Abstract:Artigo disponível em português e inglês em: www.scielo.br/rsp Survival of a cohort of women with cervical cancer diagnosed in a Brazilian cancer center Sobrevida de mulheres com câncer de colo uterino diagnosticadas em um centro brasileiro ABSTRACT OBJECTIVE: To assess overall survival of women with cervical cancer and describe prognostic factors associated.
METHODS:A total of 3,341 cases of invasive cervical cancer diagnosed at the Brazilian Cancer Institute, Rio de Janeiro, southeastern Brazil, between 1999 … Show more
“…Consistent with previous reports [4], tumor stage at diagnosis was the only factor associated with survival in the present study. None of the other studied variables were statistically associated with prognosis.…”
Section: Survival Of Patients With Invasive Cervical Cancer In Frenchsupporting
“…Consistent with previous reports [4], tumor stage at diagnosis was the only factor associated with survival in the present study. None of the other studied variables were statistically associated with prognosis.…”
Section: Survival Of Patients With Invasive Cervical Cancer In Frenchsupporting
“…A resposta ao tratamento na presença de doença avançada tem se mostrado pior, com repercussão no encurtamento da sobrevida em outras coortes no país 8,21 e no mundo 22,23 . Mesmo se tratando de pacientes elegíveis unicamente para radioterapia, os atuais resultados alertaram para uma situação preocupante, visto que a sobrevida estimada nos cinco anos foi de apenas 25,3%, considerando-se a coorte como um todo.…”
Section: Discussionunclassified
“…Mesmo se tratando de pacientes elegíveis unicamente para radioterapia, os atuais resultados alertaram para uma situação preocupante, visto que a sobrevida estimada nos cinco anos foi de apenas 25,3%, considerando-se a coorte como um todo. Esse achado pode ser atribuído à grande proporção de casos com doença localmente avançada, condição previamente encontrada no INCA 8 , onde a sobrevida foi de 48% na coorte que contava também com pacientes tratadas por cirurgia. No presente estudo, a análise estratificada por subgrupos de estadiamento/tratamento evidenciou a taxa de 60% na estimativa de sobrevida geral em cinco anos para os casos em estágios mais precoces, elegíveis tanto para cirurgia quanto para radioterapia, reforçando a ideia do prejuízo imposto às mulheres pela defasagem de tempo até o diagnóstico.…”
Section: Discussionunclassified
“…Possivelmente, os resultados do presente estudo se repetiriam na presença de informação mais completa sobre tabagismo. Com relação à escolaridade, há evidência, no Brasil, de que se trata de fator que influencia pouco na sobrevida em cinco anos de mulheres com câncer do colo do útero 8,21 . Além disso, o fato de todas as mulheres residirem na Baixada Fluminense, região onde predominam Índices de Desenvolvimento Humano Municipal (IDHM) 28 Queimados e Magé) dos seus 12 municípios com índice de vulneráveis à pobreza 28 superior a 30%, pode ter ajudado a minimizar os possíveis efeitos de viés de seleção, uma vez que a pobreza é uma condição relacionada à malignidade cervical 29 .…”
Efeito do tempo de espera para radioterapia na sobrevida geral em cinco anos de mulheres com câncer do colo do útero, 1995-2010Effect of waiting time for radiotherapy on five-year overall survival in women with cervical cancer, 1995-2010 Efecto del tiempo de espera para radioterapia en una sobrevida global en 5 años de mujeres con cáncer del cuello uterino,
“…The main factor for prognosis and survival for cervical cancer is its staging at presentation [3,4]. Other factors responsible for survival are age at diagnosis, histological tumour type [5].…”
Globally uterine cervix cancer is one of the leading causes of death in females due to cancer, especially in developing countries. The aim of the study was to analyse the survival as well as understanding various prognostic factors for survival in patients of carcinoma cervix presenting in our hospital. A total of 508 patients were evaluated in radiotherapy department of Mahavir Cancer Sansthan and Research centre Patna, Bihar who came for follow up between April 2015 to March 2016 after completion of radical radiotherapy. Out of 508 patients 3.54% (n 18), 71.65% (n 364), 22.83% (n 116) and 1.9% (n 10) patients presented in sage I, II, III and IV A respectively. 53.54% of patients belonged to age group of 35 to 50 years with Survival of 937 ± 53.49 days. 46.46% of the patients were more than 50 years age and their survival was 933.3 ± 57.12 days. The mean duration for overall survival for all cases evaluated was 957.4 ± 39.49 days. The mean duration for survival of stages I, II, III and IVA was 1186 ± 281.8 days, 960 ± 85.04 days, 945.1 ± 45.66 days and 765 ± 181.5 days respectively. Survival of patients having squamous cell carcinoma was 970 ± 42.89 days and that of adenocarcinoma was 669.5 ± 120 days and that of premenopausal and postmenopausal lady was 997.5 ± 79.28 and 940.1 ± 45.39 days respectively. It was evident from study that patients who presented in early stage had a better survival. There was no significant difference in survival of cervix cancer patients in different age groups while survival was greater in premenopausal cervical cancer patients.
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