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Abstract : Learning Objectives: Discuss known data regarding outcomes in pregnancy‐associated breast cancer. Evaluate outcomes in a single institution when compared to nonpregnant breast cancer patients.

Book Title: Case Control Study of Women Treated With Chemotherapy for Breast Cancer During Pregnancy as Compared With Nonpregnant Patients With Breast Cancer
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Published on 2013 by
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Book is About: Breast Cancer Treatment
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Abstract : Learning Objectives: Discuss known data regarding outcomes in pregnancy‐associated breast cancer. Evaluate outcomes in a single institution when compared to nonpregnant breast cancer patients. Background: The purpose of this analysis was to compare disease‐free survival (DFS), progression‐free survival (PFS), and overall survival (OS) between pregnant and nonpregnant patients with breast cancer. Methods: From 1989 to 2009, 75 women were treated with chemotherapy during pregnancy. Each pregnant case was matched on age and cancer stage to two nonpregnant patients with breast cancer (controls). Fisher's exact test, the Kaplan‐Meier method, and Cox proportional hazards regression models were used. Results: Median follow‐up time for patients who were alive at the end of follow‐up ( n = 159) was 4.20 years (range: 0.28–19.94 years). DFS at 5 years was 72% (95% confidence interval [CI]: 58.3%–82.1%) for pregnant patients and 57% (95% CI: 46.7%–65.8%) for controls ( p = .0115). Five‐year PFS was 70% (95% CI: 56.8%–80.3%) for pregnant patients and 59% (95% CI: 49.1%–67.5%) for controls ( p = .0252). Five‐year OS was 77% (95% CI: 63.9%–86.4%) for pregnant patients and 71% (95% CI: 61.1%–78.3%) for controls ( p = .0461). Hazard ratio estimates favored improved survival for pregnant patients in univariate analyses and multivariate analyses, controlling for age, year of diagnosis, stage, and tumor grade. Conclusions: For patients who received chemotherapy during pregnancy, survival was comparable to—if not better than—that of nonpregnant women. Pregnant patients with breast cancer should receive appropriate local and systemic therapy for breast cancer. Abstract : This analysis compared disease‐free survival, progression‐free survival, and overall survival rates for pregnant and nonpregnant patients with breast cancer who were treated with chemotherapy. The survival rates for pregnant patients were comparable to, if not better than, those of nonpregnant women, indicating that pregnant patients should receive appropriate local and systemic therapy for breast cancer.

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