{"meta":{"status":200,"messages":[],"pagination":{"max":1,"offset":0,"count":1,"total":1,"pageNum":1,"totalPages":1,"sort":null,"currentUrl":"https://api.digitalmedia.hhs.gov/api/v2/resources/media.json?offset=0&max=1&ignoreHiddenMedia=1&format=json&id=1530&newUrlBase=https://www.cancer.gov/node/4411/","nextUrl":null,"previousUrl":null}},"results":[{"content":"<body>\n <div class=\"syndicate\"> \n  <!-- ********************************* BEGIN Page Content ********************************** --> \n  <h2 autofocus=\"true\">Breast Cancer Treatment During Pregnancy (PDQ\u00ae)\u2013Patient Version</h2> \n  <div> \n   <div> \n    <h3>General Information About Breast Cancer Treatment During Pregnancy</h3> \n    <div> \n     <div> \n      <div> \n       <a href=\"https://www.cancer.gov/types/breast/hp/pregnancy-breast-treatment-pdq\">Go to Health Professional Version</a> \n      </div> \n      <div> \n       <h3 do-not-show=\"toc\">Key Points</h3> \n       <div> \n        <ul> \n         <li>Breast cancer is a disease in which malignant (cancer) cells form in the tissues of the breast.</li> \n         <li>Sometimes breast cancer occurs in women who are pregnant or have just given birth. </li> \n         <li>Signs of breast cancer include a lump or change in the breast.</li> \n         <li>It may be difficult to detect (find) breast cancer early in pregnant or nursing women. </li> \n         <li>Breast exams should be part of prenatal and postnatal care.</li> \n         <li>Tests that examine the breasts are used to diagnose breast cancer.</li> \n         <li>If cancer is found, tests are done to study the cancer cells.</li> \n         <li>Certain factors affect prognosis (chance of recovery) and treatment options.</li> \n        </ul> \n       </div> \n      </div> \n      <section> \n       <h3 type=\"keypoint\" do-not-show=\"toc\">Breast cancer is a disease in which malignant (cancer) cells form in the tissues of the breast.</h3> \n       <p tabindex=\"-1\">The <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=304766&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000304766&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">breast</a> is made up of <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=46188&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000046188&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">lobes</a> and <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=46441&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000046441&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">ducts</a>. Each breast has 15 to 20 sections called lobes. Each lobe has many smaller sections called <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=46308&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000046308&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">lobules</a>. Lobules end in dozens of tiny bulbs that can make milk. The lobes, lobules, and bulbs are linked by thin tubes called ducts. </p> \n       <figure> \n        <a href=\"https://nci-media.cancer.gov/pdq/media/images/415520.jpg\" target=\"_blank\">Enlarge</a> \n        <img alt=\"Illustration of the female breast anatomy. On the left, a front view shows lymph nodes inside the breast going from the breast to the armpit. On the right, a cross-section shows the chest wall, ribs, fatty tissue, lobes, ducts, and lobules. Also shown in both panels are the muscle, nipple, and areola.\" title=\"Illustration of the female breast anatomy. On the left, a front view shows lymph nodes inside the breast going from the breast to the armpit. On the right, a cross-section shows the chest wall, ribs, fatty tissue, lobes, ducts, and lobules. Also shown in both panels are the muscle, nipple, and areola.\" src=\"https://nci-media.cancer.gov/pdq/media/images/415520-750.jpg\"> \n        <figcaption>\n          The female breast contains lobes, lobules, and ducts that produce and transport milk to the nipple. Fatty tissue gives the breast its shape, while muscles and the chest wall provide support. The lymphatic system, including lymph nodes, filter lymph and store white blood cells that help fight infection and disease. \n        </figcaption> \n       </figure> \n       <p tabindex=\"-1\">Each breast also has <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45020&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045020&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">blood vessels</a> and <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=269462&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000269462&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">lymph vessels</a>. The lymph vessels carry an almost colorless, watery <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=44669&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000044669&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">fluid</a> called <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=46305&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000046305&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">lymph</a>. Lymph vessels carry lymph between <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45762&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045762&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">lymph nodes</a>. Lymph nodes are small, bean-shaped structures found throughout the body. They <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=748828&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000748828&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">filter</a> lymph and store <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45993&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045993&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">white blood cells</a> that help fight <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45364&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045364&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">infection</a> and disease. Groups of lymph nodes are found near the breast in the <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=46510&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000046510&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">axilla</a> (under the arm), above the <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=639993&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000639993&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">collarbone</a>, and in the chest.</p> \n      </section> \n      <section> \n       <h3 type=\"keypoint\" do-not-show=\"toc\">Sometimes breast cancer occurs in women who are pregnant or have just given birth. </h3> \n       <p tabindex=\"-1\"><a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=444971&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000444971&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">Breast cancer</a> occurs about once in every 3,000 <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=666677&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000666677&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">pregnancies</a>. It occurs most often in women aged 32 to 38 years. Because many women are choosing to delay having children, it is likely that the number of new cases of breast cancer during pregnancy will increase. </p> \n      </section> \n      <section> \n       <h3 type=\"keypoint\" do-not-show=\"toc\">Signs of breast cancer include a lump or change in the breast.</h3> \n       <p tabindex=\"-1\">These and other <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=750109&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000750109&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">signs</a> may be caused by breast cancer or by other <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=651193&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000651193&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">conditions</a>. Check with your doctor if you have any of the following:</p> \n       <div> \n        <ul> \n         <li>A lump or thickening in or near the breast or in the underarm area.</li> \n         <li> A change in the size or shape of the breast.</li> \n         <li> A dimple or puckering in the skin of the breast.</li> \n         <li> A <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=304735&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000304735&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">nipple</a> turned inward into the breast.</li> \n         <li>Fluid, other than breast milk, from the nipple, especially if it's bloody.</li> \n         <li>Scaly, red, or swollen skin on the breast, nipple, or <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=46525&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000046525&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">areola</a> (the dark area of skin around the nipple).</li> \n         <li>Dimples in the breast that look like the skin of an orange, called <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45821&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045821&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">peau d\u2019orange</a>. </li> \n        </ul> \n       </div> \n      </section> \n      <section> \n       <h3 type=\"keypoint\" do-not-show=\"toc\">It may be difficult to detect (find) breast cancer early in pregnant or nursing women. </h3> \n       <p tabindex=\"-1\"> The breasts usually get larger, tender, or lumpy in women who are pregnant, nursing, or have just given birth. This occurs because of normal <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45713&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045713&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">hormone</a> changes that take place during pregnancy. These changes can make small lumps difficult to detect. The breasts may also become denser. It is more difficult to detect breast cancer in women with dense breasts using <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45996&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045996&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">mammography</a>. Because these breast changes can delay <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=46450&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000046450&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">diagnosis</a>, breast cancer is often found at a later <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45885&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045885&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">stage</a> in these women.</p> \n      </section> \n      <section> \n       <h3 type=\"keypoint\" do-not-show=\"toc\">Breast exams should be part of prenatal and postnatal care.</h3> \n       <p tabindex=\"-1\">To detect breast cancer, pregnant and nursing women should examine their breasts themselves. Women should also receive <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=304715&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000304715&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">clinical breast exams</a> during their regular <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=712876&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000712876&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">prenatal</a> and postnatal check-ups. Talk to your doctor if you notice any changes in your breasts that you do not expect or that worry you.</p> \n      </section> \n      <section> \n       <h3 type=\"keypoint\" do-not-show=\"toc\">Tests that examine the breasts are used to diagnose breast cancer.</h3> \n       <p tabindex=\"-1\">The following tests and procedures may be used:</p> \n       <div> \n        <ul> \n         <li><strong><a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=270871&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000270871&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">Physical exam</a> and <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=798522&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000798522&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">health history</a></strong>: An exam of the body to check general signs of health, including checking for signs of disease, such as lumps or anything else that seems unusual. A history of the patient\u2019s health habits and past illnesses and treatments will also be taken. </li> \n         <li><strong>Clinical breast exam (CBE)</strong>: An exam of the breast by a doctor or other health professional. The doctor will carefully feel the breasts and under the arms for lumps or anything else that seems unusual. </li> \n         <li><strong><a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=46157&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000046157&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">Ultrasound</a> exam</strong>: A procedure in which high-energy sound waves (ultrasound) are bounced off internal <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=46683&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000046683&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">tissues</a> or <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=257523&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000257523&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">organs</a> and make echoes. The echoes form a picture of body tissues called a <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=46587&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000046587&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">sonogram</a>. The picture can be printed to look at later.</li> \n         <li><strong><a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45775&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045775&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">Mammogram</a></strong>: An <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45944&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045944&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">x-ray</a> of the breast. A mammogram can be done with little risk to the <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=46400&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000046400&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">fetus</a>. Mammograms in pregnant women may appear <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=44692&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000044692&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">negative</a> even though cancer is present. \n          <figure> \n           <a href=\"https://nci-media.cancer.gov/pdq/media/images/711008.jpg\" target=\"_blank\">Enlarge</a> \n           <img alt=\"Drawing of a woman standing with her left breast pressed between two plates of a mammography machine. Behind her, a health professional uses an X-ray machine to take pictures of the breast. An inset shows the X-ray film image with an arrow pointed at abnormal tissue.\" title=\"Drawing of a woman standing with her left breast pressed between two plates of a mammography machine. Behind her, a health professional uses an X-ray machine to take pictures of the breast. An inset shows the X-ray film image with an arrow pointed at abnormal tissue.\" src=\"https://nci-media.cancer.gov/pdq/media/images/711008-750.jpg\"> \n           <figcaption>\n             Mammography is an imaging test used to screen for and diagnose breast cancer. It can detect abnormal breast tissue, including cancer, sometimes before symptoms appear. \n           </figcaption> \n          </figure></li> \n         <li><strong><a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45164&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045164&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">Biopsy</a></strong>: The removal of <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=46476&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000046476&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">cells</a> or tissues so they can be viewed under a <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=638184&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000638184&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">microscope</a> by a <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=46244&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000046244&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">pathologist</a> to check for signs of cancer. If a lump in the breast is found, a biopsy may be done.<p tabindex=\"-1\">There are three types of breast biopsies:</p> \n          <div> \n           <ul> \n            <li><strong><a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=46411&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000046411&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">Excisional biopsy</a></strong>: The removal of an entire lump of tissue. </li> \n            <li><strong><a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45657&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045657&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">Core biopsy</a></strong>: The removal of tissue using a wide needle. </li> \n            <li><strong><a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45691&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045691&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">Fine-needle aspiration (FNA) biopsy</a></strong>: The removal of tissue or fluid, using a thin needle.</li> \n           </ul> \n          </div> </li> \n        </ul> \n       </div> \n      </section> \n      <section> \n       <h3 type=\"keypoint\" do-not-show=\"toc\">If cancer is found, tests are done to study the cancer cells.</h3> \n       <p tabindex=\"-1\">Decisions about the best treatment are based on the results of these tests and the trimester of the pregnancy. The tests give information about:</p> \n       <div> \n        <ul> \n         <li>How quickly the cancer may grow.</li> \n         <li>How likely it is that the cancer will spread to other parts of the body.</li> \n         <li>How well certain treatments might work.</li> \n         <li>How likely the cancer is to <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=46556&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000046556&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">recur</a> (come back).</li> \n        </ul> \n       </div> \n       <p tabindex=\"-1\">Tests may include the following:</p> \n       <div> \n        <ul> \n         <li><strong><a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=44668&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000044668&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">Estrogen</a> and <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=44713&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000044713&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">progesterone receptor test</a></strong>: A test to measure the amount of <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=46409&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000046409&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">estrogen</a> and <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=423248&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000423248&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">progesterone (hormones) receptors</a> in cancer tissue. If there are more estrogen or progesterone receptors than normal, the cancer is called <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45270&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045270&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">estrogen receptor positive</a> or <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45273&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045273&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">progesterone receptor positive</a>. This type of breast cancer may grow more quickly. The test results show whether treatment to block estrogen and progesterone given after the baby is born may stop the cancer from growing.</li> \n         <li><strong><a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=783187&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000783187&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">Human epidermal growth factor type 2 receptor (HER2/neu) test</a></strong>: A <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=46590&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000046590&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">laboratory test</a> to measure how many <em><a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=44945&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000044945&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">HER2/neu</a></em> <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45693&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045693&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">genes</a> there are and how much HER2/neu <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=46092&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000046092&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">protein</a> is made in a sample of tissue. If there are more <em>HER2/neu</em> genes or higher levels of HER2/neu protein than normal, the cancer is called <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=737998&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000737998&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">HER2/neu positive</a>. This type of breast cancer may grow more quickly and is more likely to spread to other parts of the body. The cancer may be treated with <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=348921&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000348921&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">drugs</a> that target the HER2/neu protein, such as <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45439&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045439&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">trastuzumab</a> and <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=340934&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000340934&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">pertuzumab</a>, after the baby is born.</li> \n         <li><strong>Multigene tests</strong>: Tests in which samples of tissue are studied to look at the activity of many genes at the same time. These tests may help predict whether cancer will spread to other parts of the body or recur (come back). \n          <div> \n           <ul> \n            <li><strong><a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=737122&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000737122&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">Oncotype DX</a></strong>: This test helps predict whether stage I or stage II breast cancer that is <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45270&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045270&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">estrogen receptor positive</a> and <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45980&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045980&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">node-negative</a> will spread to other parts of the body. If the risk of the cancer spreading is high, <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45214&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045214&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">chemotherapy</a> may be given to lower the risk.</li> \n            <li><strong><a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=737131&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000737131&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">MammaPrint</a></strong>: A laboratory test in which the activity of 70 different genes is looked at in the breast cancer tissue of women who have <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=446564&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000446564&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">early-stage</a> <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=537695&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000537695&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">invasive breast cancer</a> that has not spread to lymph nodes or has spread to 3 or fewer lymph nodes. The activity level of these genes helps predict whether breast cancer will spread to other parts of the body or come back. If the test shows that the risk that the cancer will spread or come back is high, chemotherapy may be given to lower the risk.</li> \n           </ul> \n          </div></li> \n        </ul> \n       </div> \n      </section> \n      <section> \n       <h3 type=\"keypoint\" do-not-show=\"toc\">Certain factors affect prognosis (chance of recovery) and treatment options.</h3> \n       <p tabindex=\"-1\">The <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45849&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045849&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">prognosis</a> and treatment options depend on the following:</p> \n       <div> \n        <ul> \n         <li>The stage of the cancer (the size of the <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=46634&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000046634&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">tumor</a> and whether it is in the breast only or has spread to other parts of the body).</li> \n         <li>The type of breast cancer.</li> \n         <li>The trimester of the pregnancy.</li> \n         <li>Whether there are signs or <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45022&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045022&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">symptoms</a>.</li> \n         <li>The patient\u2019s general health.</li> \n        </ul> \n       </div> \n      </section> \n     </div> \n    </div> \n    <h3>Stages of Breast Cancer</h3> \n    <div> \n     <div> \n      <div> \n       <h3 do-not-show=\"toc\">Key Points</h3> \n       <div> \n        <ul> \n         <li>After breast cancer has been diagnosed, tests are done to find out if cancer cells have spread within the breast or to other parts of the body. </li> \n         <li>There are three ways that cancer spreads in the body.</li> \n         <li>Cancer may spread from where it began to other parts of the body.</li> \n         <li>In breast cancer, stage is based on the size and location of the primary tumor, the spread of cancer to nearby lymph nodes or other parts of the body, tumor grade, and whether certain biomarkers are present.</li> \n         <li>The TNM system is used to describe the size of the primary tumor and the spread of cancer to nearby lymph nodes or other parts of the body. \n          <ul> \n           <li>Tumor (T). The size and location of the tumor.</li> \n           <li>Lymph Node (N). The size and location of lymph nodes where cancer has spread.</li> \n           <li>Metastasis (M). The spread of cancer to other parts of the body.</li> \n          </ul></li> \n         <li>The grading system is used to describe how quickly a breast tumor is likely to grow and spread.</li> \n         <li>Biomarker testing is used to find out whether breast cancer cells have certain receptors.</li> \n         <li>The TNM system, the grading system, and biomarker status are combined to find out the breast cancer stage.</li> \n         <li>Talk to your doctor to find out what your breast cancer stage is and how it is used to plan the best treatment for you.</li> \n        </ul> \n       </div> \n      </div> \n      <section> \n       <h3 type=\"keypoint\" do-not-show=\"toc\">After breast cancer has been diagnosed, tests are done to find out if cancer cells have spread within the breast or to other parts of the body. </h3> \n       <p tabindex=\"-1\">The process used to find out if the <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45333&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045333&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">cancer</a> has spread within the <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=304766&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000304766&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">breast</a> or to other parts of the body is called <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=46597&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000046597&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">staging</a>. The information gathered from the staging process determines the <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45885&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045885&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">stage</a> of the disease. It is important to know the stage in order to plan treatment.</p> \n       <p tabindex=\"-1\">Some procedures may expose the <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=46400&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000046400&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">fetus</a> to harmful <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45072&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045072&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">radiation</a> or dyes. These procedures are done only if absolutely necessary. Certain actions, such as using a <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=798602&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000798602&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">lead-lined shield</a> to cover the <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45070&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045070&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">abdomen</a>, are used to help protect the fetus from radiation as much as possible.</p> \n       <p tabindex=\"-1\">The following tests and procedures may be used to stage <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=444971&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000444971&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">breast cancer</a> during <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=666677&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000666677&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">pregnancy</a>:</p> \n       <div> \n        <ul> \n         <li><strong><a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=304687&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000304687&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">Chest x-ray</a></strong>: An x-ray of the <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=257523&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000257523&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">organs</a> and bones inside the chest. An x-ray is a type of energy beam that can go through the body and onto film, making a picture of areas inside the body.</li> \n         <li><strong><a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=46499&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000046499&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">Bone scan</a></strong>: A procedure to check if there are rapidly dividing <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=46476&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000046476&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">cells</a>, such as cancer cells, in the bone. A very small amount of <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=46550&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000046550&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">radioactive</a> material is <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=44678&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000044678&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">injected</a> into a <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=476471&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000476471&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">vein</a> and travels through the bloodstream. The radioactive material collects in bones with cancer and is detected by a <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=386220&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000386220&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">scanner</a>.</li> \n         <li><strong><a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=46157&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000046157&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">Ultrasound</a> exam</strong>: A procedure in which high-energy sound waves (ultrasound) are bounced off internal <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=46683&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000046683&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">tissues</a> or organs, such as the <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=46312&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000046312&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">liver</a>, and make echoes. The echoes form a picture of body tissues called a <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=46587&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000046587&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">sonogram</a>. The picture can be printed to be looked at later.</li> \n         <li><strong><a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45788&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045788&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\"> MRI</a> (magnetic resonance imaging)</strong>: A procedure that uses a magnet, <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=651209&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000651209&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">radio waves</a>, and a computer to make a series of detailed pictures of areas inside the body, such as the <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=797669&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000797669&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">brain</a>. This procedure is also called nuclear magnetic resonance imaging (NMRI).</li> \n        </ul> \n       </div> \n      </section> \n      <section> \n       <h3 type=\"keypoint\" do-not-show=\"toc\">There are three ways that cancer spreads in the body.</h3> \n       <p tabindex=\"-1\">Cancer can spread through <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=46683&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000046683&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">tissue</a>, the <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45764&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045764&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">lymph system</a>, and the <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=270735&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000270735&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">blood</a>:</p> \n       <div> \n        <ul> \n         <li>Tissue. The cancer spreads from where it began by growing into nearby areas. </li> \n         <li>Lymph system. The cancer spreads from where it began by getting into the lymph system. The cancer travels through the <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=269462&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000269462&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">lymph vessels</a> to other parts of the body. </li> \n         <li>Blood. The cancer spreads from where it began by getting into the blood. The cancer travels through the <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45020&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045020&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">blood vessels</a> to other parts of the body. </li> \n        </ul> \n       </div> \n      </section> \n      <section> \n       <h3 type=\"keypoint\" do-not-show=\"toc\">Cancer may spread from where it began to other parts of the body.</h3> \n       <p tabindex=\"-1\">When cancer spreads to another part of the body, it is called <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=46710&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000046710&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">metastasis</a>. Cancer cells break away from where they began (the <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45847&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045847&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">primary tumor</a>) and travel through the lymph system or blood.</p> \n       <div> \n        <ul> \n         <li>Lymph system. The cancer gets into the lymph system, travels through the lymph vessels, and forms a <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=46634&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000046634&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">tumor</a> (<a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=44058&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000044058&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">metastatic</a> tumor) in another part of the body.</li> \n         <li>Blood. The cancer gets into the blood, travels through the blood vessels, and forms a tumor (metastatic tumor) in another part of the body.</li> \n        </ul> \n       </div> \n       <p tabindex=\"-1\">The metastatic tumor is the same type of cancer as the primary tumor. For example, if <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=444971&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000444971&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">breast cancer</a> spreads to the bone, the cancer cells in the bone are actually breast cancer cells. The disease is metastatic breast cancer, not <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=434562&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000434562&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">bone cancer</a>.</p> \n       <div data-embed-button=\"media_entity_embed\" data-entity-embed-display=\"view_mode:media.video_display_medium_no_title\" data-entity-type=\"media\" data-caption=\"\"> \n        <figure> \n         <div data-video-url=\"https://www.youtube.com/embed/fQwar_-QdiQ?feature=oembed&amp;autoplay=1\" data-video-title=\"metastasis: how cancer spreads\"> \n          <iframe width=\"560\" height=\"315\" src=\"https://www.youtube-nocookie.com/embed/fQwar_-QdiQ?rel=0\" frameborder=\"0\" allow=\"accelerometer; autoplay; encrypted-media; gyroscope; picture-in-picture\" title=\"metastasis: how cancer spreads\" alt=\"metastasis: how cancer spreads\" allowfullscreen=\"\"></iframe> \n         </div> \n         <figcaption>\n           Many cancer deaths are caused when cancer moves from the original tumor and spreads to other tissues and organs. This is called metastatic cancer. This animation shows how cancer cells travel from the place in the body where they first formed to other parts of the body. \n         </figcaption> \n        </figure> \n       </div> \n      </section> \n      <section> \n       <h3 type=\"keypoint\" do-not-show=\"toc\">In breast cancer, stage is based on the size and location of the primary tumor, the spread of cancer to nearby lymph nodes or other parts of the body, tumor grade, and whether certain biomarkers are present.</h3> \n       <p tabindex=\"-1\">To plan the best treatment and understand your <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45849&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045849&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">prognosis</a>, it is important to know the breast cancer stage.</p> \n       <p tabindex=\"-1\">There are 3 types of breast cancer stage groups:</p> \n       <div> \n        <ul> \n         <li><strong><a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=44168&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000044168&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">Clinical</a> Prognostic Stage</strong> is used first to assign a stage for <strong>all</strong> patients based on <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=689078&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000689078&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">health history</a>, <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=270871&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000270871&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">physical exam</a>, <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=689578&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000689578&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">imaging tests</a> (if done), and <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45164&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045164&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">biopsies</a>. The Clinical Prognostic Stage is described by the <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=672851&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000672851&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">TNM system</a>, <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45702&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045702&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">tumor grade</a>, and <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45618&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045618&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">biomarker</a> status (<a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=46409&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000046409&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">ER</a>, <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=423248&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000423248&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">PR</a>, <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=793177&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000793177&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">HER2</a>). In <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=683420&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000683420&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">clinical staging</a>, <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45996&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045996&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">mammography</a> or ultrasound is used to check the <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45762&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045762&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">lymph nodes</a> for <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=750109&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000750109&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">signs</a> of cancer.</li> \n         <li><strong>Pathological Prognostic Stage</strong> is then used for patients who have <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45570&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045570&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">surgery</a> as their first treatment. The Pathological Prognostic Stage is based on all clinical information, biomarker status, and <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=46590&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000046590&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">laboratory test</a> results from breast tissue and lymph nodes removed during surgery.</li> \n         <li><strong><a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=467827&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000467827&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">Anatomic</a> Stage</strong> is based on the size and the spread of cancer as described by the TNM system. The Anatomic Stage is used in parts of the world where biomarker testing is not available. It is not used in the United States.</li> \n        </ul> \n       </div> \n      </section> \n      <section> \n       <h3 type=\"keypoint\" do-not-show=\"toc\">The TNM system is used to describe the size of the primary tumor and the spread of cancer to nearby lymph nodes or other parts of the body.</h3> \n       <p tabindex=\"-1\">For breast cancer, the TNM system describes the tumor as follows:</p> \n       <section> \n        <h4 type=\"keypoint\" do-not-show=\"toc\">Tumor (T). The size and location of the tumor.</h4> \n        <figure> \n         <a href=\"https://nci-media.cancer.gov/pdq/media/images/796250.jpg\" target=\"_blank\">Enlarge</a> \n         <img alt=\"Drawing shows different sizes of common items in millimeters (mm): a sharp pencil point (1 mm), a new crayon point (2 mm), a pencil-top eraser (5 mm), a pea (10 mm), a peanut (20 mm), and a lime (50 mm). Also shown is a 2-centimeter (cm) ruler that shows 10 mm is equal to 1 cm.\" title=\"Drawing shows different sizes of common items in millimeters (mm): a sharp pencil point (1 mm), a new crayon point (2 mm), a pencil-top eraser (5 mm), a pea (10 mm), a peanut (20 mm), and a lime (50 mm). Also shown is a 2-centimeter (cm) ruler that shows 10 mm is equal to 1 cm.\" src=\"https://nci-media.cancer.gov/pdq/media/images/796250-750.jpg\"> \n         <figcaption>\n           Tumor sizes are often measured in millimeters (mm) or centimeters. Common items that can be used to show tumor size in mm include: a sharp pencil point (1 mm), a new crayon point (2 mm), a pencil-top eraser (5 mm), a pea (10 mm), a peanut (20 mm), and a lime (50 mm). \n         </figcaption> \n        </figure> \n        <div> \n         <ul> \n          <li>TX: Primary tumor cannot be assessed.</li> \n          <li>T0: No sign of a primary tumor in the breast.</li> \n          <li>Tis: <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=46488&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000046488&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">Carcinoma in situ</a>. There are 2 types of breast carcinoma in situ: \n           <div> \n            <ul> \n             <li>Tis (<a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=44394&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000044394&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">DCIS</a>): DCIS is a <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=651193&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000651193&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">condition</a> in which <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=44636&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000044636&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">abnormal</a> cells are found in the lining of a <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=638199&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000638199&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">breast duct</a>. The abnormal cells have not spread outside the duct to other tissues in the breast. In some cases, DCIS may become <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=537695&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000537695&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">invasive breast cancer</a> that is able to spread to other tissues. At this time, there is no way to know which <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=46324&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000046324&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">lesions</a> can become invasive.</li> \n             <li>Tis (<a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45814&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045814&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">Paget disease</a>): Paget disease of the <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=304735&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000304735&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">nipple</a> is a condition in which abnormal cells are found in the skin cells of the nipple and may spread to the <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=46525&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000046525&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">areola</a>. It is not staged according to the TNM system. If Paget disease AND an invasive breast cancer are present, the TNM system is used to stage the invasive breast cancer.</li> \n            </ul> \n           </div></li> \n          <li>T1: The tumor is 20 <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=44215&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000044215&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">millimeters</a> or smaller. There are 4 subtypes of a T1 tumor depending on the size of the tumor: \n           <div> \n            <ul> \n             <li>T1mi: the tumor is 1 millimeter or smaller.</li> \n             <li>T1a: the tumor is larger than 1 millimeter but not larger than 5 millimeters.</li> \n             <li>T1b: the tumor is larger than 5 millimeters but not larger than 10 millimeters.</li> \n             <li>T1c: the tumor is larger than 10 millimeters but not larger than 20 millimeters.</li> \n            </ul> \n           </div></li> \n          <li>T2: The tumor is larger than 20 millimeters but not larger than 50 millimeters.</li> \n          <li>T3: The tumor is larger than 50 millimeters.</li> \n          <li>T4: The tumor is described as one of the following: \n           <div> \n            <ul> \n             <li>T4a: the tumor has grown into the <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=44996&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000044996&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">chest wall</a>.</li> \n             <li>T4b: the tumor has grown into the skin\u2014an <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=390317&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000390317&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">ulcer</a> has formed on the surface of the skin on the breast, small tumor nodules have formed in the same breast as the primary tumor, and/or there is swelling of the skin on the breast.</li> \n             <li>T4c: the tumor has grown into the chest wall and the skin.</li> \n             <li>T4d: <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45313&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045313&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">inflammatory breast cancer</a>\u2014one-third or more of the skin on the breast is red and swollen (called <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45821&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045821&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">peau d\u2019orange</a>).</li> \n            </ul> \n           </div></li> \n         </ul> \n        </div> \n       </section> \n       <section> \n        <h4 type=\"keypoint\" do-not-show=\"toc\">Lymph Node (N). The size and location of lymph nodes where cancer has spread.</h4> \n        <p tabindex=\"-1\">When the lymph nodes are removed by surgery and studied under a <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=638184&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000638184&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">microscope</a> by a <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=46244&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000046244&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">pathologist</a>, pathologic staging is used to describe the lymph nodes. The pathologic staging of lymph nodes is described below.</p> \n        <div> \n         <ul> \n          <li>NX: The lymph nodes cannot be assessed.</li> \n          <li>N0: No sign of cancer in the lymph nodes, or tiny clusters of cancer cells not larger than 0.2 millimeters in the lymph nodes.</li> \n          <li>N1: Cancer is described as one of the following: \n           <div> \n            <ul> \n             <li>N1mi: cancer has spread to the <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45607&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045607&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">axillary (armpit area) lymph nodes</a> and is larger than 0.2 millimeters but not larger than 2 millimeters.</li> \n             <li>N1a: cancer has spread to 1 to 3 axillary lymph nodes and the cancer in at least one of the lymph nodes is larger than 2 millimeters.</li> \n             <li>N1b: cancer has spread to lymph nodes near the <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=549425&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000549425&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">breastbone</a> on the same side of the body as the primary tumor, and the cancer is larger than 0.2 millimeters and is found by <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=46712&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000046712&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">sentinel lymph node biopsy</a>. Cancer is not found in the axillary lymph nodes.</li> \n             <li>N1c: cancer has spread to 1 to 3 axillary lymph nodes and the cancer in at least one of the lymph nodes is larger than 2 millimeters. Cancer is also found by sentinel lymph node biopsy in the lymph nodes near the breastbone on the same side of the body as the primary tumor.</li> \n            </ul> \n           </div></li> \n          <li>N2: Cancer is described as one of the following: \n           <div> \n            <ul> \n             <li>N2a: cancer has spread to 4 to 9 axillary lymph nodes and the cancer in at least one of the lymph nodes is larger than 2 millimeters.</li> \n             <li>N2b: cancer has spread to lymph nodes near the breastbone and the cancer is found by imaging tests. Cancer is not found in the axillary lymph nodes by sentinel lymph node biopsy or <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=44435&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000044435&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">lymph node dissection</a>.</li> \n            </ul> \n           </div></li> \n          <li>N3: Cancer is described as one of the following: \n           <div> \n            <ul> \n             <li>N3a: cancer has spread to 10 or more axillary lymph nodes and the cancer in at least one of the lymph nodes is larger than 2 millimeters, or cancer has spread to lymph nodes below the <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=639993&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000639993&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">collarbone</a>.</li> \n             <li>N3b: cancer has spread to 1 to 9 axillary lymph nodes and the cancer in at least one of the lymph nodes is larger than 2 millimeters. Cancer has also spread to lymph nodes near the breastbone and the cancer is found by imaging tests;<p tabindex=\"-1\"><strong><em>or</em></strong></p><p tabindex=\"-1\"> cancer has spread to 4 to 9 axillary lymph nodes and cancer in at least one of the lymph nodes is larger than 2 millimeters. Cancer has also spread to lymph nodes near the breastbone on the same side of the body as the primary tumor, and the cancer is larger than 0.2 millimeters and is found by sentinel lymph node biopsy.</p></li> \n             <li>N3c: cancer has spread to lymph nodes above the collarbone on the same side of the body as the primary tumor.</li> \n            </ul> \n           </div></li> \n         </ul> \n        </div> \n        <p tabindex=\"-1\">When the lymph nodes are checked using mammography or ultrasound, it is called clinical staging. The clinical staging of lymph nodes is not described here.</p> \n       </section> \n       <section> \n        <h4 type=\"keypoint\" do-not-show=\"toc\">Metastasis (M). The spread of cancer to other parts of the body.</h4> \n        <div> \n         <ul> \n          <li>M0: There is no sign that cancer has spread to other parts of the body.</li> \n          <li>M1: Cancer has spread to other parts of the body, most often the bones, <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=270740&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000270740&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">lungs</a>, liver, or brain. If cancer has spread to distant lymph nodes, the cancer in the lymph nodes is larger than 0.2 millimeters. The cancer is called metastatic breast cancer.</li> \n         </ul> \n        </div> \n       </section> \n      </section> \n      <section> \n       <h3 type=\"keypoint\" do-not-show=\"toc\">The grading system is used to describe how quickly a breast tumor is likely to grow and spread.</h3> \n       <p tabindex=\"-1\">The <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=46372&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000046372&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">grading</a> system describes a tumor based on how abnormal the cancer cells and tissue look under a microscope and how quickly the cancer cells are likely to grow and spread. <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=386213&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000386213&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">Low-grade</a> cancer cells look more like normal cells and tend to grow and spread more slowly than <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=386205&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000386205&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">high-grade</a> cancer cells. To describe how abnormal the cancer cells and tissue are, the pathologist will assess the following three features:</p> \n       <div> \n        <ul> \n         <li>How much of the tumor tissue has normal breast ducts.</li> \n         <li>The size and shape of the <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=597161&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000597161&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">nuclei</a> in the tumor cells.</li> \n         <li>How many dividing cells are present, which is a measure of how fast the tumor cells are growing and dividing.</li> \n        </ul> \n       </div> \n       <p tabindex=\"-1\">For each feature, the pathologist assigns a score of 1 to 3; a score of \u201c1\u201d means the cells and tumor tissue look the most like normal cells and tissue, and a score of \u201c3\u201d means the cells and tissue look the most abnormal. The scores for each feature are added together to get a total score between 3 and 9.</p> \n       <p tabindex=\"-1\">Three grades are possible:</p> \n       <div> \n        <ul> \n         <li>Total score of 3 to 5: G1 (Low grade or <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=774690&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000774690&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">well differentiated</a>).</li> \n         <li>Total score of 6 to 7: G2 (<a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=753854&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000753854&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">Intermediate grade</a> or moderately differentiated).</li> \n         <li>Total score of 8 to 9: G3 (High grade or poorly differentiated).</li> \n        </ul> \n       </div> \n      </section> \n      <section> \n       <h3 type=\"keypoint\" do-not-show=\"toc\">Biomarker testing is used to find out whether breast cancer cells have certain receptors.</h3> \n       <p tabindex=\"-1\">Healthy breast cells, and some breast cancer cells, have <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=44958&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000044958&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">receptors</a> (biomarkers) that attach to the <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45713&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045713&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">hormones</a> <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=46076&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000046076&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">estrogen</a> and <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45158&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045158&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">progesterone</a>. These hormones are needed for healthy cells, and some breast cancer cells, to grow and divide. To check for these biomarkers, samples of tissue containing breast cancer cells are removed during a <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45164&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045164&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">biopsy</a> or surgery. The samples are tested in a laboratory to see whether the breast cancer cells have <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=46409&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000046409&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">estrogen</a> or <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=423248&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000423248&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">progesterone receptors</a>.</p> \n       <p tabindex=\"-1\">Another type of receptor (biomarker) that is found on the surface of all breast cancer cells is called HER2. HER2 receptors are needed for the breast cancer cells to grow and divide.</p> \n       <p tabindex=\"-1\">For breast cancer, biomarker testing includes the following:</p> \n       <div> \n        <ul> \n         <li><strong>Estrogen receptor (ER)</strong>. If the breast cancer cells have estrogen receptors, the cancer cells are called <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45270&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045270&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">ER positive</a> (ER+). If the breast cancer cells do not have estrogen receptors, the cancer cells are called <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45272&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045272&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">ER negative</a> (ER-).</li> \n         <li><strong>Progesterone receptor (PR)</strong>. If the breast cancer cells have progesterone receptors, the cancer cells are called <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45273&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045273&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">PR positive</a> (PR+). If the breast cancer cells do not have progesterone receptors, the cancer cells are called <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45275&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045275&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">PR negative</a> (PR-).</li> \n         <li><strong>Human epidermal growth factor type 2 receptor (HER2/neu or HER2)</strong>. If the breast cancer cells have larger than normal amounts of HER2 receptors on their surface, the cancer cells are called <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=737998&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000737998&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">HER2 positive</a> (HER2+). If the breast cancer cells have a normal amount of HER2 on their surface, the cancer cells are called <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=774531&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000774531&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">HER2 negative</a> (HER2-). HER2+ breast cancer is more likely to grow and divide faster than HER2- breast cancer.</li> \n        </ul> \n       </div> \n       <p tabindex=\"-1\">Sometimes the breast cancer cells will be described as <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=639916&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000639916&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">triple negative</a> or <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=796827&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000796827&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">triple positive</a>.</p> \n       <div> \n        <ul> \n         <li><strong>Triple negative</strong>. If the breast cancer cells do not have estrogen receptors, progesterone receptors, or a larger than normal amount of HER2 receptors, the cancer cells are called triple negative.</li> \n         <li><strong>Triple positive</strong>. If the breast cancer cells do have estrogen receptors, progesterone receptors, and a larger than normal amount of HER2 receptors, the cancer cells are called triple positive.</li> \n        </ul> \n       </div> \n       <p tabindex=\"-1\">It is important to know the estrogen receptor, progesterone receptor, and HER2 receptor status to choose the best treatment. There are <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=348921&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000348921&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">drugs</a> that can stop the receptors from attaching to the hormones estrogen and progesterone and stop the cancer from growing. Other drugs may be used to block the HER2 receptors on the surface of the breast cancer cells and stop the cancer from growing.</p> \n      </section> \n      <section> \n       <h3 type=\"keypoint\" do-not-show=\"toc\">The TNM system, the grading system, and biomarker status are combined to find out the breast cancer stage.</h3> \n       <p tabindex=\"-1\">Here are 3 examples that combine the TNM system, the grading system, and the biomarker status to find out the Pathological Prognostic breast cancer stage for a woman whose first treatment was surgery:</p> \n       <p tabindex=\"-1\">If the tumor size is 30 millimeters (T2), has not spread to nearby lymph nodes (N0), has not spread to distant parts of the body (M0), and is:</p> \n       <div> \n        <ul> \n         <li>Grade 1</li> \n         <li>HER2+</li> \n         <li>ER-</li> \n         <li>PR-</li> \n        </ul> \n       </div> \n       <p tabindex=\"-1\"><em>The cancer is stage IIA.</em></p> \n       <p tabindex=\"-1\">If the tumor size is 53 millimeters (T3), has spread to 4 to 9 axillary lymph nodes (N2), has not spread to other parts of the body (M0), and is:</p> \n       <div> \n        <ul> \n         <li>Grade 2</li> \n         <li>HER2+</li> \n         <li>ER+</li> \n         <li>PR-</li> \n        </ul> \n       </div> \n       <p tabindex=\"-1\"><em>The tumor is stage IIIA. </em></p> \n       <p tabindex=\"-1\">If the tumor size is 65 millimeters (T3), has spread to 3 axillary lymph nodes (N1a), has spread to the lungs (M1), and is:</p> \n       <div> \n        <ul> \n         <li>Grade 1</li> \n         <li>HER2+</li> \n         <li>ER-</li> \n         <li>PR-</li> \n        </ul> \n       </div> \n       <p tabindex=\"-1\"><em>The cancer is stage IV (metastatic breast cancer).</em></p> \n      </section> \n      <section> \n       <h3 type=\"keypoint\" do-not-show=\"toc\">Talk to your doctor to find out what your breast cancer stage is and how it is used to plan the best treatment for you.</h3> \n       <p tabindex=\"-1\">After surgery, your doctor will receive a <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=44702&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000044702&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">pathology report</a> that describes the size and location of the primary tumor, the spread of cancer to nearby lymph nodes, tumor grade, and whether certain biomarkers are present. The pathology report and other test results are used to determine your breast cancer stage.</p> \n       <p tabindex=\"-1\">You are likely to have many questions. Ask your doctor to explain how staging is used to decide the best options to treat your cancer and whether there are <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45961&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045961&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">clinical trials</a> that might be right for you.</p> \n      </section> \n     </div> \n    </div> \n    <h3>Treatment Option Overview</h3> \n    <div> \n     <div> \n      <div> \n       <h3 do-not-show=\"toc\">Key Points</h3> \n       <div> \n        <ul> \n         <li>Treatment options for pregnant women depend on the stage of the disease and the trimester of the pregnancy. </li> \n         <li>Three types of standard treatment are used: \n          <ul> \n           <li>Surgery </li> \n           <li>Radiation therapy </li> \n           <li>Chemotherapy </li> \n          </ul></li> \n         <li>Ending the pregnancy does not seem to improve the mother\u2019s chance of survival.</li> \n         <li>Treatment for breast cancer may cause side effects.</li> \n        </ul> \n       </div> \n      </div> \n      <section> \n       <h3 type=\"keypoint\" do-not-show=\"toc\">Treatment options for pregnant women depend on the stage of the disease and the trimester of the pregnancy. </h3> \n      </section> \n      <section> \n       <h3 type=\"keypoint\" do-not-show=\"toc\">Three types of standard treatment are used:</h3> \n       <section> \n        <h4 type=\"keypoint\" do-not-show=\"toc\">Surgery </h4> \n        <p tabindex=\"-1\">Most <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=666677&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000666677&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">pregnant</a> women with <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=444971&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000444971&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">breast cancer</a> have <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45570&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045570&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">surgery</a> to remove the <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=304766&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000304766&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">breast</a>. Some of the <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45762&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045762&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\"> lymph nodes</a> under the arm may be removed so they can be checked under a <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=638184&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000638184&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">microscope</a> by a <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=46244&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000046244&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">pathologist</a> for <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=750109&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000750109&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">signs</a> of <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45333&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045333&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">cancer</a>.</p> \n        <p tabindex=\"-1\">Types of surgery to remove the cancer include:</p> \n        <div> \n         <ul> \n          <li><a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=46285&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000046285&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">Modified radical mastectomy</a>: Surgery to remove the whole breast that has cancer. This may include removal of the <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=304735&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000304735&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">nipple</a>, <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=46525&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000046525&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">areola</a> (the dark-colored skin around the nipple), and skin over the breast. Most of the lymph nodes under the arm are also removed. \n           <figure> \n            <a href=\"https://nci-media.cancer.gov/pdq/media/images/415523.jpg\" target=\"_blank\">Enlarge</a> \n            <img alt=\"Modified radical mastectomy; the drawing on the left shows the removal of the whole breast, including the lymph nodes under the arm. The drawing on the right shows a cross-section of the breast, including the fatty tissue and chest wall (ribs and muscle). A tumor in the breast is also shown.\" title=\"Modified radical mastectomy; the drawing on the left shows the removal of the whole breast, including the lymph nodes under the arm. The drawing on the right shows a cross-section of the breast, including the fatty tissue and chest wall (ribs and muscle). A tumor in the breast is also shown.\" src=\"https://nci-media.cancer.gov/pdq/media/images/415523-750.jpg\"> \n            <figcaption>\n              Modified radical mastectomy. The whole breast and most of the lymph nodes under the arm are removed. \n            </figcaption> \n           </figure></li> \n          <li><a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45626&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045626&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">Breast-conserving surgery</a>: Surgery to remove the cancer and some normal <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=46683&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000046683&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">tissue</a> around it, but not the breast itself. Part of the chest wall lining may also be removed if the cancer is near it. This type of surgery may also be called lumpectomy, partial mastectomy, segmental mastectomy, quadrantectomy, or breast-sparing surgery. \n           <figure> \n            <a href=\"https://nci-media.cancer.gov/pdq/media/images/415521.jpg\" target=\"_blank\">Enlarge</a> \n            <img alt=\"Lumpectomy; the drawing on the left shows removal of the tumor and some of the normal tissue around it. The drawing on the right shows removal of some of the lymph nodes under the arm and removal of the tumor and part of the chest wall lining near the tumor. Also shown is fatty tissue in the breast.\" title=\"Lumpectomy; the drawing on the left shows removal of the tumor and some of the normal tissue around it. The drawing on the right shows removal of some of the lymph nodes under the arm and removal of the tumor and part of the chest wall lining near the tumor. Also shown is fatty tissue in the breast.\" src=\"https://nci-media.cancer.gov/pdq/media/images/415521-750.jpg\"> \n            <figcaption>\n              Lumpectomy. The tumor and some normal tissue around it are removed, but not the breast itself. Some lymph nodes under the arm may also be removed. If the cancer is near the chest wall, part of the chest wall lining may be removed as well. \n            </figcaption> \n           </figure></li> \n         </ul> \n        </div> \n        <p tabindex=\"-1\">After the doctor removes all of the cancer that can be seen at the time of surgery, some patients may be given <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45214&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045214&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">chemotherapy</a> or <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=44971&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000044971&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">radiation therapy</a> after surgery to kill any cancer <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=46476&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000046476&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">cells</a> that are left. For pregnant women with <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=446564&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000446564&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">early-stage breast cancer</a>, radiation therapy and <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45110&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045110&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">hormone therapy</a> are given after the baby is born. Treatment given after surgery, to lower the risk that the cancer will come back, is called <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45587&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045587&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">adjuvant therapy</a>.</p> \n       </section> \n       <section> \n        <h4 type=\"keypoint\" do-not-show=\"toc\">Radiation therapy </h4> \n        <p tabindex=\"-1\">Radiation therapy is a cancer treatment that uses high-energy <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45944&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045944&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">x-rays</a> or other types of <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45072&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045072&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">radiation</a> to kill cancer cells or keep them from growing. <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=46686&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000046686&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">External radiation therapy</a> uses a machine outside the body to send radiation toward the area of the body with cancer.</p> \n        <p tabindex=\"-1\">External radiation therapy may be given to pregnant women with early <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45885&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045885&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">stage</a> (stage I or II) breast cancer after the baby is born. Women with late stage (stage III or IV) breast cancer may be given external radiation therapy after the first 3 months of pregnancy or, if possible, radiation therapy is delayed until after the baby is born.</p> \n       </section> \n       <section> \n        <h4 type=\"keypoint\" do-not-show=\"toc\">Chemotherapy </h4> \n        <p tabindex=\"-1\">Chemotherapy is a cancer treatment that uses <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=348921&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000348921&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">drugs</a> to stop the growth of cancer cells, either by killing the cells or by stopping the cells from dividing. When chemotherapy is taken by mouth or <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=44678&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000044678&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">injected</a> into a <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=476471&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000476471&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">vein</a> or muscle, the drugs enter the bloodstream and can reach cancer cells throughout the body (<a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=301626&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000301626&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">systemic chemotherapy</a>). </p> \n        <p tabindex=\"-1\">Chemotherapy is usually not given during the first 3 months of pregnancy. Chemotherapy given after this time does not usually harm the <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=46400&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000046400&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">fetus</a> but may cause early labor or low birth weight.</p> \n        <p tabindex=\"-1\">See <a href=\"https://www.cancer.gov/about-cancer/treatment/drugs/breast\" title=\"https://www.cancer.gov/about-cancer/treatment/drugs/breast\">Drugs Approved for Breast Cancer</a> for more information.</p> \n       </section> \n      </section> \n      <section> \n       <h3 type=\"keypoint\" do-not-show=\"toc\">Ending the pregnancy does not seem to improve the mother\u2019s chance of survival.</h3> \n       <p tabindex=\"-1\">Because ending the pregnancy is not likely to improve the mother\u2019s chance of survival, it is not usually a treatment option.</p> \n      </section> \n      <section> \n       <h3 type=\"keypoint\" do-not-show=\"toc\">Treatment for breast cancer may cause side effects.</h3> \n       <p tabindex=\"-1\">For information about <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=46580&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000046580&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">side effects</a> caused by treatment for cancer, visit our <a href=\"https://www.cancer.gov/about-cancer/treatment/side-effects\" title=\"https://www.cancer.gov/about-cancer/treatment/side-effects\">Side Effects</a> page.</p> \n      </section> \n     </div> \n    </div> \n    <h3>Treatment of Early Stage Breast Cancer During Pregnancy</h3> \n    <div> \n     <div> \n      <p tabindex=\"-1\">For information about the treatments listed below, see the <a href=\"https://www.cancer.gov/types/breast/patient/pregnancy-breast-treatment-pdq#_101\">Treatment Option Overview</a> section.</p> \n      <p tabindex=\"-1\"><a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=666677&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000666677&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">Pregnant</a> women with <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=446564&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000446564&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">early-stage breast cancer</a> (stage I and stage II) are usually treated in the same way as patients who are not pregnant, with some changes to protect the <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=46400&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000046400&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">fetus</a>. Treatment may include the following: </p> \n      <div> \n       <ul> \n        <li> <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=46285&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000046285&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">Modified radical mastectomy</a>, if the <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=444971&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000444971&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">breast cancer</a> was <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=46450&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000046450&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">diagnosed</a> early in <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=666677&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000666677&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">pregnancy</a>. </li> \n        <li><a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45626&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045626&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">Breast-conserving surgery</a>, if the breast cancer is diagnosed later in pregnancy. <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=44971&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000044971&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">Radiation therapy</a> may be given after the baby is born.</li> \n        <li>Modified radical mastectomy or breast-conserving surgery during pregnancy. After the first 3 months of pregnancy, certain types of <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45214&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045214&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">chemotherapy</a> may be given before or after <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45570&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045570&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">surgery</a>.</li> \n       </ul> \n      </div> \n      <p tabindex=\"-1\"><a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45110&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045110&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">Hormone therapy</a> and <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45439&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045439&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">trastuzumab</a> should not be given during pregnancy.</p> \n      <p tabindex=\"-1\">Use our <a href=\"https://www.cancer.gov/research/participate/clinical-trials-search\" title=\"https://www.cancer.gov/research/participate/clinical-trials-search\">clinical trial search</a> to find NCI-supported cancer clinical trials that are accepting patients. You can search for trials based on the type of cancer, the age of the patient, and where the trials are being done. <a href=\"https://www.cancer.gov/research/participate/clinical-trials\" title=\"https://www.cancer.gov/research/participate/clinical-trials\">General information</a> about clinical trials is also available.</p> \n     </div> \n    </div> \n    <h3>Treatment of Late-Stage Breast Cancer During Pregnancy</h3> \n    <div> \n     <div> \n      <p tabindex=\"-1\">For information about the treatments listed below, see the <a href=\"https://www.cancer.gov/types/breast/patient/pregnancy-breast-treatment-pdq#_101\">Treatment Option Overview</a> section.</p> \n      <p tabindex=\"-1\">There is no <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=44930&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000044930&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">standard treatment</a> for patients with late-stage breast cancer (stage III or stage IV) during <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=666677&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000666677&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">pregnancy</a>. Treatment may include the following:</p> \n      <div> \n       <ul> \n        <li><a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=44971&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000044971&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">Radiation therapy</a>.</li> \n        <li><a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45214&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045214&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">Chemotherapy</a>.</li> \n       </ul> \n      </div> \n      <p tabindex=\"-1\">Radiation therapy and chemotherapy should not be given during the first 3 months of pregnancy.</p> \n      <p tabindex=\"-1\">Use our <a href=\"https://www.cancer.gov/research/participate/clinical-trials-search\" title=\"https://www.cancer.gov/research/participate/clinical-trials-search\">clinical trial search</a> to find NCI-supported cancer clinical trials that are accepting patients. You can search for trials based on the type of cancer, the age of the patient, and where the trials are being done. <a href=\"https://www.cancer.gov/research/participate/clinical-trials\" title=\"https://www.cancer.gov/research/participate/clinical-trials\">General information</a> about clinical trials is also available.</p> \n     </div> \n    </div> \n    <h3>Special Issues About Breast Cancer During Pregnancy</h3> \n    <div> \n     <div> \n      <div> \n       <h3 do-not-show=\"toc\">Key Points</h3> \n       <div> \n        <ul> \n         <li>Lactation (breast milk production) and breast-feeding should be stopped if surgery or chemotherapy is planned. </li> \n         <li>Breast cancer does not appear to harm the fetus.</li> \n         <li>Pregnancy does not seem to affect the survival of women who have had breast cancer in the past. </li> \n        </ul> \n       </div> \n      </div> \n      <section> \n       <h3 type=\"keypoint\" do-not-show=\"toc\">Lactation (breast milk production) and breast-feeding should be stopped if surgery or chemotherapy is planned. </h3> \n       <p tabindex=\"-1\">If <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45570&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045570&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">surgery</a> is planned, breast-feeding should be stopped to reduce <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=270735&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000270735&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">blood</a> flow in the <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=304766&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000304766&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">breasts</a> and make them smaller. Many <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45214&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045214&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">chemotherapy</a> <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=348921&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000348921&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">drugs</a>, especially <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45253&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045253&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">cyclophosphamide</a> and <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45393&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045393&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">methotrexate</a>, may occur in high levels in breast milk and may harm the nursing baby. Women receiving chemotherapy should not breast-feed.</p> \n       <p tabindex=\"-1\"> Stopping lactation does not improve the mother's <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45849&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045849&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">prognosis</a>.</p> \n      </section> \n      <section> \n       <h3 type=\"keypoint\" do-not-show=\"toc\">Breast cancer does not appear to harm the fetus.</h3> \n       <p tabindex=\"-1\"><a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=444971&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000444971&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">Breast cancer</a> <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=46476&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000046476&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">cells</a> do not seem to pass from the mother to the <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=46400&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000046400&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">fetus</a>.</p> \n      </section> \n      <section> \n       <h3 type=\"keypoint\" do-not-show=\"toc\">Pregnancy does not seem to affect the survival of women who have had breast cancer in the past. </h3> \n       <p tabindex=\"-1\">For women who have had breast cancer, <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=666677&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000666677&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">pregnancy</a> does not seem to affect their survival. However, some doctors recommend that a woman wait 2 years after treatment for breast cancer before trying to have a baby, so that any early return of the <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=45333&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000045333&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">cancer</a> would be detected. This may affect a woman\u2019s decision to become pregnant.</p> \n      </section> \n     </div> \n    </div> \n    <h3>To Learn More About Breast Cancer During Pregnancy</h3> \n    <div> \n     <div> \n      <p tabindex=\"-1\">For more information from the <a type=\"GlossaryTermRefs\" href=\"https://www.cancer.gov/Common/PopUps/popDefinition.aspx?id=44266&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov\" onclick=\"javascript:popWindow('defbyid','CDR0000044266&amp;version=patient&amp;language=English&amp;dictionary=Cancer.gov'); return(false);\">National Cancer Institute</a> about breast cancer during pregnancy, see the following:</p> \n      <div> \n       <ul> \n        <li><a href=\"https://www.cancer.gov/types/breast\" title=\"https://www.cancer.gov/types/breast\">Breast Cancer Home Page</a> </li> \n        <li><a href=\"https://www.cancer.gov/types/breast/patient/breast-prevention-pdq\">Breast Cancer Prevention</a></li> \n        <li><a href=\"https://www.cancer.gov/types/breast/patient/breast-screening-pdq\">Breast Cancer Screening</a></li> \n        <li><a href=\"https://www.cancer.gov/types/breast/surgery-choices\" title=\"https://www.cancer.gov/types/breast/surgery-choices\">Surgery Choices for Women with DCIS or Breast Cancer</a></li> \n        <li><a href=\"https://www.cancer.gov/types/breast/breast-changes/dense-breasts\" title=\"https://www.cancer.gov/types/breast/breast-changes/dense-breasts\">Dense Breasts: Answers to Commonly Asked Questions</a></li> \n        <li><a href=\"https://www.cancer.gov/about-cancer/treatment/drugs/breast\" title=\"https://www.cancer.gov/about-cancer/treatment/drugs/breast\">Drugs Approved for Breast Cancer</a></li> \n       </ul> \n      </div> \n      <p tabindex=\"-1\">For general cancer information and other resources from the National Cancer Institute, visit:</p> \n      <div> \n       <ul> \n        <li><a href=\"https://www.cancer.gov/about-cancer\" title=\"https://www.cancer.gov/about-cancer\">About Cancer</a></li> \n        <li><a href=\"https://www.cancer.gov/about-cancer/diagnosis-staging/staging\" title=\"https://www.cancer.gov/about-cancer/diagnosis-staging/staging\">Cancer Staging</a></li> \n        <li><a href=\"https://www.cancer.gov/publications/patient-education/chemo-and-you\" title=\"https://www.cancer.gov/publications/patient-education/chemo-and-you\">Chemotherapy and You: Support for People With Cancer</a></li> \n        <li><a href=\"https://www.cancer.gov/publications/patient-education/radiation-therapy-and-you\" title=\"https://www.cancer.gov/publications/patient-education/radiation-therapy-and-you\">Radiation Therapy and You: Support for People With Cancer</a></li> \n        <li><a href=\"https://www.cancer.gov/about-cancer/coping\" title=\"https://www.cancer.gov/about-cancer/coping\">Coping with Cancer</a></li> \n        <li><a href=\"https://www.cancer.gov/about-cancer/coping/questions\" title=\"https://www.cancer.gov/about-cancer/coping/questions\">Questions to Ask Your Doctor about Cancer</a></li> \n        <li><a href=\"https://cancercontrol.cancer.gov/ocs/resources/survivors.html\" title=\"https://cancercontrol.cancer.gov/ocs/resources/survivors.html\">For Survivors, Caregivers, and Advocates</a></li> \n       </ul> \n      </div> \n     </div> \n    </div> \n    <h3>About This PDQ Summary</h3> \n    <div> \n     <div> \n      <section> \n       <h3>About PDQ</h3> \n       <p tabindex=\"-1\">Physician Data Query (PDQ) is the National Cancer Institute's (NCI's) comprehensive cancer information database. The PDQ database contains summaries of the latest published information on cancer prevention, detection, genetics, treatment, supportive care, and complementary and alternative medicine. Most summaries come in two versions. The health professional versions have detailed information written in technical language. The patient versions are written in easy-to-understand, nontechnical language. Both versions have cancer information that is accurate and up to date and most versions are also available in <a href=\"https://www.cancer.gov/espanol/publicaciones/pdq\" title=\"https://www.cancer.gov/espanol/publicaciones/pdq\">Spanish</a>.</p> \n       <p tabindex=\"-1\">PDQ is a service of the NCI. The NCI is part of the National Institutes of Health (NIH). NIH is the federal government\u2019s center of biomedical research. The PDQ summaries are based on an independent review of the medical literature. They are not policy statements of the NCI or the NIH.</p> \n      </section> \n      <section> \n       <h3>Purpose of This Summary</h3> \n       <p tabindex=\"-1\">This PDQ cancer information summary has current information about the treatment of breast cancer during pregnancy. It is meant to inform and help patients, families, and caregivers. It does not give formal guidelines or recommendations for making decisions about health care.</p> \n      </section> \n      <section> \n       <h3>Reviewers and Updates</h3> \n       <p tabindex=\"-1\">Editorial Boards write the PDQ cancer information summaries and keep them up to date. These Boards are made up of experts in cancer treatment and other specialties related to cancer. The summaries are reviewed regularly and changes are made when there is new information. The date on each summary (\"Updated\") is the date of the most recent change. </p> \n       <p tabindex=\"-1\">The information in this patient summary was taken from the health professional version, which is reviewed regularly and updated as needed, by the <a href=\"https://www.cancer.gov/publications/pdq/editorial-boards/adult-treatment\" title=\"https://www.cancer.gov/publications/pdq/editorial-boards/adult-treatment\">PDQ Adult Treatment Editorial Board</a>. </p> \n      </section> \n      <section> \n       <h3>Clinical Trial Information</h3> \n       <p tabindex=\"-1\">A clinical trial is a study to answer a scientific question, such as whether one treatment is better than another. Trials are based on past studies and what has been learned in the laboratory. Each trial answers certain scientific questions in order to find new and better ways to help cancer patients. During treatment clinical trials, information is collected about the effects of a new treatment and how well it works. If a clinical trial shows that a new treatment is better than one currently being used, the new treatment may become \"standard.\" Patients may want to think about taking part in a clinical trial. Some clinical trials are open only to patients who have not started treatment. </p> \n       <p tabindex=\"-1\">Clinical trials can be found online at <a href=\"https://www.cancer.gov/research/participate/clinical-trials\" title=\"https://www.cancer.gov/research/participate/clinical-trials\">NCI's website</a>. For more information, call the <a href=\"https://www.cancer.gov/contact/contact-center\" title=\"https://www.cancer.gov/contact/contact-center\">Cancer Information Service</a> (CIS), NCI's contact center, at 1-800-4-CANCER (1-800-422-6237). </p> \n      </section> \n      <section> \n       <h3>Permission to Use This Summary</h3> \n       <p tabindex=\"-1\">PDQ is a registered trademark. The content of PDQ documents can be used freely as text. It cannot be identified as an NCI PDQ cancer information summary unless the whole summary is shown and it is updated regularly. However, a user would be allowed to write a sentence such as \u201cNCI\u2019s PDQ cancer information summary about breast cancer prevention states the risks in the following way: [include excerpt from the summary].\u201d </p> \n       <p tabindex=\"-1\">The best way to cite this PDQ summary is:</p> \n       <p tabindex=\"-1\">PDQ\u00ae Adult Treatment Editorial Board. PDQ Breast Cancer Treatment During Pregnancy. Bethesda, MD: National Cancer Institute. Updated &lt;MM/DD/YYYY&gt;. Available at: <a href=\"https://www.cancer.gov/types/breast/patient/pregnancy-breast-treatment-pdq\" title=\"https://www.cancer.gov/types/breast/patient/pregnancy-breast-treatment-pdq\">https://www.cancer.gov/types/breast/patient/pregnancy-breast-treatment-pdq</a>. Accessed &lt;MM/DD/YYYY&gt;. [PMID: 26389161]</p> \n       <p tabindex=\"-1\">Images in this summary are used with permission of the author(s), artist, and/or publisher for use in the PDQ summaries only. If you want to use an image from a PDQ summary and you are not using the whole summary, you must get permission from the owner. It cannot be given by the National Cancer Institute. Information about using the images in this summary, along with many other images related to cancer can be found in <a href=\"https://visualsonline.cancer.gov/\" title=\"https://visualsonline.cancer.gov/\">Visuals Online</a>. Visuals Online is a collection of more than 3,000 scientific images. </p> \n      </section> \n      <section> \n       <h3>Disclaimer</h3> \n       <p tabindex=\"-1\">The information in these summaries should not be used to make decisions about insurance reimbursement. More information on insurance coverage is available on Cancer.gov on the <a href=\"https://www.cancer.gov/about-cancer/managing-care\" title=\"https://www.cancer.gov/about-cancer/managing-care\">Managing Cancer Care</a> page.</p> \n      </section> \n      <section> \n       <h3>Contact Us</h3> \n       <p tabindex=\"-1\">More information about contacting us or receiving help with the Cancer.gov website can be found on our <a href=\"https://www.cancer.gov/contact\" title=\"https://www.cancer.gov/contact\">Contact Us for Help</a> page. Questions can also be submitted to Cancer.gov through the website\u2019s <a href=\"https://www.cancer.gov/contact/email-us\" title=\"https://www.cancer.gov/contact/email-us\">E-mail Us</a>.</p> \n      </section> \n     </div> \n    </div> \n   </div> \n  </div> \n  <div> \n   <div> \n    <p>Updated: <time datetime=\"2022-12-14T12:00:00Z\">December 14, 2022</time> </p> \n   </div> \n   <span>This content is provided by the National Cancer Institute (<a href=\"http://www.cancer.gov\">www.cancer.gov</a>)</span> \n  </div> \n </div>\n <script type=\"application/ld+json\">{\"@context\":\"http://schema.org\",\"@type\":\"Article\",\"headline\":\"Breast Cancer Treatment During Pregnancy (PDQ\u00ae)\u2013Patient Version\",\"datePublished\":\"2013-02-14T09:02:11Z\",\"description\":\"Breast cancer treatment during pregnancy is the same as for nonpregnant women in the case of early disease. Advanced disease is usually treated with radiation and/or chemotherapy. Learn about breast cancer during pregnancy as well as possible effects on the baby in this expert-reviewed summary.\",\"about\":\"cancer, prevention, policy, treatment, pregnancy, cessation, breast, patient, version, secondhand smoke, breast cancer, Smoking Use and Tobacco Facts, Quitting Resources, Guidance, Regulations and Compliance, Prevent Smoking and Tobacco Use\",\"audience\":\"\",\"dateCreated\":\"2013-02-14T09:02:11Z\",\"dateModified\":\"2026-21-29T01:21:39Z\",\"sourceOrganization\":\"National Cancer Institute\"}</script>\n</body><div class='syndicate'><span><Strong>Syndicated Content Details:</strong></span><br/><span>Source URL: <a href='https://www.cancer.gov/node/4411/syndication'>https://www.cancer.gov/node/4411/syndication</a></span><br/><span>Source Agency: <a href='http://www.cancer.gov'>National Cancer Institute (NCI)</a></span><br/><span>Captured Date: 2013-09-14 09:02:11.0</span><br/></div><iframe src=\"//www.googletagmanager.com/ns.html?id=GTM-KT9TM9&mediaId=1530&mediaType=html&sourceUrl=https%3A%2F%2Fwww.cancer.gov%2Fnode%2F4411%2Fsyndication&userId=-1&sourceId=5&sourceAcronym=NCI&campaignId=-1&campaignName=null&languageId=1&isoCode=eng\" height=\"0\" width=\"0\" style=\"display:none;visibility:hidden\"></iframe><noscript><iframe src=\"//www.googletagmanager.com/ns.html?id=GTM-KT9TM9&mediaId=1530&mediaType=html&sourceUrl=https%3A%2F%2Fwww.cancer.gov%2Fnode%2F4411%2Fsyndication&userId=-1&sourceId=5&sourceAcronym=NCI&campaignId=-1&campaignName=null&languageId=1&isoCode=eng\" height=\"0\" width=\"0\" style=\"display:none;visibility:hidden\"></iframe></noscript>","description":"Breast cancer treatment during pregnancy is the same as for nonpregnant women in the case of early disease. 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