Breast cancer treatment during pregnancy followed by postpartum targeted therapy

This breast cancer diagnosis at a glance

Stage at diagnosis
Stage IV
Subtype
Invasive Lobular Carcinoma
Sex
Female
Treatment
chemotherapy, targeted therapy and hormone therapy
Outcome
Responding Well

Treatment course, step by step

  1. She received 5 cycles of docetaxel during pregnancy and had a near-complete response.
  2. After delivery, she started trastuzumab and pertuzumab with tamoxifen.

What happened, in summary

A 34-year-old woman was diagnosed with metastatic invasive lobular breast cancer during pregnancy. Treatment began while she was still pregnant, and she received 5 cycles of docetaxel.

After 4 cycles, imaging showed a near-complete response. Her treatment plan was then adapted for the period after delivery. As soon as it was clinically feasible postpartum, she started trastuzumab and pertuzumab together with tamoxifen.

During the first postpartum treatment cycle, breast milk was collected for 17 days, until lactation stopped. Testing found measurable transfer of trastuzumab and pertuzumab into breast milk, supporting the recommendation not to breastfeed during this treatment.

Her cancer had shown a near-complete response to chemotherapy during pregnancy, and systemic treatment continued after delivery.

Where this story comes from

This is a lay summary of an account first published by PMC / PubMed Central. Read the original in full

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