Reviewer’s report
Title: 
Low back pain as an initial symptom of pregnancy-associated breast
cancer: a case report
Version: 
0 
Date: 
04 Feb 2021
Reviewer's report:
BMC Women's Health
BMWH-D-20-01276
"Low back pain as an initial symptom of pregnancy-associated breast cancer: a
case report"
General remarks
The authors are presenting an interesting case of a 30-year-old patient, who had
low back pain from the second trimesters of her previous two pregnancies, which
improved spontaneously after deliveries. In her third pregnancy, she again
became aware of low back pain from the second trimester. Her delivery was
normal. However, her low back pain continued for up to 7 months after
postpartum and then worsened sharply. A whole-body scan revealed a
compression fracture due to multiple spinal metastases of breast cancer. As she
had not complained about her breasts, they had not been closely examined.
Authors concluded that their case shows the importance of considering bone
metastases from breast cancer in the differential diagnosis of patients with low
back pain during pregnancy and postpartum.
The case is very interesting and could serve as an excellent basis for further
research.
There are some corrections needed before the article is suitable for publication,
which are marked in the attached document.
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