PROFILE OF CARE IN YOUNG WOMEN WITH BREAST CANCER IN AMAZONAS
11 YEARS STUDY
Keywords:
Breast cancer, epidemiology, early diagnosisAbstract
A cross-sectional, retrospective cohort study was carried out to describe the profile of breast cancer patients aged 40 years or less diagnosed and treated at the CECON/FCECON Foundation from 2003 to 2013. The following were evaluated: age, staging, place of origin and diagnostic accuracy, through search of records in patients’ records. Data were computed in a database and analyzed through descriptive statistics. There were 211 patients under 40 years with breast cancer in the study period, representing 9.83%. The most affected age group was between 35 and 40 years. Regarding clinical staging, 57 cases were at stage IIA at diagnosis. About the method of screening, 71 patients performed it through clinical examination or self-examination and, in relation to the provenance, 48 cases were from other states. It is necessary to improve diagnosis in this age group and that the institutional care be directed to the patients of their original states.
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Tabar L, Fagerberg CJ, Gad A, Baldetorp L, Holmberg LH, Grontoft O, et al. Reduction in mortality from breast cancer after mass screening with mammography. Randomised trial from the Breast Cancer Screening Working Group of the Swedish National Board of Health and Welfare. Lancet. 1985;1(8433):829‑32.
Partridge AH, Pagani O, Abulkhair O, Aebi S, Amant F, Azim HA Jr., et al. First international consensus guidelines for breast REFERENCES cancer in young women (BCY1). Breast. 2014;23(3):209-20. https://doi.org/10.1016/j.breast.2014.03.011
Cardoso F, Loibl S, Pagani O, Graziottin A, Panizza P, Martincich L, et al. The European society of breast cancer specialists recommendations for the management of young women with breast cancer. Eur J Cancer. 2012;48(18):3355-77. https://doi.org/10.1016/j.ejca.2012.10.004
Coldman A, Phillips N, Wilson C, Decker K, Chiarelli AM, Brisson J, et al. Pan-Canadian study of mammography screening and mortality from breast cancer. J Natl Cancer Inst. 2014;106(11). https://doi.org/10.1093/jnci/dju261
Thangjam S, Laishram RS, Debnath K. Breast carcinoma in young females below the age of 40 years: A histopathological perspective. South Asian J Cancer. 2014;3(2):97-100. https://doi.org/10.4103/2278-330X.130441
De la Rochefordiere A, Asselain B, Campana F, Scholl SM, Fenton J, Vilcoq JR, et al. Age as prognostic factor in premenopausal breast carcinoma. Lancet. 1993;341(8852):1039-43.
Kromam N, Jensen MB, Wohlfahrt J, Mouridsen HT, Andersen PK, Melbye M. Factors influencing the effect of age on prognosis in breast cancer: population based study. BMJ. 2000;320(7233):474-9.
Anders CK, Hsu DS, Broadwater G, Acharya CR, Foekens JA, Zhang Y, et al. Young age at diagnosis correlates with worse prognosis and defines a subset of breast cancers with shared patterns of gene expression. J Clin Oncol. 2008;26(20):3324-30. https://doi.org/10.1200/JCO.2007.14.2471
Pinheiro BA, Lauter DS, Medeiros GC, Cardozo IR, Menezes LM, Souza RMB, et al. Cancer de mama em mulheres jovens: analise de 12.689 casos. Rev Bras Cancerol. 2013;59(3):351-9.
Telfah A, Obeidat M, Swailmeen A, AlJadayeh M, Bawaneh A, Fayyad L. Breast cancers in young women: a retrospective study at king Hussein medical center. J Royal Med Serv. 2015;22(1):62-8. https://doi.org/10.12816/0009789
Goksu SS, Tastekin D, Arslan D, Gunduz S, Tatli AM, Unal D, et al. Clinicopathologic features and molecular subtypes of breast cancer in young women (age ≤ 35). Asian Pac J Cancer Prev. 2014;15(16):6665-8.
Martins E, Freitas-Junior R, Curado MP, Freitas NMA, Oliveira JC, Silva CMB. Evolucao temporal dos estadios do cancer de mama ao diagnostico em um registro de base populacional no Brasil Central. Rev Bras Ginecol Obst. 2009;31(5):219-23. http://dx.doi.org/10.1590/S0100-72032009000500003
Garicochea B, Morelle A, Andrighetti AE, Cancella A, Bos A, Werutsky G. Idade como fator prognostico no cancer de mama em estadio inicial. Rev Saude Publica. 2009;43(2):311-7. http://dx.doi.org/10.1590/S0034-89102009005000009
Yankaskas BC, Haneuse S, Kapp JM, Kerlikowske K, Geller B, Buist DSM. Performance of first mammography examination in women younger than 40 years. For the breast cancer surveillance consortium. J Natl Cancer Inst. 2010;102(10):692‑701. https://dx.doi.org/10.1093%2Fjnci%2Fdjq090
Foxcroft LM, Evans EB, Porter AJ. The diagnosis of breast cancer in women younger than 40. Breast. 2004;13(4):297-306. https://doi.org/10.1016/j.breast.2004.02.012
Bharat A, Aft RL, Gao F, Margenthaler JA. Patient and tumor characteristics associated with increased mortality in young women (40 years) with breast cancer. J Surg Oncol. 2009;100(3):248-51. https://doi.org/10.1002/jso.21268
An YY, Kim SH, Kang BJ, Park CS, Jung NY, Kim JY. Breast cancer in very young women (<30 years): Correlation of imaging features with clinicopathological features and immunohistochemical subtypes. Eur J Radiol. 2015;84(10):1894‑902. https://doi.org/10.1016/j.ejrad.2015.07.002
Urban L, Schaefer MB, Duarte DL, Santos RP, Maranhao, NMA, Kefalas AL et al. Recommendations of Colegio Brasileiro de Radiologia e Diagnostico por Imagem, Sociedade Brasileira de Mastologia, and Federacao Brasileira das Associacoes de Ginecologia e Obstetricia for imaging screening for breast cancer. Radiol Bras. 2012;45(6):334-9. http://dx.doi.org/10.1590/S0100-39842012000600009
Samphao S, Wheeler AJ, Rafferty E, Michaelson JS, Specht MC, Gadd MA, et al. Diagnosis of breast cancer in women age 40 and younger: delay in diagnosis result from underuse of genetic testing and breast imaging. Am J Surg. 2009;198(4):538‑43. https://doi.org/10.1016/j.amjsurg.2009.06.010
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Copyright (c) 2019 Hilka Flavia Barra do Espirito Santo Alves Pereira, Gabriel Pacífico Seabra Nunes, Paulyne de Souza Viapiana, Katia Luz Torres Silva
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