Dados do Trabalho

Título

DIAGNOSTICO CANCER DE MAMA NA GRAVIDEZ DURANTE A PANDEMIA DE COVID-19: RELATO DE CASO

Título em Inglês

BREAST CANCER DIAGNOSIS IN PREGNANCY DURING COVID-19 PANDEMIC: CASE REPORT

Introdução

Paget’s disease is a rare condition ocurred in the papillary-areolar complex, and it is associated with carcinoma, representing 0.5-5% of all types of Breast Cancer (BC). The uniqueness of the case is related by the BC diagnosis during pregnancy, besides the COVID-19 pandemic context and its consequences.

Relato de caso

A 37-year-old identified a first-trimester pregnancy during preoperative exams of a nipple biopsy, that confirmed Paget's disease. Due to the pregnancy and considering the COVID-19 pandemic, an expectant conduct follow-up was settled. After 8 weeks, the patient at 26-week gestational age referred a breast lump, and a core biopsy confirmed invasive ductal carcinoma. She started treatment with neoadjuvant chemotherapy. After three cycles, the therapy was interrupted because she presented clinically local progression. The interruption of treatment and the pregnancy resolution was made at 36 gestational weeks. Posteriorly, the surgical approach involved mastectomy and axillary limph nodes dissection, followed by adjuvante chemotherapy.

Palavras Chave

Paget's disease; Breast Cancer; Pregnancy; COVID-19

Área

TREATMENT - Pregnancy-associated breast cancer