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If PAM is suspected, a prompt excisional biopsy under local anesthesia can be executed whatever the gestational period. Conversely, additional staging treatments (such sentinel lymph node biopsy or imaging) and systemic treatment remain debatable during pregnancy. A multidisciplinary tailored strategy should really be favored, as well as exhaustive guidance associated with the mother.The neutrophil-to-lymphocyte ratio (NLR) is getting grip as a biomarker with energy in a