Diseases of the Breast during Pregnancy and Lactation

Symptoms of the breast in gravid women commonly represent physiological changes, however they may also be related to serious underlying breast disease; this challenging dilemma is aggravated by diagnostic and therapeutic limitations imposed by safety issues regarding the mother and fetus. A comprehensive coverage of all aspects of normal and pathologic breast changes during pregnancy and lactation, their diagnosis and management is provided in the present work.

The organized structure of this book begins with gestational changes of the breast, while discussing safety, hazards, and arguments regarding diagnostic approaches. It then goes on by describing various clinical presentations and common and uncommon benign disorders during gravidity. The book then addresses pre-malignant lesions of the breast, opening the dialogue on how to manage these confusing lesions in pregnant and nursing women. It continues toward pregnancy-associated breast cancer, focusing on every facet of the problem, including epidemiology, diagnosis, treatment and complications, anesthetic considerations, prenatal care, and rare malignancies; and comes to an end by arguing main psychological concerns. In the midst of this orderly sequence fertility issues, pregnancy, and breastfeeding in women who have overcome their breast cancer are also discussed. This unique reference has been written by academic experts from different centers and diverse disciplines in a practical format. It is intended to be an ideal resource for every practitioner and specialist who manages complaints of gravid and nursing women or treats breast disorders in women of child bearing age.

A systematic guide through the challenges of gestational breast disorders Moving beyond mysteries of innocent breast changes to tragedies of breast malignancy in pregnant and nursing mothers A comprehensive journey through physiological changes and pathologies of the breast in pregnancy and breastfeeding

Inhalt
Preface.- PART 1: Basic Considerations.- Anatomy and Physiology of the Breast during Pregnancy and Lactation.- Diagnosis of Breast Disorders in Pregnancy and Lactation.- Clinical Presentations of Breast Disorders in Pregnancy and Lactation.- PART 2: Benign and Premalignant Disorders of the Breast in Pregnancy and Lactation.- Benign Disorders of the Breast in Pregnancy and Lactation.- Mastitis, Breast Abscess, and Granulomatous.- Premalignant disorders of the Breast in Pregnancy and Lactation.- PART 3: Breast Cancer in Pregnancy and Lactation.- Epidemiology of Pregnancy-Associated Breast Cancer.- Histology of Pregnancy-Associated Breast Cancer.- Clinical presentation, Diagnosis, and Prognosis of Pregnancy-Associated Breast Cancer.- . Treatment of Pregnancy-Associated Breast Cancer.- Special Clinical Situations.- Prenatal Care during and after Breast Cancer Treatment.- Lactation during and after Breast Cancer.- Pregnancy in Breast Cancer Survivors. Impact of Breast Cancer Treatment on Fertility.- Fertility Counseling and Preservation for Breast Cancer Patients.- Pregnancy after Breast Reconstruction.- Pregnancy and Lactation: Risk or Protective Factors for Breast Cancer.- Psychological Aspects of Pregnancy and Lactation in Patients with Breast Cancer.