ABSTRACBreast cancer is the most common female cancer in the world wide with 30% of all women cancer and second most common cause of cancer death in women. Oncology department of Bulent Ecevit University Faculty of Medicine is the only cancer center in western part of Black Sea region. We investigated retrospectively our data of women breast cancer between the period of 2000 and 2010 in this region. The mean age of the study population was 49.90 ± 12 years and mean follow-up time was 4 ± 2 years. The distribution of patients by the age, 25% or patients under 40 years old, 32% between the 40-50 years old and 43% of them over the 50 years old. 92.6% of the patients were presented with a palpable mass. The most common type of breast cancer was invasive ductal carcinoma (IDC) in 312 patients (80%). Prognosis of the study population; 309 patients (80%) are surviving without any disease. Sixty-six patients (17%) had progression, 7 of 390 patients (1,8%) had local recurrence and 15 patients (3.8%) died. While the breast cancer is one of the most commonly seen solid organ tumors in Black Sea region and, based on the literature, no significant differences were observed for prognostic factors, longer life expectancy of the patients with advanced stage disease may be attributed to higher number of patients with hormonal positivity and therapy adherence.
Keywords: Breast cancer, Woman, Prognosis, Survival
ÖZET Meme Kanserli Kad›nlar›n Retrospektif Analizi: Bat› Karadeniz Bölgesi Tek Merkez Onkoloji Klinik VerileriMeme kanseri tüm dünyada kad›nlardaki en s›k kanser türü olup kad›n kanserlerinin %30'nu oluflturur ve kad›nlarda kansere ba¤-l› en s›k ölüm nedenidir. Bulen Ecevit Üniversitesi Onkoloji Bölümü Bat› Karadenizdeki tek kanser merkezidir. 2000 ila 2010 y›llar› aras›nda kad›nlarda meme kanserini retrospektif olarak araflt›rd›k. Çal›flmam›zdaki populasyonun ortalam yafl› 49.90 ± 12 'di ve ortalama takip süresi 4 ± 2 y›ld›.Hastalar›n yafla göre da¤›l›m›nda %25'ini 40 yafl ve alt›, %32'sini 40-50 yafl aras› oluflturmaktayken kalan %43'de 50 yafl ve üzeri hastalar oluflturmaktayd›.En s›k görülen kanser tipi 312 hastada saptanan invazif duktal karsinomdu (%80). Hastalar›n prognozuna bakt›¤›m›zda; 309 hasta(%80) hastal›ks›z sa¤kal›mda, 66 hastada (%17) progresyon, 7 hastada (%1,8) local nüks ve 15 hastada (%3,8) ölüm görüldü. Meme kanseri Bat› Karadeniz bölgesindeki kad›nlarda en s›k görülen solid organ tümörler-den olup prognostik faktörler ve ileri evre hastal›¤› olanlardada uzun yaflam beklentisi aç›s›ndan anlaml› bir fark saptanmad›. Hormonal pozitiflik ve tedavi uyumu bu duruma en önemli katk›y› sa¤lamaktayd›.