Neurological deficit due to breast cancer metastasis during pregnancy: a case report
Sinem ALBAYRAK KAYA,1 Remzi ABALI,2 Taylan ONAT,1 Hayriye Serpil BOZKURT,3 Işıl ŞENEL1
1İstanbul Eğitim ve Araştırma Hastanesi, Kadın Hastalıkları ve Doğum Kliniği, İstanbul
2Namık Kemal Üniversitesi Tıp Fakültesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, Tekirdağ
3Maltepe Üniversitesi Tıp Fakültesi, Kadın Hastalıkları ve Doğum Anabilim Dalı, İstanbul
The hypervascularization of the pregnant breast and the role of hormones during pregnancy and lactation have been incriminated for the delays in diagnosis of breast cancer. A 38-year-old multiparous patient (H.K.), G3P1, was admitted to our clinic to evaluate her inability to walk, paresthesia in her legs, and fecal and urine incontinence. According to obstetric ultrasonography (USG), she was at 33-34 weeks of gestation. Because of fetal distress, we performed cesarean section, and she delivered a 1850 g male baby with meconium. Postoperatively, she had prerenal failure and hypercalcemia. Following our investigations, we determined metastatic lesions in the cranium, liver, and sacroiliac and vertebral bones. Unfortunately, when we diagnosed her breast cancer, it was inoperable. We wanted to present our case to discuss how diagnosis can be challenging in a pregnant woman and to emphasize the dramatic and severe prognosis of breast cancer during pregnancy because of the delay in diagnosis. Keywords : Pregnancy; hypercalcemia; breast cancer; neurological deficit