Variação temporal do tratamento cirúrgico do câncer de mama em um hospital universitário na região centro-oeste do Brasil
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Data
2012
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Resumo
Objective: To assess the types of surgical treatments for breast cancer performed by the Mastology program of the Clinics Hospital,
Objective
Methods: We conducted a cross-sectional, cohort study on the breast operations performed
Federal University of Goiás (HC-UFG). Methods
at HC-UFG from January 2002 to December 2009. We evaluated the surgical records for: surgical time and size, surgeon, type of
operation, diagnosis, and type of anesthesia. The medical charts were researched for: pathology report of the tumor, lymph node
involvement, primary tumor size, staging and performance of neoadjuvant therapies. We excluded operations for the removal of
benign breast tumors. The temporal variation was analyzed using Poisson regression, considering the annual percentage change
Results: 403 operations were performed for breast cancer during the study period, with an average of 50.38 operations per
(APC). Results
year. The most common histological type was invasive ductal carcinoma (72.6%). The mean age of patients was 52 years, and 29%
had disease in stages III and IV. The temporal trend revealed a significant increase in tumor size (p <0.01), the clinical stages III and IV
(p = 0.01) and the use of neoadjuvant chemotherapy (p = 0.02). There was increase in mastectomies (APC = 9 cases/year, p = .04).
Conclusion:
There was no increase in cases of breast conservation treatments or of mastectomies with immediate reconstruction. Conclusion
In recent years, the HC-UFG has had an increased number of mastectomies as a result of increased incidence of locoregionally
advanced breast cancer.
Descrição
Palavras-chave
Neoplasias, Mastectomia, Neoplasias da mama, Terapêutica, Procedimentos cirúrgicos operatórios, Neoplasms, Breast neoplasms, Therapeutics, Surgical procedures, operative, Mastectomy
Citação
FREITAS-JUNIOR, Ruffo et al. Variação temporal do tratamento cirúrgico do câncer de mama em um hospital universitário na região Centro-Oeste do Brasil. Revista do Colégio Brasileiro de Cirurgiões, Rio de Janeiro, v. 40, n. 3, p. 180-185, maio/jun. 2012.