All are management options for carcinoma breast in 2nd trimester except:
Management of breast cancer in pregnancy: 1.Early invasive breast cancer: - Breast conservative surgery + Radiotherapy - Simple mastectomy + axillary lymph node sampling Pregnancy is a contra-indication for breast conservative surgery due to the radiotherapy which is followed after surgery. 2.Locally advanced breast cancer: - Neo-adjuvant chemotherapy + MRM + Radiotherapy Chemotherapy is not advised in 1st trimester because the cytotoxic drugs may cause congenital anomalies as organogenesis occurs in 1st trimester. Hence chemotherapy is usually given in 2nd trimester. Radiation therapy can be given after delivery. Focal 3D is not related to the management of breast cancer.
Chemotherapy doxorubicin + cyclophosphamide + 5-FU
Mastectomy
Focal 3D
Breast conservative surgery is a valid option
JIPMER 2018