Breast Cancer and Pregnancy about a Case and Review of the Literature, Experience of the Obstetric Gynecology Department of the Military Training Hospital Mohamed V of Rabat

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The management of pregnancy-associated breast cancer is a challenge for physicians, often stemming from the mother's desire to carry the pregnancy to term despite the need for chemotherapy. 26-year-old patient, multiparous, with no particular history, followed from 20 weeks of amenorrhea (SA) for triple-negative infiltrating mammary carcinoma who underwent two courses of neo-adjuvant chemotherapy combining 5-Fluorouracil, Epirubicin and Cyclophosphamide after discussion in multidisciplinary consultation meeting (RCP) and the consent of the couple, who presented a threat of premature delivery at 34 WA, the day after their 2nd course of chemotherapy. The evolution of the pregnancy was favorable; the delivery was vaginally at 37 SA of a newborn with good neonatal adaptation. Several parameters must be considered when administering antineoplastics, hence the importance of close fetal and obstetric monitoring. A multidisciplinary approach is recommended for the therapeutic decision and follow-up.