Objective: To describe the main characteristics, including stage of disease and local treatment of patients admitted to two reference services for the treatment of breast cancer in the North of Minas Gerais. Methods: We conducted a cross-sectional descriptive study. We evaluated medical records of 288 female patients with breast cancer admitted between January 2006 and December 2009, referred from a public hospital and a private clinic. Variables were analyzed using the chi-square test and multinomial logistic regression. Results: 68.1% of patients were referred from the public hospital. There was a predominance of patients over 50 years old (54.5%), married (59%) and with children (87.8%). The mean age of the population studied was 63 years old. Time between suspected cancer and confirmation of diagnosis was over six months in 42.7% of patients. Cancer diagnosis was late (stage III and IV) in 47.6% of patients. Family history of breast cancer was present in 20.1%, 20.8% of them had performed self-breast examination, and 41% had been submitted to a mammogram. Conclusion: There was a higher prevalence of stage III/IV patients from the public service when compared to the private sector. We found that the major factors associated with the late diagnosis of breast cancer were the delay between suspected and confirmed diagnosis, the absence of family history of breast cancer and not having a mammogram.

© 2013 Wiley Periodicals, Inc.

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Neuroblastoma is the most common extracranial solid malignancy in children but rarely described in adults, being 10% of all cases diagnosed after the fi rst decade of life. We report a 23 year-old black woman with a mass at paravertebral region of T3-T5, multiple lesions in vertebral bodies and expanding skull-brain lesion at the right parietal region. Immunohistochemical analysis (negative for CD99, CD20, CD3 and desmin; and positive chromogranin, synaptophysin and NB84) confi rmed the diagnosis of neuroblastoma. The patient was submitted to 12 cycles of chemotherapy receiving VAC (vincristine/doxorubicin/cyclophosphamide) interspersed with ICE (ifosfamide/mesna/etoposide) and doxorubicin was replaced by actinomycin in the 7th cycle. She had good tolerance to this therapy, and has been clinically stable.

Malignant neoplasms of the nasopharynx are very rare and has two peaks of incidence: below the age of 30, and between the 4th and 5th decade of life. It is, however, uncommon after the 60 years of age. In rare cases, some patients may present, in the form of paraneoplastic syndrome, hypertrophic osteoarthropathy (HOA). In this case report, we describe a case of HOA from lymphoepithelioma of the nasopharynx in a 77-year-old male patient, representing an extremely unusual condition. RESUMONeoplasias malignas de nasofaringe são muito raras e apresentam dois picos de incidência: antes dos 30 anos e entre a 4ª e 5ª década de vida. No entanto, é incomum após os 60 anos de idade. Em raros casos, alguns pacientes apresentam na forma de síndrome paraneoplásica a Osteoartropia Hipertrófica (OAH). Este relato de caso, nós descrevemos um caso de OAH associada a linfoepitelioma de nasofaringe em um paciente de 77 anos, representando um condição extremamente incomum. Palavras-chave:Osteoartropatia Hipertrófica Secundária. Neoplasias Nasofaríngeas. Pacientes/Idoso.

Objetivo: Apontar os principais desafios e perspectivas da enfermagem oncológica na comunicação de notícias para o paciente oncológico e seus familiares. Métodos: Trata-se de uma revisão integrativa que atendeu as recomendações do PRISMA. As bases de dados utilizadas foram: Bireme, Medline, Lilacs, BDENF e SciELO, via descritores: “oncology nursing”, “nursing”, “oncology” e “health communication”, no período de 2011 a 2021. Identificou-se 274 estudos, e após os critérios de inclusão, 9 investigações compuseram a amostra. Resultados: 77,7% das investigações apontaram que a falta de treinamento e capacitações transculturais, a ausência de sistematização, a falta de habilidades adquiridas na graduação, a ineficácia de esforços colaborativos, a aproximação nos padrões éticos, humanos e assistenciais se relacionaram aos principais desafios. Quanto às perspectivas, ressaltou-se o relevante papel humanitário no tratamento oncológico, assim como a capacidade e aptidão da enfermagem para a comunicação prognóstica com o paciente e seus familiares. Considerações finais: A equipe de enfermagem oncológica é essencial na comunicação de qualidade, entretanto, maior autonomia aos profissionais, investimentos em treinamentos e sistematizações ainda são um grande desafio. A atuação da equipe se apresentou como fundamental na qualidade da informação e humanização, abalizando perspectivas positivas e abrangências profissionais promissoras para o desenvolvimento de habilidades específicas.