the age of 30, 21 the likelihood of giving birth near the time of a breast cancer diagnosis is significantly greater for women who have their children at an advanced age.Therefore, the adverse influence of pregnancy on breast cancer survival will be greatest when women postpone childbearing to older ages.The negative effect of recent pregnancy was pronounced in women who did not receive adjuvant treatment (low risk group) as well as among those who did (high risk group).Therefore, it is not known whether more intensive adjuvant treatment will change the course of the disease in these patients.These findings need be considered in counselling such patients and in deciding on adjuvant treatment.Pregnancy history should be recorded for premenopausal breast cancer patients and in prospective clinical trials so that response to adjuvant treatment according to time since last childbirth can be assessed.
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Sidebotham et al. (1997) studied this question.
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