El diálogo imaginario de las madres con sus bebés prematuros / The imaginary dialogue between mothers and their premature babies / O diálogo imaginário das mães com seus bebês prematuros

Resumen (analítico) Se analizan los diálogos imaginarios de las madres con sus bebés prematuros en una unidad de cuidado intensivo neonatal, para identificar la representación de la interacción y los contenidos temáticos. La investigación es cualitativa, por medio de estudio de caso múltiple. Se trabajó con seis madres escogidas por conveniencia, que no padecían alteraciones psicopatológicas, con hijos de bajo riesgo. Se utilizó el video feedback y el análisis de contenido temático. Se encontró que en tres de ellas, las representaciones de la interacción eran balanceadas; en dos, no balanceadas distorsionadas, y en una, no balanceada desprendida. En los diálogos predominó el contenido temático físico y el menos frecuente fue el cognitivo. Se exponen los resultados teniendo en cuenta el bajo riesgo de los bebés, los contenidos temáticos y las implicaciones para la prevención en materia de su salud mental.

Abstract (analytical) This study analyzes the imaginary dialogue between mothers and their premature babies in a Neonatal Intensive Care Unit to identify the representation of these interactions and their thematic content. The research is qualitative and involves multiple case studies. We worked with six mothers, who were chosen due to ease of access, who didn't present any psychopathological alterations and their babies were classified as low-risk. Video feedback and thematic content analysis techniques were used. Three balanced representations were identified along with two unbalanced distorted representations and one unbalanced detached representation. Physical thematic content was a dominant feature of the dialogue and cognitive content was less frequent. The results are discussed by the authors in relation to the low-risk status of the babies, the predominant thematic content of the dialogue and implications for mental health prevention for the babies.

Resumo (analítico) Analisa-se o diálogo imaginário das mães com seus bebês prematuros numa Unidade de Cuidado Intensivo Neonatal para identificar a representação da interação e os conteúdos temáticos. A pesquisa é qualitativa, com estudo de caso múltiplo. Trabalhou-se com seis mães, escolhidas por conveniência, sem alterações psicopatológicas e com filhos de baixo risco. Usou-se vídeo feedback e análise de conteúdo temática. Resultados mostran que três mães tinham representações balanceadas da interação, duas desequilibradas distorcidas e uma desequilibrada desligada. No diálogo predominou o conteúdo temático físico; o menos frequente foi o cognitivo. Discutem-se os resultados em relação ao baixo risco dos bebês, dos conteúdos temáticos e das implicações para a prevenção em saúde mental dos bebês.

Consecuencias oncológicas y perinatales del tratamiento conservador de la fertilidad en pacientes con cáncer endometrial tratadas con progestinas / Oncological and perinatal results of conservative treatment of fertility in patients with endometrial cancer treated with progestins

Resumen OBJETIVO: Estimar la tasa de respuesta completa y de embarazo en mujeres con cáncer endometrial en tratamiento conservador con progestinas. MATERIALES Y MÉTODOS: Estudio de cohorte, retrolectivo y transversal efectuado en el Instituto Nacional de Perinatología en mujeres con cáncer endometrial, en estadios tempranos, atendidas entre 2007 y diciembre de 2016. Criterios de inclusión: pacientes con límites de edad de 18 y 40 años, nulíparas, con deseo de fertilidad, haber sido tratadas con megestrol, DIU-levonorgestrel o progesterona micronizada durante seis meses. A todas las pacientes se les tomó una biopsia endometrial a los 6 y 12 meses. Se utilizó estadística descriptiva y comparaciones entre mediciones, χ2 o t de Student según la distribución de cada variable. RESULTADOS: Se incluyeron 11 pacientes con cáncer endometrial con edad promedio de 32 ± 2.4 años. La biopsia tomada a los seis meses fue: respuesta completa en 6/11, respuesta parcial en 2/11 y persistencia en 2/11; en una paciente no se tomó la biopsia a los seis meses por embarazo, no hubo casos de progresión. A los 12 meses de seguimiento hubo 5 respuestas completas, 2 parciales, 2 persistencias, 1 caso de progresión de la enfermedad y otro que suspendió el tratamiento. Se efectuaron 8 ciclos de FIV en 6 pacientes con tasa de embarazo de 25%. La duración del tratamiento fue de 19.3 ± 8 meses, el seguimiento total fue de 31.6 ± 13 meses. CONCLUSIONES: El tratamiento conservador de la fertilidad con progestinas en pacientes con cáncer endometrial, en etapas tempranas, es factible y seguro. El embarazo debe intentarse inmediatamente después de una respuesta completa.

Abstract OBJECTIVE: To estimate the complete response rate and pregnancy in women with endometrial cancer who have received conservative treatment with progestins. MATERIALS AND METHODS: Cohort, retrolective and transversal study carried out in the National Institute of Perinatology, in women with endometrial cancer in early stages between 2007 and December 2016. Including patients between 18-40 years, nulliparous, with desire for fertility. The progestins used were megestrol, IUD-levonorgestrel and micronized progesterone for six months. Endometrial biopsy was performed at 6 and 12 months; The result was classified as a complete, partial response, persistence or progression of the disease. Descriptive statistics and comparisons between baseline measurements at six and 12 months are used using student grid and / or t tests according to the distribution of each variable. It is a statistical program SPSS version 23 for Windows (Chicago, USA). RESULTS: 11 women with endometrial cancer were included. The average age of the women was 32 ± 2.4 years. Morbidity associated with hypothyroidism and type 2 diabetes mellitus. Six-month biopsy was: complete response 6/11 partial response 2/11 and persistence 2/11, in one patient the biopsy was not performed at 6 months by pregnancy, there were no cases of progression. At 12 months of follow-up, there were 5 complete responses, 2 partial responses, 2 persistences, 1 case of disease progression and one case that discontinued treatment. Eight cycles of IVF were performed in 6 patients with a pregnancy rate of 25%, the duration of treatment was 19.3 ± 8 months, the total follow-up was 31.6 ± 13 months. CONCLUSIONS: Conservative fertility therapy with progestins in women younger than 40 years old with early-stage endometrial cancer is feasible and secure in our institution. Pregnancy must be sought immediately after a full response to the cancer treatment. Our findings are similar to the ones found in our systematic review of the international bibliography.

Cáncer y embarazo, experiencia del Instituto Nacional de Perinatología / Cancer during pregnancy: experience in Perinatology National Institute

Resumen Objetivo: Describir el esquema de tratamiento indicado a pacientes con cáncer y embarazo y las repercusiones perinatales. Materiales y métodos: Estudio retrospectivo, longitudinal, observacional y descriptivo de una cohorte simple de pacientes con diagnóstico de cáncer (corroborado por estudio histopatológico) y embarazo atendidas en el Instituto Nacional de Perinatología entre los meses de enero de 2009 a diciembre de 2014. Los datos se analizaron con el programa SPSS versión 20.0 con medidas de tendencia central, frecuencias, proporciones y desviación estándar. Resultados: Se incluyeron 47 pacientes con media de edad de 28.1 ± 7.3 años, el diagnóstico de cáncer se estableció en 46 pacientes, en promedio, a las 19.4 ± 8.5 semanas y en un caso en el puerperio tardío. Los cánceres más frecuentes fueron: 28% leucemia (n = 13), 26% mama (n = 12), 17% cuello uterino (n = 8) y 15% ovario (n = 7). Durante el embarazo 55% de las pacientes recibieron quimioterapia (n = 27) y 28% tratamiento quirúrgico (n = 13). Se obtuvieron 42 nacidos vivos (91%) de que: 53% fueron a término (n = 25), 22% pretérmino tardío (n = 10), 9% pretérmino moderado (n = 4) y 6% pretérmino extremo (n = 3). Se registraron 2 nacimientos inmaduros (4%), 3 abortos espontáneos (6%) y 3 muertes maternas indirectas (6%). Conclusiones: La cirugía y la quimioterapia durante el segundo trimestre del embarazo son seguras para la madre y el feto.

Abstract Objective: To describe the management and perinatal outcomes in patients with cancer and pregnancy. Materials and method: Retrospective, longitudinal, observational and descriptive study of a simple cohort of women with a diagnosis of Cancer (corroborated by histopathological study) and pregnancy from January 2009 to December 2014. The data was analyzed with the SPSS program version 20.0 with central tendency measures, frequencies, proportions and standard deviation. Results: We included 47 patients with an average age of 28.1 ± 7.3 years, the diagnosis of cancer was made in 46 patients on average at 19.4 ± 8.5 weeks and in a case in the late puerperium. The most frequent cancers were: 28% leukemia (n = 13), 26% breast (n = 12), 17% cervical (n = 8) and 15% ovarian (n = 7). During pregnancy 55% patients received chemotherapy (n = 27) and 28% surgical treatment (n = 13). We obtained 42 live births (91%) of which: 53% were full term (n = 25), 22% late preterm (n = 10), 9% moderate preterm (n=4) and 6% extreme preterm (n = 3). There were 2 immature births (4%), 3 miscarriages (6%) and 3 indirect maternal deaths (6%). Conclusions: Surgery and chemotherapy during the second trimester of pregnancy are safe for the mother and the fetus.

Metáforas y realidad psíquica en maestras de primera infancia en una institución educativa de Cali / Metaphors and Psychic Reality among Nursery Teachers at an Educational Institution of Cali / Metáforas e realidade psíquica em amostras de primeira infância numa instituição educativa de Cali

Objetivo. Mostrar la relación entre la metáfora y la realidad psíquica en un grupo de 10 mujeres que participaron de un programa de formación para ser maestras de primera infancia, en una institución educativa pública de la ciudad de Cali. Método. Las participantes elaboraron metáforas a partir de recuerdos de eventos con sus propias maestras en la infancia. Se hizo un análisis psicoanalítico de la relación entre las metáforas, los recuerdos evocados y la realidad psíquica subyacente de cada participante. Resultados. Se encontró que en este grupo de maestras prevalecen características anales agresivas en las relaciones con los objetos internos, lo que corresponde a una etapa preedípica del desarrollo, la cual está estrechamente relacionada con el control y la norma, temas fundamentales en la educación infantil. Conclusión. Finalmente, se concluye que los valores y las identificaciones del maestro inciden en el ejercicio de su función, así como en el desarrollo socioemocional de los niños que tienen a su cargo.

Objective. The aim of this paper is to explore the relationship between metaphors and psychic reality among 10 preschool female teachers who took part in a formation program for nursery education in a public institution of Cali city. Method. They were asked to construct metaphors from the memory of events with their own childhood teachers. The relationship between metaphors, evoked by memories, and the underlying psychic reality of each participant was the subject of psychoanalytic analysis. Results. It was found that in this group of teachers, aggressive anal characteristics in their relationships with internal objects were prevalent; these correspond to a pre-oedipal stage of development, which is related to control regulation and with norms, fundamental themes in nursery education. Conclusion. Finally, it was concluded that teachers' values and identifications affect their functions, and thereby the socio-emotional development of the children they work with. The results are discussed based on their potential impact on teaching functions.

Escopo. Apresentar a relação entre a metáfora e a realidade psíquica num grupo de 10 mulheres que participaram de um programa de formação para ser maestras de primeira infância, numa instituição educativa pública da cidade de Cali. Metodologia. As participantes elaboraram metáforas a partir de lembranças de eventos com suas próprias maestras na infância. Foi realizado uma análise psicanalítica da relação entre metáforas, as lembranças evocadas e a realidade psíquica subjacente de cada participante. Resultados. Foi achado que neste grupo de maestras prevalecem características anais agressivas nas relações com os objetos internos, o que corresponde a uma etapa edípica do desenvolvimento, que está estreitamente relacionado com o controle e a norma, temas fundamentais na educação infantil. Conclusão. Finalmente, a conclusão é que os valores e as identificações do maestros incidem no exercício de sua função, assim como no desenvolvimento sócio-emocional das crianças que tem baixo seu cargo.

Cambios en la mentalización de los afectos en maestras de primera infancia / Changes in affect awareness through an intervention program for nursery school teachers

En el artículo presentamos el impacto que tuvo sobre la elaboración de los afectos un programa de intervención para favorecer la mentalización, dirigido a diez maestras de primera infancia de la ciudad de Cali. El objetivo fue identificar cambios en el modelo de representaci{on y en el nivel de tolerancia de los afectos. El método utilizado fue descriptivo. Evaluamos la forma de representación y el nivel de tolerancia de los afectos basándonos en las categorías del instrumento Verbal Elaboration of Affect (VEA) propuesto por Lecours y Bouchard. Se utilizaron narraciones de eventos dolorosos recordados por las maestras al inicio y al final del programa. Los resultados mostraron que hubo cambios positivos en la mentalización del afecto. No obstante en la discusión dejamos abierta la pregunta sobre su permanencia en el tiempo y señalamos la importancia que tiene que las maestras de primera infancia tengan la oportunidad de elaborar sus experiencias emocionales infantiles.

[Acute abdomen as a complication of a molar pregnancy]. / Abdomen agudo como complicación de un embarazo molar.

UNLABELLED: To report a case of bilateral ovarian torsion after a molar pregnancy. CLINICAL CASE: An 18 year old female was admitted for a 7 week molar pregnancy. A week after uterine evacuation the patient was readmitted to the emergency room with acute abdomen. Exploratory laparotomy revealed torsion and necrosis of both ovaries. A bilateral salpingo-oophorectomy was performed. The anatomopathology study confirms both ovaries with hyperrectio luteinalis and hemorrhagic infarct. Acute abdomen secondary to torsion and necrosis of thecalutein cysts can be a molar pregnancy-related complication.

Tumor phyllodes / Phyllodes tumours

El tumor phyllodes es una neoplasia fibroepitelial rara; constituye el 0.3 al 0.9% de tumores de mama y 2-3% de los tumores fibroepiteliales de mama. Puede presentarse a cualquier edad y no hay características confiables para predecir su comportamiento clínico. Se deben evaluar varios parámetros, incluyendo la celularidad estromal, atipia, mitosis, crecimiento estromal excesivo, infiltración de bordes y presencia o ausencia de necrosis. La mayor parte de estos tumores son benignos, pero hasta 30% pueden presentar tejido conectivo maligno. Las metástasis generalmente son hematógenas más que linfáticas y se presentan en un 13% de los casos. La disección de ganglios axilares generalmente no se recomienda. El tumor phyllodes benigno y maligno recurre de manera local en el 25%, por lo que se recomienda el seguimiento de los casos.

Phyllodes tumors is a rare fibroepithelial neoplasm; constitute about 0.3-0.9% of breast tumors and 2-3% of fibroepithelial breast tumors. They usually occur in middle-aged to elderly women but can occur at any age. No single feature is reliable to predict clinical behavior of phyllodes tumors. Several histological parameters should be evaluated, including stromal cellularity, atypia, mitoses, stromal overgrowth, infiltrative borders, and presence or absence of necrosis. Most of these tumors are benign, but up to 30% show malignant stroma. Metastases usually are hematogenous rather than lymphatic have been reported to occur at a rate of 13% as malignant phyllodes tumors usually spread by a hematogenous rather than a lymphatic route; axillary lymph node dissection is generally not recommended. The benign and malignant tumors phyllodes resort locally in 25% and follow up of patients is recomended.

[Conservative treatment of endometrial cancer as a way to preserve fertility. Five-year experience at Instituto Nacional de Perinatilogía Isidro Espinoza de los Reyes]. / Tratamiento conservador del cáncer de endometrio como una opción para preservar la fertilidad. Experiencia de cinco años en el Instituto Nacional de Perinatología Isidro Espinosa de los Reyes.

BACKGROUND: Progestins have been used in the treatment of advanced and metastatic endometrial cancer since the early 1960s. There is evidence that progestins can be used in fertility-preserving treatments in young women diagnosed with well-differentiated clinical stage 1A(EC1A) endometrioid type endometrial carcinoma. OBJECTIVE: Describe a fertility preservation treatment in women with primary infertility and EC1A endometrioid type endometrial carcinoma. PATIENTS AND METHODS: A historical cohort study. We analyzed 6 cases of women under 35 years assisted at the Oncology and Reproductive Medicine Department of the Instituto Nacional de Perinatologia of Mexico who met our inclusion criteria. Five women were treated with 500 mg medroxyprogesterone acetate (MPA) every other day; one woman was treated with 40 mg/day megestrol acetate (MGA). The treatment was continued to a maximum period of 11 months, provided that women gave good response to the treatment. The change in endometrial histology was assessed at four and six months of treatment. The primary endpoint was pathological complete response (CR). RESULTS: Follow-up time averaged 31 months; 66.6% of women responded to the initial hormone treatment; the remaining 33.4% responded to a second period of progesterone with histology in endometrial biopsy negative for cancer. Average response time was 6.8 months. Two patients had recurrence at an average of 19.5 months. Endometrial routine was performed with a disease-free interval of 15 to 24 months during which assisted reproductive technologies (ART) could be applied. Two patients achieved full-term pregnancy thanks to ART. The remaining patients did not continue with ART on their own initiative. CONCLUSIONS: In young women diagnosed with well-differentiated endometrioid EC1A carcinoma, the fertility-preserving treatment with progestin may be proposed together with strict selection and close monitoring of the patient.

[Hormone therapy effect in postmenopausal women with history of endometrial cancer]. / Efecto de la terapia hormonal en mujeres posmenopáusicas con antecedente de cáncer de endometrio.

BACKGROUND: The increase of endometrial cancer survivors' incidence let the question if the management of postmenopausal hormone therapy will increase the risk of carcinogenesis. OBJECTIVE: To determine the recurrence rate, in postmenopausal patients managed with hormonal therapy (HT) compared with patients without HT treated in El Instituto Nacional de Perinatologia Isidro Espinosa de los Reyes. PATIENTS AND METHOD: Retrospective, analytical, historical cohort. We analyzed 29 patients who met the inclusion criteria from January 1, 2000 to December 31, 2008 RESULTS: The average age for diagnosis of endometrial cancer was 45 years. 100% of the patients had surgical treatment (82.8% routine endometrial open approach, laparoscopic 17.2%). The 93% of patients had criteria to begin HT, however, was administered alone to 37% due to medical criteria, 36% received tibolona, 64% received estrogen with an average administration time of 39 and 54 months for each one without affecting disease-free period. Patients who received hormonal therapy had no recurrence of disease-free period of 58 months. There was only one patient with recurrence for which no hormonal therapy was administered. CONCLUSIONS: Patients who were under hormonal therapy did not modify the rate of endometrial cancer recurrence compared with those without HT. Although we cannot conclude irrefutably the safety of hormone therapy, based on biological knowledge and the results of this study, hormone therapy can be safely administered in stage I and II.

La mentalización como estrategia para promover la salud mental en bebés prematuros / A mentalização como estratégia para promover a saúde mental em bebês prematuros / Mentalization as a strategy to promote mental health in premature babies

En el presente trabajo pretendemos mostrar la importancia de la intervención con madres de bebés prematuros, como estrategia de promoción y prevención en salud mental. Sugerimos que la mentalización puede ser una forma de ayudar a las madres a pensar y a contener la experiencia emocional del bebé, y a reconocer la interacción de sus mentes. Primero, nos centramos en la problemática de los bebés prematuros y sus madres en las Unidades de Cuidado Intensivo Neonatal UCIN, porque las condiciones adversas hacen de ellosuna población de alto riesgo y vulnerabilidad a nivel de salud mental. Luego mostramos la importancia de losconceptos de vínculo afectivo, apego y mentalización, y sus posibles consecuencias en el desarrollo del niño o niña.Posteriormente presentamos los objetivos y destacamos los principios que deben guiar un programa que buscafavorecer el desarrollo de una adecuada capacidad reflexiva o mentalización en madres de bebés prematuros.

No presente trabalho se pretende expor a importância da intervenção com mães de nenês prematuros, como estratégia de promoção e prevenção em saúde mental. Sugerimos que a mentalização podeser uma forma de ajudar as mães a pensar e conter a experiência emocional do nenê, e a reconhecer a interaçãoda suas mentes. Primeiro, nos centramos na problemática dos nenês prematuros e suas mães nas Unidades de Cuidado Intensivo Neonatal UCIN, porque as condições adversas fazem deles uma poblação de alto risco e vulnerabilidade em nível de saúde mental. Logo apresentamos a importância dos conceitos de vinculo afetivo,apego e mentalização e suas possíveis conseqüências no desenvolvimento do menino o menina. Posteriormentese oferece os objetivos e destacamos os princípios que devem guiar um programa que procura favorecer o desenvolvimento de uma adequada capacidade refletiva ou mentalização em mães de nenês prematuros.

This paper aims to show the importance of intervention with mother of preterm infants, asa strategy for the promotion and prevention in mental health. It suggests metalizing as a way to help mothersto be able to think and contain the emotional experience of the baby and also be aware of the interactionbetween their minds. First, it focuses on the issue of the premature babies and their mothers in the IntensiveCare Units Neonatal NICU because adverse conditions make them a high risk population in mental health.Then it shows the importance of the concepts of bonding, attachment and metalization and its possible impacton the development of the child. Finally, it presents the aims and also highlights some principles that may guide programs in order to encourage development of an adequate mentalization or reflexive capacity in preterm mothers.

[Adnexal tumor and pregnancy: diagnosis and treatment]. / Tumor anexial y embarazo: diagnóstico y tratamiento.

BACKGROUND: The finding of adnexal masses during pregnancy is an exceptional event. Its reported incidence is less than 5% and most cases resolve spontaneously as the pregnancy progresses. OBJECTIVE: Describe a case series of patients with adnexal mass and pregnancy. MATERIAL AND METHODS: We retrospectively reviewed the medical records of patients who had diagnosis of pregnancy and adnexal over a period of five years. RESULTS: The incidence was 0.22%. The mean age was 26 +/- 7.3 years, mean gestational age was 17 +/- 6.6 weeks. The diagnosis was established by ultrasound (USG) in 95% of cases, 48% had cystic characteristics, the mean diameter of the tumor was 99 +/- 42 mm. Cistectomy was performed during pregnancy or trans-cesarean section in 30% and 58% of patients respectably. The mean tumor size was 118 mm (range 2 a 40 mm), weight 1,370 g (range 10 a 5,800 g). The most frequent histological diagnosis were serous cyst (40%), mature teratoma (28%), mucinous (6%), malignancy (4%). There were not complications related to the surgical procedure. CONCLUSIONS: The USG constitute a safe method for the diagnosis, but the image method with the highest positive predictive value is the MRI. Tumor markers (CA-125, AFP, GCH-B,DHL, ACE), are not useful during pregnancy. If the tumor doesn't achieve surgical criteria the recommended follow up is clinical observation and USG. If surgery is decided, it should be performed between 16 a 23 weeks of pregnancy, and it's recommended to send the tumor to histological diagnosis, in case of malignancy the surgery will continue according to the tumor stage. The time and delivery route will be decided by the obstetrician.

[Pregnancy after conservative management of endometrial cancer]. / Embarazo después del tratamiento conservador de cáncer de endometrio.

OBJECTIVE: To show the reproductive future of a case of endometrial cancer with conservative management. MATERIAL AND METHODS: a case report and literature review. 31 years old woman, with a history of infertility of three years and abnormal uterine bleeding of one year, diagnosed with well differentiated endometrial adenocarcinoma IA GI. Treatment was initiated with 500 mg of progesterone three times a week for 6 months, after an endometrial curettage reporting healthy endometrium, pregnancy was achieved with homologous artificial insemination after hysteroscopy and directed biopsy with laparoscopic control by assisted reproduction service. RESULTS: Exploratory laparotomy and cesarean section was performed at 38 weeks of pregnancy, giving a 3.340 g weight male with Apgar score 9/9. A review of abdominal cavity and an obstetric curettage were performed. Biopsies were taken from slides and peritoneal lavage, Neoplastic changes were not reported by pathology. CONCLUSIONS: Endometrial cancer is common in adult women and is increasingly affecting young women, associated with infertility, obesity and nulliparity. The treatment of choice: total hysterectomy with bilateral salpingooforectomy. The prognosis in well-differentiated early, and infertility, permits conservative management based on progestins, with good results, low recurrence rate and preserving fertility.

[Surgical approach of breast nodules during pregnancy]. / Abordaje quirúrgico de nódulos mamarios durante el embarazo.

BACKGROUND: Only in Mexico, about four thousand women die from breast cancer of which 11 thousand are diagnosed. Is undoubtedly the most malignant disease throughout the world are diagnosed each year as over one million every year and the figure grows. OBJECTIVE: To analyze the results of six years of experience in the therapeutic treatment of breast nodules during pregnancy which describes the treatment, establishing the diagnosis of breast biopsies, reported complications associated with obtaining the same. MATERIAL AND METHODS: We reviewed a database of search terms: pregnancy and breast nodule from January 1 2001 to December 31, 2006. RESULTS: Of the 20 lesions found, 19 were diagnosed with ultrasound as a solid type of injury, and as a mixed lesion. 18 biopsies were performed on pregnant women and post-natal period. In 10 (50%) patients, biopsy was performed by fine needle aspiration. In 13 of the patients were breast fibroadenoma, and only one was diagnosed with infiltrating ductal carcinoma le. In 10 patients operated lumpectomy was performed. A patient in modified radical mastectomy was performed because of the finding of ductal carcinoma. CONCLUSION: Our study was the Breast fibroadenoma lesion was found in more common. In our experience with the management of breast nodules in pregnancy, we can say that most of the lesions are benign, and usually are commonly encountered pathologies in nonpregnant women. In the case of diagnosing breast cancer, we must make the decision about the best treatment to offer the best possible forecasts.