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Option List :
A. Gadolinium-enhanced magnetic resonance imaging.
B. Mammography with fetal shielding.
C. Ultrasound-guided aspiration for cytology.
D. Ultrasound scan.
E. Surgical excision as soon as possible.
F. Surgical excision and chemotherapy as soon as possible, within the first trimester.
G. Surgical excision as soon as possible, and administering of chemotherapy in the second trimester.
H. Surgical excision and administering chemotherapy six weeks post-delivery.
I. Await spontaneous labour.
J. Immediate induction after a course of corticosteroids.
K. Induction at 38 weeks.
L. Induction two weeks after completion of chemotherapy.
M. She should not breastfeed for six months until she is sure there is no recurrence.
N. She can breastfeed safely.
O. She cannot breastfeed if she has had chemotherapy.
P. She can only breastfeed if she had radical mastectomy of the affected breast
Q. Nulliparity increases the risk of breast cancer.
R. Subsequent pregnancy improves the chance of survival.
S. Subsequent pregnancy may precipitate recurrence of cancer.
1. You have been asked to see a 37-year-old para 1 at 25 weeks’ gestation. She had an elective caesarean section for breech presentation at 39 weeks in her first pregnancy. This is her second pregnancy, and she now describes a small painless lump in her right breast, which she has discovered accidentally. There is no history of bleeding per nipple. She is worried as she has a strong family history of breast cancer and you arrange an urgent referral to the specialist breast team.What is the most appropriate first-line imaging modality?
2. A 32-year-old woman is diagnosed with breast cancer. She is 10 weeks pregnant with a 3 cm tumour in her breast. You are part of the multidisciplinary team at the gynaecology oncology department. What is your recommendation for her treatment?
3. A 35-year-old parous woman who is 35 weeks pregnant has just completed her adjuvant chemotherapy for breast cancer after surgical treatment.What advice would you give about the timing of delivery?
4. A 37-year-old woman has just delivered. She had completed surgical and adjuvant chemotherapy treatment for breast cancer during this pregnancy.What is your breastfeeding advice?
5. A 31-year-old nulliparous woman with breast cancer underwent a radical mastec- tomy of her right breast last year. She wishes to achieve pregnancy in the near future. She is worried that pregnancy may precipitate recurrence of the cancer.What advice you will you give her?
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