herald

Friday 15 December 2017

Pregnancy 'not a risk' after breast cancer

HOPES: Doctors will change advice

Women who survive breast cancer and have children afterwards don't appear to be at any higher risk of dying from cancer, a new study says.

Doctors have long worried pregnancy might spark hormonal changes in breast cancer survivors that could spur the disease's return, and many breast cancer patients are counselled against getting pregnant after they recover.

In research presented today at a European breast cancer conference in Barcelona, experts said pregnancy in women who have been treated for breast cancer is safe and does not seem to be linked with the disease's recurrence.

Among women in the general population, those who have early and multiple pregnancies have a lower risk of getting breast cancer than women who don't.

Dr Hatem Azim of the Institute Jules Bordet in Belgium and colleagues analysed results from 14 previous trials that followed more than 1,400 pregnant women with a history of breast cancer. Those women became pregnant several months to several years after finishing treatment. Azim and colleagues compared those women to more than 18,000 women who had had breast cancer and were not pregnant.

"I hope this changes what doctors tell their patients," Azim said. "There's no reason to tell women who survive breast cancer not to get pregnant."

Azim and colleagues found that the women who got pregnant had a 42pc lower risk of dying compared with breast cancer survivors who did not get pregnant. He said part of that benefit might be due to the fact that women who were naturally healthier were those that later had children.

But in some studies, women with breast cancer who became pregnant were compared to women who remained free of the disease, ie, the healthiest of the breast cancer survivors.

"For many years, pregnancy was considered a risk for women who had breast cancer," said Maria Leadbeater, a cancer expert at Breast Cancer Care, a British charity. "But this study seems to show the risk is not an issue once you've been treated," she said. Leadbeater was not connected to Azim's study.

hnews@herald.ie

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