Evaluation of oncological women below 40 years old with breast cancer in a reference hospital in Amazon

Abstract

Objective: To evaluate the follow-up of women under 40 years old with breast cancer treated at Hospital Ophir Loyola from January 2008 to October 2009. Methods: Epidemiological, observational, cross-sectional and retrospective study. We included 92 patients enrolled in Hospital Ophir Loyola, Belém, Pará, Brazil. We performed chart review and questionnaires, after signing the consent form and approval by the Research Ethics Committee. For the tabulation of the data we used the software Microsoft Office Excel® 2007 and for the statistical analysis the BioEstat 5.0. Results: The neoplastic tumors were invasive ductal carcinoma 87% (n=80); 41,3% (n=38) showed the topography of malignant neoplasm of breast, not otherwise specified (SOE), and 52,2% (n=48) are presented to the right and 45,7% (n=42) to left. It was noted that 64% (n=59) presented stable disease and 21% (n=19) died. Of the deaths, 53% (n=10) were between 36–40 years old with underlying cause in 47% (n=9) of malignant neoplasm of breast, SOE and 31,6% (n=6), death the first and second year of the disease. Metastases were developed in 19,6% (n=18) being 50% (n=9) for bones. As for the staging, 19,6% (n=18) in stage IV and 28,3% (n=26) underwent surgery, radiation and chemotherapy. Conclusion: From this study it is indispensable to clarify health professionals about the importance of breast cancer affecting the earlier age of the female population, in search of a more effective diagnosis and management, reducing morbidity and mortality in the population.