💗 Breast Cancer During Pregnancy: What You Need to Know

While watching Real Housewives of Atlanta, I came across a moment that deeply struck me: a surrogate revealed she had been diagnosed with breast cancer during pregnancy. It was a heart-wrenching reminder that life doesn’t press pause—not even during one of the most sacred times: motherhood in the making.

Inspired by a Real Housewives of Atlanta story that hit close to home.

🎬 Where It Started

So, I wanted to write this blog for every mama, every daughter, every woman who might one day face the unthinkable.

🩺 Can You Get Breast Cancer While Pregnant?

Yes. Breast cancer can—and does—occur during pregnancy, though it’s rare (about 1 in 3,000 pregnancies). It’s called Pregnancy-Associated Breast Cancer (PABC). The challenge? Normal pregnancy changes like swollen breasts or tender lumps can easily hide the signs.

⚠️ When to Seek Help

Don’t assume any lump is “just hormonal.” See your doctor if you notice:

• A firm, immovable lump in your breast or underarm
• Nipple discharge (especially bloody or clear)
• Skin dimpling, puckering, or redness
• Breast asymmetry that feels unusual for you

Early detection is your best weapon.

🗓 Treatment Options by Trimester

Every case is unique, but here’s a general guide:

First Trimester (Weeks 1–12)

• Diagnosis: Ultrasound and biopsy are safe; mammograms with shielding can be used.
• Treatment:
  • Surgery (lumpectomy or mastectomy) is considered safe.
  • Chemotherapy is NOT recommended due to high risk of harm to the fetus.
  • Radiation and hormone therapy are postponed.

✅ Focus: Safely remove the tumor and delay additional treatment until the second trimester if possible.

Second Trimester (Weeks 13–26)

• Surgery: Still safe.
• Chemotherapy: Certain chemo drugs (like AC: doxorubicin + cyclophosphamide) can be given after week 14.
• Radiation: Still avoided until after delivery.

✅ Focus: Balanced approach between maternal health and fetal safety.

Third Trimester (Weeks 27–40)

• Chemotherapy: Can be continued until 35 weeks.
• Delivery planning: Some women may choose early induction (after 37 weeks) to begin full treatment.
• Radiation + Hormonal Therapy: Start postpartum.

✅ Focus: Time delivery safely and transition to aggressive postpartum treatment.

👶 What About the Baby?

Studies show that most babies exposed to chemotherapy after the first trimester are born healthy. However, close monitoring with a maternal-fetal medicine team is crucial throughout the pregnancy.

💬 A Word From the Heart

If you’re facing this diagnosis or know someone who is: you are not alone. You are strong enough to grow life while fighting for your own. And you deserve a team that listens, supports, and fights alongside you.

📌 Final Thoughts

Breast cancer during pregnancy is terrifying—but treatment is possible. With early detection, specialized care, and a supportive community, you can do both: fight cancer and become a mom.

💗 Share this post with someone who needs hope today.