THE IMPORTANCE OF BREAST SELF-EXAMINATION AS A DIAGNOSTIC METHOD OF BREAST CANCER
Keywords:
Breast cancer, self-examination;, survival, mammography, ultrasoundAbstract
Method: An observational, retrospective, descriptive and cross - sectional study was carried out with data collected from Clínica Basegio, Brazil. The objective of this study was to analyze the importance of breast self-examination (BSE) as a diagnostic method for breast cancer in Passo Fundo, Rio Grande do Sul. A total of 320 patient records were selected from 1987 to 2017, among which 14 were excluded due to insufficient information. Results: BSE accounted for 48% of breast cancer diagnoses, followed by mammography and ultrasound. Imaging methods proved to be more effective in diagnosing early stage disease, while BSE detected more advanced tumors. This data was based on the histological characteristics of the tumors, with a significant difference (p<0.05) between tumor size and lymph node involvement when compared to BSE and imaging methods. Thus, the survival of the patients diagnosed by mammography and ultrasound was significantly higher than the patients diagnosed by BSE. Conclusion: Evidence from this retrospective study suggests that BSE is the prevalent diagnostic method for breast cancer in the State of Rio Grande do Sul. Despite detecting tumors in advanced stages, it is still a fundamental method within the Brazilian reality.
Downloads
References
Passos EP. Rotinas em Ginecologia. 7a ed. Porto Alegre: Artmed; 2017.
Ohl ICB, Ohl RIB, Chavaglia SRR, Goldman RE. Acoes publicas para o controle do cancer de mama no Brasil: revisao integrativa. Rev Bras Enferm. 2016;69(4):793-803. http://dx.doi.org/10.1590/0034-7167.2016690424i
Brasil. Ministerio da Saude. Secretaria de Atencao a Saude. Diretrizes para a Deteccao Precoce do Cancer de Mama no Brasil. Brasil: Ministerio da Saude; 2014. REFERENCES
Kosters JP, Gotzsche PC. Regular self-examination or clinical examination for early detection of breast cancer. Cochrane Database Syst Rev. 2003;(2):CD003373. https://doi.org/10.1002/14651858.CD003373
Thomas DB, Gao DL, Ray RM, Wang WW, Allison CJ, Chen FL, et al. Randomized trial of breast self-examination in Shanghai: final results. J Natl Cancer Inst. 2002;94(19):1445-57.
Siegel RL, Miller KD, Jemal A. Cancer statistics, 2018. CA Cancer J Clin. 2018;68(1):7-30. https://doi.org/10.3322/caac.21442
Siegel RL, Miller KD, Jemal A. Cancer statistics, 2017. CA Cancer J Clin. 2017;67(1):7-30. https://doi.org/10.3322/caac.21387
Menke CH, Biazus JV, Xavier NL, Cavalheiro JA, Rabin EG, Bittelbrunn A, et al. Rotinas em Mastologia. Porto Alegre: Artmed; 2007.
Venkataraman S, Slanetz PJ. Breast imaging for cancer screening: Mammography and ultrasonography. UpToDate [Internet]. 2018 [acessado em 20 jun. 2018]. Disponivel em: https://www.uptodate.com/contents/breast-imaging-forcancer-screening-mammography-and-ultrasonography
Kheirelseid EA, Boggs JME, Curran C, Glynn RW, Dooley C, Sweeney KJ, et al. Younger age as a prognostic indicator in breast cancer: A cohort study. BMC Cancer. 2011;11(1):383. https://doi.org/10.1186/1471-2407-11-383
Clagnan WS, Andrade JM, Carrara HHA, Tiezzi DG, Reis FJC, Marana HRC, et al. Idade como fator independente de prognostico no cancer de mama. Rev Bras Ginecol Obstet. 2008;30(2):67-74. http://dx.doi.org/10.1590/S0100-72032008000200004
Garcia ND, Rouco CC, Vich P, Alvarez-Hernandez C, Brusint B, Redondo Marguello E. Breast cancer update in primary care. Semergen. 2015;41(2):76-88. https://doi.org/10.1016/j.semerg.2014.03.014
Aquino RGF, Pinheiro LGP, Ferreira MVP, Cavalcante DIM, Oliveira ALS, Gomes NN, et al. Ductal carcinoma of the breast: morphological aspects according to the age. J Bras Patol Med Lab. 2015;51(4):252-7. http://dx.doi.org/10.5935/1676‑2444.20150042
Elmore JG, Aronson MD, Melin JA. Screening for breast cancer: Evidence for effectiveness and harms. UpToDate [Internet]. 2018 [acessado em 20 jun. 2018]. Disponivel em: https://www.uptodate.com/contents/screening-for-breast-cancerevidence-for-effectiveness-and-harms
Instituto Nacional do Cancer Jose Alencar Gomes da Silva. Diretrizes para a deteccao precoce do cancer de mama no Brasil [Internet]. Rio de Janeiro: Instituto Nacional do Cancer Jose Alencar Gomes da Silva; 2015 [acessado em 13 jul. 2018]. Disponivel em: http://www1.inca.gov.br/inca/Arquivos/livro_deteccao_precoce_final.pdf
Brasil. Ministerio da Saude. Mamografias feitas no Pais crescem 37% em seis anos [Internet]. Brasilia: Ministerio da Saude; 2016 [acessado em 13 jul. 2018]. Disponivel em: http://www.brasil.gov.br/editoria/saude/2016/10/mamografiasfeitas-no-pais-crescem-37-em-seis-anos
Amaral P, Luz L, Cardoso F, Freitas R. Distribuicao espacial de equipamentos de mamografia no Brasil [Internet]. Belo Horizonte: Universidade Federal de Minas Gerais; 2014 [acessado em 13 jul. 2018]. Disponivel em: http://diamantina.cedeplar.ufmg.br/2014/site/arquivos/distribuicao-espacialde-equipamentos-de-mamografia-no-brasil.pdf
Moura JR, Moura JZ, Moreira JCL, Moreira TMB. 647 casos de neoplasia maligna de mama do Instituto da Mama de Uba. Rev Bras Mastologia. 2015;25(4):131-40. http://dx.doi.org/10.5327/Z201500040004RBM
Moura BB. Analise da Efetividade do Autoexame de Mama no Diagnostico do Cancer de Mama e na Sobrevida dos Paciente: uma Revisao Sistematica [trabalho de conclusao de curso]. Salvador: Faculdade de Medicina da Bahia, Universidade Federal da Bahia; 2014.
Malmgren, J, Atwood, M, Kaplan, H. Breast cancer detection method among 20- to 49-year-old patients at a community based cancer center: 1990-2008. Breast J. 2012;18(3):257–60. https://doi.org/10.1111/j.1524-4741.2012.01231.x
Fisher B, Anderson S, Bryant J, Margolese RG, Deutsch M, Fisher ER, et al. Twenty-Year Follow-up of a Randomized Trial Comparing Total Mastectomy, Lumpectomy, and Lumpectomy plus Irradiation for the Treatment of Invasive Breast Cancer. N Engl J Med. 2002;347(16):1233-41. https://doi.org/10.1056/NEJMoa022152
Vicini FA, Kestin L, Huang R, Martinez A. Does local recurrence affect the rate of distant metastases and survival in patients with early-stage breast carcinoma treated with breast-conserving therapy? Cancer. 2003;97(4):910-9. https://doi.org/10.1002/cncr.11143
Silva JME, Marinho FMB, Tonellotto F, Gioia SM, Monteiro SO, Bello MA, et al. Margens cirurgicas no tratamento conservador do cancer de mama: revisao sistematica. Rev Bras Mastologia. 2014;24(3):70-5. https://doi.org/10.5327/Z201400030003RBM
Silva RCF, Hortale VA. Rastreamento do Cancer de Mama no Brasil: Quem, Como e Por que? Rev Bras Cancerol. 2012;58(1):67‑71.
Fernandes YCF, Salomao LZ, Slaviero RS, Cavalheiro EF, Barbieri F, Gomes DS. Mudancas no metodo de diagnostico e estadiamento do cancer de mama em um hospital de referencia em Oncologia no Oeste do Parana. Rev Bras Mastologia. 2016;26(2):65-9. https://doi.org/10.5327/Z201600020007RBM
Menke CH, Delazeri GJ. Autoexame ou autoengano? Rev Femina. 2010;38(1):3-6.
Heywang-Kobrunner SH, Hacker A, Sedlacek S. Advantages and disadvantages of mammography screening. Breast Care. 2011;6(3):199-207. https://dx.doi.org/10.1159%2F000329005
Torres DM, Valente PV, Feitosa GP, Matos CFP, Mota FSX, Machado JR. Analise de dados epidemiologicos de pacientes acompanhadas por neoplasia mamaria em um hospital de Fortaleza (CE). Rev Bras Mastologia. 2016;26(2):39-44.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2019 Diógenes Luiz Basegio, Maria Paula Alves Corrêa, Victor Antonio Kuiava, Camila de Quadros, Marina Pimentel Beber de Mattos, Nathalia Regina Pavan, Júlia Mognon Mattiello, Manuela Meinhardt Pinheiro dos Santos, Ana Luiza da Silva Garcia, Evandro Yan Duarte, Pillar Bortolotti
This work is licensed under a Creative Commons Attribution 4.0 International License.