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Abstract

RÉSUMÉ
L’association cancer du sein et grossesse constitue un défi pour les médecins. En effet, la prise en charge du cancer durant la grossesse tout en épargnant le fœtus des effets tératogènes des médicaments est délicate. Nous rapportons le cas d’une patiente de 41 ans, 3ème geste, traitée pour cancer du sein droit luminal Her qui, six ans après fit une récidive pleuropulmonaire sur grossesse. Sous chimiothérapie, la grossesse évolua normalement, une extraction par césarienne fut réalisée à 36 SA, ramenant un hypotrophe bien portant. A un an de surveillance, l’enfant est bien portant et la patiente est sous hormonothérapie de maintenance.


ABSTRACT
The association of breast cancer and pregnancy is a challenge for doctors. That is because the management of cancer during pregnancy while sparing the fetus from teratogenic effects of chemotherapy is delicate. We report the case of a 41-year-old patient, 3rd procedure, treated for Her2 luminal right breast cancer who, six years later, had a pleuropulmonary recurrence during pregnancy. Albeit chemotherapy, the course of pregnancy was normal, and an extraction by caesarean section was performed at 36 SA, bringing back a healthy hypotrophic. One year after, the child is healthy and the patient is sable with maintenance hormone therapy.


 

Keywords

récidive, cancer du sein, grossesse, chimiothérapie

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How to Cite
Sylla N, Doumbia S, Sidibé F, Kassé D, Traoré M, Diakité N, Camara A, Camara W, Traoré S, Téguété I, & Togo P. (2023). Récidive Tumorale d’un Cancer du Sein sur Grossesse : À Propos d’un Cas. HEALTH SCIENCES AND DISEASE, 24(2). https://doi.org/10.5281/hsd.v24i2.4227
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References

  1. Cancer : plus de 19 millions de nouveaux cas et 10 millions de décès en 2020. ONU Info 2020. https://news.un.org/fr/story/2020/12/1084572 (accessed December 22, 2021
  2. Lee MK, Varzi LA, Chung DU, Cao M, Gornbein J, Apple SK, et al. The Effect of Young Age in Hormone Receptor Positive Breast Cancer. BioMed Res Int 2015;2015:1–6. https://doi.org/10.1155/2015/325715.
  3. Chollet-Hinton L, Anders CK, Tse C-K, Bell MB, Yang YC, Carey LA, et al. Breast cancer biologic and etiologic heterogeneity by young age and menopausal status in the Carolina Breast Cancer Study: a case-control study. Breast Cancer Re BCR 2016;18. https://doi.org/10.1186/s13058016-0736-ys
  4. 4.Karolin F, Stensheim Markert UR, Turowski G. Breast carcinoma in pregnancy with spheroid-like placental metastases-a case report. APMIS Acta Pathol Microbiol Immunol Scand. 2018 May;126(5):448–452.
  5. Peccatori F, Azim Jr, Orecchia Roberto, Hoekstra HJ, Pavlidis N, Kesic V, et al. Cancer, pregnancy and fertility: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. Ann Oncol. 2013 Oct;24(Suppl 6):160–70.
  6. Bae SY, Jung SP, Jung ES, Park SM, Lee SK, Yu JH, et al. Clinical Characteristics and Prognosis of Pregnancy-Associated Breast Cancer: Poor Survival of Luminal B Subtype. Oncology. 2018;95(3):163–169.
  7. Shachar SS, Gallagher K, McGuire K, Zagar T, Faso A, Muss H, et al. Multidisciplinary Management of Breast Cancer During Pregnancy. The oncologist. 2017; 22(3):324–334.
  8. 8.Vera Wolters, Joosje Heimovaara, Charlotte Maggen, Elyce Cardonick, Ingrid Boere, Liesbeth Lenaerts, and Frédéric Amant. Management of pregnancy in women with cancer. Int J Gynecol Cancer. 2021; 31(3): 314–322.
  9. Essiben F, Foumane P, Meka EJ, Tchakounté M, Dohbit JS, Nsahlai C, et al. Descriptive analysis of 192 cases of breast cancer occurring before age 40 in Yaounde, Cameroon. Int J Reprod Contracept Obstet Gynecol 2017;6:2704. https://doi.org/10.18203/23201770.ijrcog20172898.
  10. 10.Javaid Iqbal, Eitan Amir, ChB, Paula A. Rochon, Vasily Giannakeas, Ping Sun, and Steven A. Narod. Association of the Timing of Pregnancy With Survival in Women With Breast Cancer. JAMA Oncol. 2017; 3(5): 659–665.
  11. 11.Mueller BA, Michael S, Simon M, Dennis Deapen, Aruna Kamineni, Kathleen E, Malone, Janet R, Dalling, : Cancer / 2003;98:1131–1140
  12. 12.Early Breast Cancer Trialists' Collaborative Group (EBCTCG); R Peto, C Davies, J Godwin, R Gray, H C Pan, M Clarke, D Cutter, S Darby, P McGale, C Taylor, Y C Wang, J Bergh, A Di Leo, K Albain, S Swain, M Piccart, K Pritchard. Comparisons between different polychemotherapy regimens for early breast cancer : met analysis of long term out come among 100000 women in 123 randomised trials. Lancet 2015 4; 379(9814): 432–444.
  13. Atangana Paul Jean A, Tchenté Nguefack C, Kabeyene Okono Angèle C, Totoum Fotsing C, Dina Bell E, Tayou Rachel, Ngasoua Tomfeu C, Seme Engoumou Ambroise M, Njifou Njimah A, Sando Z, Fewou Aspects Immunohistochimiques des Cancers du Sein à Douala et Yaoundé A Health Sci. Dis: Vol 18 (3) July – August – September 2017
  14. Rasenack R, Gaupp N, Rautenberg B, Stickeler E, Prompeler H. Case Report on Treatment of Metastatic Breast Cancer with Trastuzumab during Pregnancy. Z Geburtshilfe Neonatol. 2016;220(2):81–3.
  15. C. Cuvier, F. Ledoux, F. Coussy, M. Espié. Breast cancer management in pregnancy/La Lettre du Sénologue ̐n° 55 - janvier-février-mars 2012 )
  16. 16.van Calsteren K, Heyns L, De Smet F et al. Cancer during pregnancy: an analysis of 215 patients emphasizing the obstetrical and the neonatal outcomes. J Clin Oncol 2010;28:683-9
  17. Cardonick E, Usmani A, Ghaffar S. Perinatal outcomes of a pregnancy complicated by cancer, including neonatal follow-up after in utero exposure to chemotherapy: results of an international registry. Am J Clin Oncol 2010;33:221-8.
  18. Amant F, Vandenbroucke T, Verheecke M, et al. Pediatric outcome after maternal cancer diagnosed during pregnancy. N Engl J Med 2015;373:1824–34
  19. Vandenbroucke T, Verheecke M, van Gerwen M, et al. Child development at 6 years after maternal cancer diagnosis and treatment during pregnancy. Eur J Cancer 2020;138 ].
  20. Carrie M. Cottreau, Inna Dashevsky, Susan E. Andrade, De-Kun Li, Larissa Nekhlyudov, Marsha A. Raebel, Debra P. Ritzwoller, Ann H. Partridge, Pamala A. Pawloski, and Sengwee Toh. Pregnancy-Associated Cancer: A U.S. Population-Based Study. J Womens Health (Larchmt). 2019; 28(2): 250–25.

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