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Breast Cancer in the Very Young Patient: A Multidisciplinary Case Presentation

Joan Karnell Cancer Center, Pennsylvania Hospital, Philadelphia, Pennsylvania, USA

Correspondence: David Mintzer, M.D., Joan Karnell Cancer Center, 230 West Washington Square, Philadelphia, Pennsylvania 19106, USA. Telephone: 215-829-6088; Fax: 215-829-6104; e-mail: mintzerd{at}pahosp.com

A case is presented that exemplifies many issues and controversies in the diagnosis and treatment of breast cancer in the very young. This woman was 22 years of age at diagnosis; she initially underwent breast-conservation therapy and adjuvant chemotherapy, retained fertility, had a subsequent uncomplicated pregnancy and delivery, and 7 years later developed a local recurrence in the breast. The discussion addresses risk factors, diagnosis, and treatment of breast cancer in the young; the impact of treatment on fertility; implications regarding pregnancy, and the management of local recurrence after breast conservation.

Key Words. Breast cancer • Treatment • Young patient • Fertility

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