Case Report: A case of a pregnancy-associated breast cancer patient with a pathogenic variant in BRCA1 who underwent staged risk-reducing salpingo-oophorectomy and contralateral risk-reducing mastectomy - Scorecard - MDSpire

Case Report: A case of a pregnancy-associated breast cancer patient with a pathogenic variant in BRCA1 who underwent staged risk-reducing salpingo-oophorectomy and contralateral risk-reducing mastectomy

  • By

  • Haruko Takuwa

  • Shoko Sasaki

  • Naoki Goda

  • Megumi Takeuchi

  • May 20, 2026

  • 0 min

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Clinical Scorecard: Clinical Case Study: Pregnancy-Related Breast Cancer in a Patient with a BRCA1 Pathogenic Variant Undergoing Sequential Risk-Reducing Salpingo-Oophorectomy and Contralateral Mastectomy

At a Glance

CategoryDetail
Condition
Key MechanismsIncreased risk of breast and ovarian cancers due to BRCA1/2 variants; management includes risk-reducing surgeries and individualized treatment plans.
Target Population
Care Setting

Key Highlights

  • Patient diagnosed with luminal B-like, stage IIA breast cancer at 8 weeks of pregnancy, with a history of previous pregnancy loss due to anencephaly.

Guideline-Based Recommendations

Diagnosis

  • Confirm breast cancer diagnosis with imaging and biopsy, including ultrasound and MRI when safe.

Management

    Monitoring & Follow-up

      Risks

        Patient & Prescribing Data

        Adjuvant chemotherapy with doxorubicin and cyclophosphamide can be safely administered during pregnancy, supported by recent studies.

        Clinical Best Practices

        • Engage in multidisciplinary consultations involving oncologists, obstetricians, and genetic counselors for complex cases.

        Related Resources & Content

        Original Source(s)

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