A 36-year-old female diagnosed of breast cancer was treated with surgery, c
hemotherapy, radiotherapy and goserelin. After 17 months of uninterrupted t
herapy with this LHRH analogue at hormone suppressive doses, a 16-week gest
ation foetus was detected and the treatment was withdrawn. Although the dru
g was administered throughout the first 4 months of pregnancy it resulted i
n the term delivery of a healthy infant, and no foetal adverse effects were
detected. A review of the influence of hormonal treatment for breast cance
r on fertility and birth defects has been performed. (C) 2000 Harcourt Publ
ishers Ltd.