ABSTRACT
Extra edition of mastology, with summaries of the works presented at the Goiania Breast Cancer Symposium (GBCS) held in Pirenopolis, the GBCS name was changed to BBCS Brazilian Breast Cancer Symposium.
ABSTRACT
Paciente femenino de 23 años, sin antecedentes de relevancia, que comienza con cuadro progresivo de múltiples lesiones eritematosas en mama derecha sin comprometer ninguna otra localización. Se realiza tratamiento antibiótico sin mejoría clínica, por lo que se decide internación y toma de biopsia cutánea. La paciente comienza con cuadro neurológico progresivo homolateral al compromiso mamario, con dificultad respiratoria, parestesias bucales, alopecía parcheada y dificultad a la marcha con debilidad funcional homolateral. Se solicitan estudios complementarios de imágenes y laboratorio con resultados dentro de parámetros normales. El resultado de la biopsia informa "Eritema multiforme". Se indica tratamiento psiquiátrico para el componente neurológico y tratamiento sintomático para su patología de base, obteniéndose curación completa en 21 días.
23-year-old female patient, with no relevant medical history, starts with multiple progressive erythematous lesions in the right breast without compromising any other location. An antibiotic treatment is started without clinical improvement, so it's decided to hospitalize and take a skin biopsy. During her stay, the patient begins with ipsilateral progressive neurological symptoms, including respiratory distress, oral paresthesia, alopecía, walking difficulties, among others. cat, mri, laboratory and other test are requested with no abnormal results. The skin biopsy reports Erythema Multiforme. A psychiatric treatment is started for the neurological component and symptomatic treatment for the em, obtaining complete cure in 21 days.
Subject(s)
Humans , Female , Autoimmune Diseases , Erythema Multiforme , DermatologyABSTRACT
O objetivo do estudo foi avaliar a possível associação entre as características sociodemográficas e o estádio clínico do câncer de mama em mulheres, admitidas para atendimento em um centro de referência em oncologia. Os prontuários de 257 pacientes com diagnóstico de câncer de mama e atendidas entre novembro de 2009 a novembro de 2010 foram revisados. Os dados de interesse foram extraídos para um banco de dados e analisados por meio de regressão logística para identificação das variáveis associadas com o estádio clínico. As pacientes tinham em média 54,5 anos de idade e a maioria eram pardas (62,8%), sem história familiar de câncer de mama (78,2%) e com índice de massa corporal acima do ideal (57,2%). O diagnóstico do câncer foi tardio (estádio III e IV) em 32,7% das pacientes. Não houve associação significativa entre o estádio clínico e a idade, cor da pele, estado civil, índice de massa corpórea ou história familiar de câncer de mama. O percentual de casos diagnosticados em estádio tardio ainda é elevado, quando comparado com o encontrado em países desenvolvidos, o que aponta para necessidade de políticas que facilitem a detecção precoce da doença na região.
The aim of the study was to evaluate the possible association between sociodemographic characteristics and the clinical stage of breast cancer in women admitted for care at an oncology reference center. The medical records of 257 patients treated between November 2009 and November 2010 were reviewed. The data of interest were extracted onto a database and analyzed using logistic regression to identify the variables associated with the clinical stage. The patients were on average 54.5 years of age, primarily Caucasian (62.8%), with no family history of breast cancer (78.2%) and above the ideal body mass index (57.7%). Cancer diagnosis was late (stage II and IV) in 32.7% of patients. There was no significant relationship between the initial or early stages and age, skin color, marital status, body mass index and family history of breast cancer. The percentage of cases diagnosed in a late stage is still high when compared to what is found in developed countries, which points to the need for policies that facilitate the early detection of the disease in the region.
Subject(s)
Breast Neoplasms , Medical OncologyABSTRACT
Se realizó un estudio descriptivo, observacional y retrospectivo de 1 551 pacientes con afecciones benignas de la mama, atendidas en el Hospital Provincial Docente "Mariana Grajales Coello" de Santiago de Cuba durante el período 2001-2011, con vistas a mostrar las características clínicas y el tratamiento de estas afecciones. En la serie predominó la displasia mamaria en sus formas fibrosa (39,3 %), adenosis (27,7) y quística (16,6 %), seguidas del fibroadenoma (12,8 %). El dolor prevaleció en todas las féminas con fibrosis; el nódulo, en todas aquellas con fibroadenomas, quiste y papiloma. La descarga por el pezón, estuvo presente en 100 % de las que presentaron ectasia y papiloma, así como también en 75 % de las que afectadas por adenosis. Se aplicó tratamiento higienicodietético y hormonal a 83,7 y a 53,1 % de las integrantes de la serie, respectivamente. Se concluye que las afecciones benignas de la mama, constituyen una causa importante de morbilidad en las mujeres de cualquier edad.
A descriptive, observational and retrospective study was carried out in 1 551 patients with benign breast conditions, attended in "Mariana Grajales Coello" Provincial Teaching Hospital of Santiago de Cuba during the period 2001-2011 in order to show the clinical characteristics and treatment of these conditions. In the series breast dysplasia prevailed with its fibrous (39.3%), cystic (16.6%) and adenosis (27.7%) forms, followed by the fibroadenoma (12.8%). Pain prevailed in all the females with fibrosis; the pump in all women with fibroadenomas, cyst and papilloma. The nipple discharge was present in 100% of those who had ectasis and papilloma, and in 75% of those affected by adenosis as well. Hygienic-dietetic and hormonal treatment was administered to 83.7 and 53.1% of members of the series respectively. It is concluded that benign breast conditions are an important cause of morbidity in women of all ages.
ABSTRACT
Se efectuó un estudio descriptivo y transversal de 70 féminas mayores de 30 años, pertenecientes al Consultorio Médico de la Familia No.37 del Policlínico Docente "José Martí Pérez" de Santiago de Cuba, desde enero hasta junio del 2011, con vistas a determinar algunos factores de riesgo epidemiológicos asociados al cáncer de mama. Se utilizaron las frecuencias absoluta y relativa como medidas de resumen. Entre los factores de riesgo predominantes figuraron: no realización de ejercicios físicos (84,2 %), sobrepeso u obesidad (50,0 %) y menos de 4 meses de lactancia materna o no ofrecimiento de esta (37,1 %). Se constató que la mayoría de las mujeres realizaban la autoexploración mamaria mensual (54,2 %), pero en 8,7 % de ellas el examen clínico resultó dudoso, por lo cual fueron remitidas a la consulta de Mastología.
A descriptive and cross-sectional study of 70 female patients older than 30 years belonging to the doctor's office No.37 of "José Martí Pérez" Teaching Polyclinic in Santiago de Cuba was carried out from January to June, 2011, aimed at determining some epidemiological risk factors associated with breast cancer. The absolute and relative frequencies were used as summary measures. Among the predominant risk factors there were: no physical exercises (84.2%), overweight or obesity (50.0%) and less than 4 months of breast feeding or no offer of it (37.1%). It was verified that most of the women carried out the monthly breast self-examination (54.2%), but in 8.7% of them the clinical examination was doubtful, reason why they were referred to the Mastology Department.