RESUMO
The aim of this study was to assess breast cancer incidence, diagnostic possibilities in clinical treatable stages and the prognosis in a series of breast cancer patients repeatedly treated in the same unit, by the same team. Diagnostic difficulties in the early stage of the contralateral cancer constitute a proven reality even in our cases. The detection of the second metachronous breast tumor was done and evaluated mostly in an more advanced stage than the initial tumours. This might be explained by the delayed visit to the doctor. Most BBC were lobular carcinoma. Adjuvant therapy--chemotherapy, antiestrogens, ovariectomy--do not prevent the appearance of the second tumoral site.
Assuntos
Neoplasias da Mama/diagnóstico , Carcinoma Lobular/diagnóstico , Segunda Neoplasia Primária/diagnóstico , Adulto , Idoso , Neoplasias da Mama/epidemiologia , Carcinoma Lobular/epidemiologia , Feminino , Humanos , Incidência , Pessoa de Meia-Idade , Segunda Neoplasia Primária/epidemiologia , Prognóstico , Romênia/epidemiologiaRESUMO
The frequency of head and neck cancer is on an ascending path and a lot of cases are discovered in advanced stages. The treatment is difficult and requires the use of reconstructive methods to solve the tissue defects. The authors conducted a retrospective study on 121 cases solved in the ENT Department of "Sf. Spiridon" University Hospital Iasi hospitalized with oncologic pathology in advanced stages, between 2000-2004. The tissue defects after surgical excision were solved by different types of myocutaneous flaps, necessary to cover or reconstruct visceral or cervicofacial tissue defects. We insisted on difficulties and complications that can appear after this kind of oncological surgery. The results of this study generally prove the usefulness of the myocutaneous flaps in the treatment of the advanced head and neck cancer.