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Breast cancer in young women: special considerations in multidisciplinary care

Authors Reyna C, Lee MC

Received 3 June 2014

Accepted for publication 8 July 2014

Published 29 September 2014 Volume 2014:7 Pages 419—429

DOI https://doi.org/10.2147/JMDH.S49994

Checked for plagiarism Yes

Review by Single-blind

Peer reviewer comments 4

Chantal Reyna, Marie Catherine Lee

Comprehensive Breast Program, H Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA

Abstract: Breast cancer is one of the most prevalent cancers in females, and 5%–7% of breast cancer cases occur in women under 40 years of age. Breast cancer in the young has gained increased attention with an attempt to improve diagnosis and prognosis. Young patients tend to have different epidemiology, presenting with later stages and more aggressive phenotypes. Diagnostic imaging is also more difficult in this age group. Multidisciplinary care generally encompasses surgeons, medical oncologists, radiation oncologists, radiologists, and social workers. Other special considerations include reconstruction options, fertility, genetics, and psychosocial issues. These concerns enlarge the already diverse multidisciplinary team to incorporate new expertise, such as reproductive specialists and genetic counselors. This review encompasses an overview of the current multimodal treatment regimens and the unique challenges in treating this special population. Integration of diagnosis, treatment, and quality of life issues should be addressed and understood by each member in the interdisciplinary team in order to optimize outcomes.

Keywords: diagnosis, interdisciplinary, quality of life, treatment, premenopausal, fertility preservation

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