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Warning-sign checks

Breast cancer and pregnancy: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911
    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Contact the cancer team promptly about a new breast or underarm lump, persistent bone pain, worsening headaches, unexplained weight loss, an ongoing cough, or other symptoms that do not improve.

    These often have noncancerous causes but should be evaluated.

  3. 3

    Does any of this apply?

    Book an appointment

    Follow-up continues throughout pregnancy and after delivery.

    Cancer specialists monitor treatment response, side effects, blood counts, and surgical recovery.

    The obstetric team monitors fetal growth, pregnancy complications, and delivery planning.

    Additional fetal ultrasounds or other monitoring may be recommended.

    Long-term follow-up depends on the cancer and treatment and may include examinations and breast imaging.

    After mastectomy, routine mammography is generally not performed on the removed breast, but the remaining breast still needs appropriate screening.

    Follow-up should also address contraception, fertility preservation, future pregnancy, breastfeeding, heart or bone health when relevant, and emotional recovery.

    The safest timing of a future pregnancy depends on the cancer’s features, treatment requirements, recurrence risk, and personal priorities.

    And for anyone, someone who:

    • has noticed a lump, a mole that has changed, or unexplained weight loss

The article also says

After delivery, the oncology team reviews postponed treatments, which may include radiation, endocrine therapy, HER2-targeted therapy, or additional chemotherapy.

Postpartum imaging may also be needed.

Every sign above is quoted from the sofidex article on Breast cancer and pregnancy. If you are not sure, err upward — it is always reasonable to be checked.