Breast Cancer in Developing Countries: Opportunities for Improved Survival

Shulman, Lawrence N.; Willett, Walter C.; Sievers, Amy; Knaul, Felícia Marie

doi:10.1155/2010/595167

Cited by 183 publications

(144 citation statements)

References 16 publications

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“…26 This increase may be explained by technological advancements that facilitated the identification of breast cancer recurrence over the years. 27 …”

Section: Discussionmentioning

confidence: 99%

Breast Cancer in Women: Recurrence and Survival at Five Years

Peres¹,

Veloso²,

Xavier³

et al. 2015

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Women undergoing breast cancer treatment are still at risk of recurrence. This study investigated the association among survival and relapse with staging of breast cancer in women treated in an oncology reference hospital in Goiânia-GO, Brazil over a five-year period after diagnosis in 2008. This descriptive, retrospective, cross-sectional study was conducted with the medical records of 460 women. Data were analyzed using Fisher's Exact Test and the Kaplan Meier Curve. Overall, mortality, local/regional recurrence and metastasis were at 14.1%, 6.5% and 25.2%, respectively. There was an improvement in the survival of women with breast cancer at five years, but there is still a significant number of women diagnosed in advanced stages and experiencing recurrence, indicating there is a need to improve detection of the disease in its early stages and recurrences.DESCRIPTORS: Breast neoplasms. Recurrence. Survivorship. Oncology nursing. CÂNCER DE MAMA EM MULHERES: RECIDIVA E SOBREVIDA EM CINCO ANOS RESUMO:As mulheres que realizam tratamento de câncer de mama ainda apresentam riscos de recorrência da doença. Objetivou-se verificar a associação entre sobrevida e recidiva com o estadiamento do câncer de mama em mulheres atendidas em um hospital de referência em Goiânia-GO cinco anos após o diagnóstico em 2008. Trata-se de um estudo de coorte, retrospectivo, descritivo constituído de prontuários de 460 mulheres. A análise dos dados foi realizada pelo Teste Exato de Fisher e Curva de Kaplan Meier. Do total, a taxa de óbito, recidiva local/regional e metástase foi de 14,1%, 6,5% e 25,2%, respectivamente. Verificou-se uma melhora da sobrevida de mulheres com câncer de mama, porém ainda há um número considerável de mulheres sendo diagnosticadas em estádios avançados e que apresentam recidiva da doença, demonstrando a necessidade de melhora na detecção precoce do câncer em estádios iniciais e de casos de recidiva. DESCRITORES:Neoplasias da mama. Recidiva. Sobrevida. Enfermagem oncológica. CÁNCER DE MAMA EN MUJERES: RECURRENCIA Y SUPERVIVENCIA EN CINCO AÑOS RESUMEN:Las mujeres que realizan tratamiento de cáncer de mama todavía presentan un riesgo de recurrencia de la enfermedad. Este estudio tiene como objetivo verificar a asociación entre sobrevivencia e recurencia del cáncer de mama en las mujeres atendidas en un hospital de referencia en Goiânia-GO cinco años después de del diagnóstico en 2008. Este es un estudio de cohorte, retrospectivo, descriptivo constituido por los expedientes de 460 mujeres. Los datos fueron analizados utilizando la Prueba Exacta de Fisher y la Curva de Kaplan Meier. Del total, la tasa de mortalidad, recurrencia regional/local y metástasis fue de 14.1%, 6.5% y 25.2%, respectivamente. Hubo una mejoría en la supervivencia de las mujeres con cáncer de mama, pero todavía existe un número considerable de mujeres que son diagnosticadas en estadios avanzados y que presentan recurrencia de la enfermedad, demostrando la necesidad de la detección precoz del cáncer en estadios iniciales y de casos de r...

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“…26 This increase may be explained by technological advancements that facilitated the identification of breast cancer recurrence over the years. 27 …”

Section: Discussionmentioning

confidence: 99%

Breast Cancer in Women: Recurrence and Survival at Five Years

Peres¹,

Veloso²,

Xavier³

et al. 2015

Texto contexto - enferm.

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“…In many low-and middle-income countries (LMICs), the incidence of BC is now rising sharply due to changes in reproductive factors, lifestyle, and increased life expectancy (Benson and Jatoi, Subhojit Dey 1 *, Arti Mishra 1 , Jyotsna Govil 2 , Preet K Dhillon 3 2012). Today, more than half of incident cases occur in the developing world (Shulman et al, 2010). In India around 145,000 new cases of BC (27% of all cancer cases in both genders) are diagnosed every year with around 70,000 deaths due to BC every year, both of which are higher than any cancer among both genders (Ferlay et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

Breast Cancer Awareness at the Community Level among Women in Delhi, India

Dey¹,

Mishra²,

Govil³

et al. 2015

Asian Pacific Journal of Cancer Prevention

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“…It is mostly the disease of postmenopausal women and ages above 40 years (KeinanBoker et al, 2008;Gabriel and Domchek, 2010). However, its presentation in the premenopausal age is not infrequent, and although the disease incidence is several folds higher in developed regions of the world, the age is younger in under-developed areas (Harirchi et al, 2004;Shulman et al, 2010;Robles-Castillo et al, 2011). Unfortunately, very young (VY) patients are seen more than occasionally in developing countries.…”

Section: Introductionmentioning

confidence: 99%

Very Young Breast Cancer in a Referral Center in Tehran, Iran: Review of 55 Cases Aged 25 or Less throughout 33 Years

Alipour¹,

Omranipour²,

Jahanzad³

et al. 2013

Asian Pacific Journal of Cancer Prevention

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Background: Breast cancer is mostly the disease of postmenopausal women but very young affected women are seen more than occasionally in developing countries. We reviewed our cases of very young breast cancer in order to help in better understanding of such cases. Materials and Methods: The records of patients 25 years of age or less who had been admitted for breast cancer surgery in the Cancer Institute of Tehran from 1979 to 2012 were reviewed and relevant data were extracted. Results: From 5,265 cases of breast cancer, 62 patients had 25 years of age or less. There were 55 cases of breast adenocarcinoma, all female. More than 78% of the patients had presented with a palpable mass, the family history was positive in 2% of cases, and about 94% of the histologies were invasive ductal carcinoma. Gestational breast cancer constituted 10% of the cancers; another 10%were bilateral. The median size of the tumors was 5.72 centimeters, 63.2% of them had axillary lymphatic involvement, and more than half were negative for hormone receptors. Conclusions: Our study shows an incidence of 1.17% for very young breast cancer and a 10% rate of bilaterality which probably warrants special guidelines for contralateral screening. Cancer stage and features were poor in comparison with breast cancer in all ages.

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Breast Cancer in Developing Countries: Opportunities for Improved Survival

Cited by 183 publications

References 16 publications

Breast Cancer in Women: Recurrence and Survival at Five Years

Breast Cancer in Women: Recurrence and Survival at Five Years

Breast Cancer Awareness at the Community Level among Women in Delhi, India

Very Young Breast Cancer in a Referral Center in Tehran, Iran: Review of 55 Cases Aged 25 or Less throughout 33 Years

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