BREAST CANCER IN PREGNANCY AT DR. KARIADI GENERAL HOSPITAL: A SERIAL CASE
Background Each year 2.1 million women were diagnosed with breast cancer, being the most common type of cancer found and cancer-related cause of death in women worldwide. In Indonesia, especially in Middle Java, more than 80% women diagnosed were already in the late stage. Physiological changes in p...
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Faculty of Medicine, Universitas Diponegoro
2021-03-01
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| Series: | Jurnal Kedokteran Diponegoro |
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| Online Access: | https://ejournal3.undip.ac.id/index.php/medico/article/view/29172 |
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| author | Ireneus Vanessa Martono M. Besari Adi Pramono Herman Kristanto Albertus Ari Adrianto |
| author_facet | Ireneus Vanessa Martono M. Besari Adi Pramono Herman Kristanto Albertus Ari Adrianto |
| author_sort | Ireneus Vanessa Martono |
| collection | DOAJ |
| description | Background Each year 2.1 million women were diagnosed with breast cancer, being the most common type of cancer found and cancer-related cause of death in women worldwide. In Indonesia, especially in Middle Java, more than 80% women diagnosed were already in the late stage. Physiological changes in pregnancy contributes to the delay in diagnosis in pregnant women and pregnancy also resulted in a more complicated approach of therapy. Regarding only few studies were done involving pregnancy with breast cancer, the aim of the study is to provide further knowledge associated with it.
Methods Medical records of pregnant women with breast cancer in year 2014-2018 at Dr. Kariadi General Hospital were studied.
Results Based on the 3 cases be studied, patients were referred from class B and C hospitals outside of Semarang city showing stage III (33.33%) and IV (66.67%) breast cancers. Two-third of the patients underwent mastectomy previously and one of them also underwent chemotherapy program prior her pregnancy. Comorbidities varied between patients and therapies were adjusted individually and multidisciplinary. Two of the cases went through transperitoneal caesarean section for delivery and one patient with twin pregnancy died by complications and intrauterine foetal death was also determined.
Conclusion Overall, all patients were > 35 years old and the breast cancers were diagnosed at late stage. Complications by comorbidities such as anaemia, severe malnutrition, and infection, were found. Two pregnancies which were already in third trimester was terminated and a case of maternal mortality was found.
Keywords Breast cancer, pregnancy |
| format | Article |
| id | doaj-art-8f84f497d88a4c22aa43fc34cbc07be8 |
| institution | DOAJ |
| issn | 2540-8844 |
| language | English |
| publishDate | 2021-03-01 |
| publisher | Faculty of Medicine, Universitas Diponegoro |
| record_format | Article |
| series | Jurnal Kedokteran Diponegoro |
| spelling | doaj-art-8f84f497d88a4c22aa43fc34cbc07be82025-08-20T03:23:58ZengFaculty of Medicine, Universitas DiponegoroJurnal Kedokteran Diponegoro2540-88442021-03-01102848910.14710/dmj.v10i2.2917225863BREAST CANCER IN PREGNANCY AT DR. KARIADI GENERAL HOSPITAL: A SERIAL CASEIreneus Vanessa Martono0M. Besari Adi Pramono1Herman Kristanto2Albertus Ari Adrianto3Undergraduate Program, Faculty of Medicine Diponegoro University, Semarang, Indonesia, IndonesiaDepartment of Obstetrics and Gynaecology, Faculty of Medicine Diponegoro University, Semarang, Indonesia, IndonesiaDepartment of Obstetrics and Gynaecology, Faculty of Medicine Diponegoro University, Semarang, Indonesia, IndonesiaDepartment of Digestive Surgery, Dr. Kariadi General Hospital, Semarang, Indonesia, IndonesiaBackground Each year 2.1 million women were diagnosed with breast cancer, being the most common type of cancer found and cancer-related cause of death in women worldwide. In Indonesia, especially in Middle Java, more than 80% women diagnosed were already in the late stage. Physiological changes in pregnancy contributes to the delay in diagnosis in pregnant women and pregnancy also resulted in a more complicated approach of therapy. Regarding only few studies were done involving pregnancy with breast cancer, the aim of the study is to provide further knowledge associated with it. Methods Medical records of pregnant women with breast cancer in year 2014-2018 at Dr. Kariadi General Hospital were studied. Results Based on the 3 cases be studied, patients were referred from class B and C hospitals outside of Semarang city showing stage III (33.33%) and IV (66.67%) breast cancers. Two-third of the patients underwent mastectomy previously and one of them also underwent chemotherapy program prior her pregnancy. Comorbidities varied between patients and therapies were adjusted individually and multidisciplinary. Two of the cases went through transperitoneal caesarean section for delivery and one patient with twin pregnancy died by complications and intrauterine foetal death was also determined. Conclusion Overall, all patients were > 35 years old and the breast cancers were diagnosed at late stage. Complications by comorbidities such as anaemia, severe malnutrition, and infection, were found. Two pregnancies which were already in third trimester was terminated and a case of maternal mortality was found. Keywords Breast cancer, pregnancyhttps://ejournal3.undip.ac.id/index.php/medico/article/view/29172breast cancerpregnancy |
| spellingShingle | Ireneus Vanessa Martono M. Besari Adi Pramono Herman Kristanto Albertus Ari Adrianto BREAST CANCER IN PREGNANCY AT DR. KARIADI GENERAL HOSPITAL: A SERIAL CASE Jurnal Kedokteran Diponegoro breast cancer pregnancy |
| title | BREAST CANCER IN PREGNANCY AT DR. KARIADI GENERAL HOSPITAL: A SERIAL CASE |
| title_full | BREAST CANCER IN PREGNANCY AT DR. KARIADI GENERAL HOSPITAL: A SERIAL CASE |
| title_fullStr | BREAST CANCER IN PREGNANCY AT DR. KARIADI GENERAL HOSPITAL: A SERIAL CASE |
| title_full_unstemmed | BREAST CANCER IN PREGNANCY AT DR. KARIADI GENERAL HOSPITAL: A SERIAL CASE |
| title_short | BREAST CANCER IN PREGNANCY AT DR. KARIADI GENERAL HOSPITAL: A SERIAL CASE |
| title_sort | breast cancer in pregnancy at dr kariadi general hospital a serial case |
| topic | breast cancer pregnancy |
| url | https://ejournal3.undip.ac.id/index.php/medico/article/view/29172 |
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