and adequate treatment PABC has a good prognosis. (Full text in Chinese)
延伸閱讀
- 王鵬惠、顏明賢、吳香達（2016）。檢閱懷孕中併發乳癌。婦癌醫學期刊，(43)，21-23。https://www.airitilibrary.com/Article/Detail?DocID=P20150521002-201604-201605050012-201605050012-21-23
- 高烱倫、陳訓徹、陳敏夫（1991）。懷孕期乳癌的治療。當代醫學，(212)，463-466。https://doi.org/10.29941/MT.199106.0007
- 李耀泰、陳福民、郭宗正（2012）。懷孕與乳癌。當代醫學，(467)，722-725。https://doi.org/10.29941/MT.201209.0020
- 陳玉娟（2022）。乳癌化療後中醫治療懷孕病例報告。中醫婦科醫學雜誌，29(1)，36-45。https://doi.org/10.30030/JTCGM.202206_29(1).0004
- 紀雯眞、廖珍娟、姚鍾太、周繡玲（2006）。Nursing Care for a Breast Cancer during the Late Pregnancy。腫瘤護理雜誌，6(2)，53-64。https://doi.org/10.6880/TJON.200612_6(2).06