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We report the case of a 46-year-old woman with no previous history who was attended for screening. Mammography revealed an ovoidal nodule of mixed density with well-defined borders in the right breast that had positive flow at the Doppler examination, highly suspicious of malignancy. An ultrasound-guided biopsy was performed, revealing neoplastic vascular proliferation compatible with low-grade angiosarcoma. A total right mastectomy was performed, and the patient is under follow-up evaluation with no evidence of recurrence. This report highlights the clinical presentation of an infrequent malignant breast neoplastic condition where the combination of images makes the diagnosis. [ABSTRACT FROM AUTHOR]

Copyright of Revista Foco (Interdisciplinary Studies Journal) is the property of Revista Foco and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction: breast cancer has been the leading cause of death among women in Brazil and worldwide. During the years of social isolation due to COVID-19, health services, including breast cancer screening, were suspended in an attempt to contain the spread of the virus, interfering with the early detection and treatment of breast cancer, effective means of reducing mortality. Objective: to identify how the COVID-19 pandemic has interfered with the therapeutic itinerary for breast cancer in Brazilian regions. Method: this is an observational, ecological study, carried out through secondary analysis of data available on the website of the Department of Informatics of the Unified Health System (DATASUS). Results: information was collected from all screening bilateral mammography exams in women aged 50 to 69 years, positive cases, and therapeutic modalities from 2018 to 2022. The data showed that the pandemic impacted Brazilian regions differently, requiring different strategies and investments to ensure access to health services and minimize the impacts of the pandemic. Conclusion: although the survey did not show statistically significant results, the southeast region stood out in the registration of cases, but shows a drop-in case registered between 2021 and 2022. On the other hand, the northern region had the lowest number of cases in all years. [ABSTRACT FROM AUTHOR]

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Introducción. La autoexploración mamaria, es una prueba de tamizaje que no disminuye la mortalidad por cáncer, pero permite que las mujeres conozcan la anatomía de sus mamas para que puedan detectar cualquier anormalidad y la informen de inmediato a su entidad de salud. Objetivo. Identificar los conocimientos y prácticas sobre autoexamen de mama en la detección precoz de cáncer en mujeres bogotanas. Materiales y métodos. Estudio descriptivo transversal realizado a través de una encuesta a las participantes del estudio. Resultados. Se encontró que el 87% de las participantes tenían conocimiento sobre qué es, y en qué consiste el auto examen de mama. Se evidenció relación entre la realización del auto examen de mama y la edad (Chi2 = 20.347 p = 0.0024), el nivel educativo (Chi2 = 13.81 p = 0.0079) y los antecedentes de cáncer de esta glándula en las mujeres participantes en el estudio (Chi2 = 10.15 p = 0.0062). Conclusiones. Es necesario insistir en la educación a las mujeres sobre la importancia de la realización del autoexamen de mama, pero hay que poner especial énfasis en recalcar la técnica, para que el resultado de dicha práctica sea eficaz.

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Objetivo: analisar na literatura científica a importância da abordagem espiritual/religiosa pela equipe de enfermagem no tratamento do câncer de mama. Método: revisão integrativa, realizada na BDENF, LILACS e SCOPUS. Resultados: foram selecionados seis estudos, evidenciou-se que a abordagem espiritual/religiosa pelos profissionais de enfermagem auxilia para o enfrentamento positivo do câncer de mama. Assim, emergiu a categoria: Abordagem espiritual/religiosa na assistência de enfermagem e suas repercussões positivas para o enfrentamento do câncer de mama. Conclusão: a categoria da enfermagem integra a rede de apoio social para o alívio do sofrimento, por meio do aporte espiritual/religioso, auxiliando para a minimização de sentimentos negativos associados ao diagnóstico e aos eventos adversos dos tratamentos, sendo importante incluir discussões acerca desta temática na formação de nível técnico e graduação em enfermagem.

El cáncer de mama triple negativo es una presentación clínica poco frecuente, pero de manejo difícil del cáncer de mama, en el que la metástasis a partes blandas como primera manifestación clínica es rara. En los estados unidos 1 de cada 8 mujeres desarrollara cáncer de mama invasivo en el transcurso de su vida. El objetivo del trabajo es demostrar el comportamiento inusual de la manifestación del cáncer de mama, por medio de una presentación de un caso clínico. Se obtuvo el diagnóstico del origen primario gracias a la realización de la inmunohistoquímica de la resección del tumor metastásico en piel. El caso aquí reportado integra tres puntos de interés: cáncer de mama triple negativo, afectación de una mujer de 58 años y tumor interescapular metastásico a tejido blando, lo que torna un comportamiento inusual del cáncer de mama debido a que las metástasis cutáneas ocurren entre el 0,6% y 10,4% en ese tipo de cáncer de mama.

RESUMO O artigo tem como objetivo desenvolver um modelo avaliativo das ações de detecção precoce do câncer de mama na atenção primária. Trata-se de um estudo de avaliabilidade, realizado pelas etapas de análise documental, revisão de literatura e reunião de consenso para elaboração da matriz avaliativa. O resultado obtido foi o desenvolvimento da Matriz de Análise e Julgamento, composta por 14 indicadores, agregados em duas dimensões. A aplicação do modelo avaliativo permitirá a identificação das fragilidades e potencialidades das ações de detecção precoce do câncer de mama.

Objetivos: describir la frecuencia de la respuesta clínica y patológica, entre los diferentes subtipos moleculares de cáncer de mama, en pacientes que previamente recibieron quimioterapia neoadyuvante. Materiales y métodos: cohorte retrospectiva, descriptiva. Se incluyeron mujeres mayores de 18 años, con diagnóstico histológico de carcinoma invasivo de mama, en estadios IIA, IIB, IIIA, IIIB y IIIC, con clasificación por subtipos moleculares, que hubieran recibido quimioterapia neoadyuvante, atendidas en una clínica de alto nivel de complejidad localizada en Medellín (Colombia), entre el 1 de julio de 2017 y el 30 de julio de 2019. Las variables recolectadas fueron edad, estadio clínico, características histológicas, clasificación molecular y la respuesta clínica y patológica completa por subtipo molecular. Se realizó análisis descriptivo. Resultados: 255 pacientes cumplieron con los criterios de inclusión. La edad media fue de 55,2 años; los estadios clínicos con mayor prevalencia fueron IIIB (28,6 %) y IIB (26,3 %), respecto al grado histológico, los más frecuentes fueron grado 3 (48,2%) y 2 (37,3%). La frecuencia por subtipos moleculares fue: luminal A (10,2 %), luminal B HER2 negativo (39,6%), triple negativo (23,1 %), luminal B HER2 positivo (13,7 %), y HER2 puro (13,3%). La respuesta clínica completa posquimioterapia por subtipo molecular fue: luminal A (26,9 %), luminal B HER2 negativo (37,6 %), luminal B HER2 positivo (48,6 %), HER2 puro (41,2%), triple negativo (45,8%); se logró respuesta patológica completa por subtipo molecular, así: luminal A (19,2 %), luminal B HER2 negativo (32,7%), luminal B HER2 positivo (54,3 %), HER2 puro (50 %), triple negativo (42,4%). Conclusiones: en la práctica clínica, la clasificación por subtipos moleculares en cáncer de mama permite hacer una aproximación a la respuesta de la quimioterapia neoadyuvante. Se requieren estudios prospectivos en la región para determinar la capacidad predictiva de la respuesta patológica completa respecto a la sobrevida global y libre de enfermedad.

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Objectives: To describe the frequency of clinical and pathological response in different molecular subtypes of breast cancer, in patients receiving prior neoadjuvant chemotherapy. Materials and methods: Descriptive retrospective cohort. The study population consisted of women 18 years of age and older with a histological diagnosis of invasive breast cancer stages IIA, IIB, IIIA, IIIB and IIIC, with a classification by molecular subtypes, who had received prior neoadjuvant chemotherapy, seen at a high complexity clinic in Medellin (Colombia), between July 1, 2017, and July 30, 2019. We measured age clinical stage, histological characteristics, molecular classification, and complete clinical and pathological responses by molecular subtype. A descriptive analysis was conducted. Results: Overall, 255 patients met the inclusion criteria. Mean age was 55.2 years; the clinical stages with the highest prevalence were IIIB (28.6 %) and IIB (26.3 %), and the most frequent by histologic grading were grades 3 (48.2 %) and 2 (37.3 %). Frequency by molecular types was as follows: luminal A (10.2 %), HER2-negative luminal B (39.6 %), triple-negative (23.1%), HER2-positive luminal B (13.7 %), and pure HER2 (13.3 %). Complete clinical response following chemotherapy, by molecular type, was as follows: luminal A (26.9 %), HER2-negative luminal B (37.6 %), HER2-positive luminal B (48.6 %), pure HER2 (41.2 %), triple-negative (45.8 %). Complete pathological response by molecular subtype was achieved in the luminal A (19.2 %), HER2-negative luminal B (32.7 %), HER2-positive luminal B (54.3 %), pure HER2 (50 %) and triple-negative (42.4 %) subtypes. Conclusions: In clinical practice, breast cancer classification by molecular subtypes is a means to approach the assess the to neoadjuvant chemotherapy. Se requieren estudios prospectivos en la región para determinar la capacidad predictiva de la respuesta patológica completa respecto a la sobrevida global y libre de enfermedad. [ABSTRACT FROM AUTHOR]

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Objetivos: investigar o impacto da pandemia no rastreamento do câncer de mama no Sistema Único de Saúde e comparar os dados obtidos com os de outros países. Métodos: foi realizado um estudo observacional transversal quantitativo, com dados provenientes do Sistema de Informação do Câncer – SISCAN sobre o número de mamografias feitas de 2014 a 2022 por mulheres, no Brasil. Resultados: os dados referentes à mamografia na população de risco elevado demonstraram uma queda de 38,39% de 2019 para 2020. Enquanto na mamografia de rastreamento a queda foi ligeiramente maior, de 39,18% nesse mesmo período. Em relação à mamografia diagnóstica, a redução foi de 33,15%, e na mamografia de população-alvo, o ápice foi em 2019 com 2.721.075. Em contrapartida, a realização de mamografia em pacientes já tratadas, teve uma menor queda, de 9,35%. Conclusões: observou-se uma queda significativa no número de mamografias realizadas em 2019 e 2020, o que poderá acarretar em diagnósticos tardios da doença e piores prognósticos.

Objective: To describe nursing diagnoses based on women's discourse on the repercussions of breast cancer and mastectomy. Methods: This is a descriptive research, with a qualitative approach, carried out in a Non-Governmental Organization (NGO) in the city of João Pessoa, Paraíba, Brazil. The sample universe was composed of all 15 women undergoing mastectomy during the months of September and October 2017. These women answered a semi-structured interview script. The analysis of qualitative data was guided by the Content Analysis Technique proposed by Bardin. After delimiting the categories, Nursing diagnoses were constructed using the International Classification of Nursing Practice (ICNP) ®. Results: Three thematic categories were identified: Feelings experienced after cancer diagnosis and mastectomy; Biological and psychological changes after mastectomy; Resilience in the face of suffering. The nursing diagnoses listed were anguish, impaired well-being, impaired spiritual well-being, impaired self-esteem, impaired self-image, impaired self-care capacity, daily difficulties, personal identity disorder, dissatisfaction with life and body. Conclusion: it is necessary to emphasize care when verbalizing the diagnosis, listening to the other and the women's perception of the illness process. [ABSTRACT FROM AUTHOR]

To identify and analyze the occurrence of outpatient chemotherapy suspensions in the treatment of breast cancer. Qualitative, descriptive research, developed in an oncology hospital in Rio de Janeiro, Brazil. Nine nurses participated through a semi-structured interview using the focus group technique on August 23 and 30, 2021, submitted to thematic analysis. Data analysis focused on chemotherapy suspensions that occurred during the scheduled period and three themes emerged from the interviews: the patients' clinical conditions, social issues and administrative problems. The research promoted investigation and discussion about the impacts generated in the face of chemotherapy suspensions, allowing nurses to reflect on care and administrative strategies that bring resolution and quality in the care provided with a more humanized and less mechanistic look that meet the desires and expectations of patients. with clarification of doubts and guidance relevant to the treatment. [ABSTRACT FROM AUTHOR]

Objective: To characterize the age and ethnic/racial profile and the number of breast cancer cases, tumor characteristics, and survival time among women 2012-2016. Methods: This descriptive, secondary analysis leveraged information from the Panama’s National Cancer Registry. Results: There were 4134 cases of breast cancer with a mean age of 58. Most women were white (n=2514; 60.8%). The regions with the most cases were Panama (53.7%), Chiriquí (10.6%), Panama Oeste (9.5%), Colon (6.6%), and Coclé (5.5%). Few (n=337) cases included data from time from diagnosis to death for a survival time ranging from 7.08 (Colón) to 17.08 (Panamá Oeste) months. No statistically significant differences were observed in survival times between provinces. Few (n=1787) cases had staging data; 15.1% were StageI, 39.1% were StageII, 33.6% were StageIII, and 11.2% were StageIV. Most cases were classified as T2 (7.1%) or T3 (7.1%). Conclusions: The mean age and race of breast cancer is similar to that of the Western hemisphere. Women in Panama were more likely to be diagnosed at a more advanced disease stage, with only 15% diagnosed with StageI disease, with a survival time ranging between 7.1 and 17.8months. While most breast cancer cases are reportedly in the metropolitan province of Panamá, the exact reason for this remains unclear. [ABSTRACT FROM AUTHOR]

Copyright of Revista de Atencao Primaria a Saude is the property of Revista de Atencao Primaria a Saude and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista Enfermagem Digital Cuidado e Promoção da Saúde is the property of Revista Enfermagem Digital Cuidado e Promocao da Saude and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

The aim of this article was to identify the knowledge, attitude and practice of nurses working in Family Health Strategies on breast cancer screening during pregnancy. The study was descriptive with a quantitative approach, using the Knowledge, Attitude and Practice survey with 18 nurses from the Family Health Strategy in the municipalities of Pesqueira and Sanharó - PE. The nurses interviewed demonstrated adequate knowledge about breast cancer screening. The attitude towards screening during prenatal care was considered adequate. With regard to practice, nurses obtained an adequate result regarding the actions to detect breast cancer, however, it was inadequate in terms of the clinical examination of the breasts. Finally, prenatal care is an excellent opportunity to identify risk factors, as well as for screening through the performance of the Clinical Breast Examination and health awareness and education strategies. [ABSTRACT FROM AUTHOR]

Objetivo deste estudo foi analisar a sexualidade das mulheres mastectomizadas, identificando quais as fases do ciclo da resposta sexual são afetadas e quais as disfunções desenvolvidas, utilizando um questionário com dados socioeconômicos e o Questionário Quociente Sexual - versão feminina. Trata-se de uma pesquisa descritiva de cunho quantitativo, com mulheres mastectomizadas em atendimento no ambulatório de Cuidado oncológicos. O desempenho sexual da população estudada apresentou-se heterogêneo, onde 50% apresentou padrão sexual satisfatório e 50% algum tipo de comprometimento na sexualidade, e dentro deste grupo, incluem-se as casadas, com menos de 49 anos e com grau de instrução de nível fundamental. Diante do exposto, os profissionais de saúde em geral devem estar atentos para a ocorrência dessas modificações na vida dessa mulher, diante do todo o processo, desde diagnóstico, no tratamento e readaptação, para dessa forma contribuir para o cuidado integral.

Introducción. El cáncer de mama es una neoplasia grave que se origina en los tejidos mamarios y cuyo tratamiento demanda quimioterapia, con los consecuentes cambios en la calidad de vida. Objetivo. Determinar los factores de riesgo asociados con la calidad de vida relacionada con la salud en mujeres con cáncer de mama sometidas a quimioterapia en Cali, Colombia. Materiales y métodos. Se hizo un estudio observacional y transversal con componente analítico en una muestra de 80 mujeres, utilizando los cuestionarios QLQ-C30 para cáncer y QLQ-BR23 para cáncer de mama, así como información sociodemográfica y clínica. Se hizo un análisis de regresión logística para determinar los factores asociados con las razones de momios (odd ratios, OR) ajustadas y un intervalo de confianza (IC) de 95 %; la calidad de vida se clasificó mediante el cuestionario QLQ-BR23. Resultados. Los síntomas más relevantes fueron fatiga, insomnio y pérdida de cabello. Se redujeron la funcionalidad física, las sensaciones de placer y la actividad sexual. Los factores asociados con la baja calidad de vida fueron los síntomas mamarios (OR ajustada=5,5; IC95% 1,2-24,8; p=0,038), los efectos secundarios del tratamiento sistémico (OR ajustada=7,3; IC95% 2,6-22,1; p=0,012), un menor placer sexual (OR ajustada=1,8; IC95% 1,2-11,8; p=0,027) y la reducción de expectativas para el futuro (OR ajustada=4,2; IC95% 1,1-17,8; p=0,045). Conclusiones. En las mujeres con cáncer de mama sometidas a quimioterapia, la calidad de vida se vio afectada principalmente por los efectos secundarios del tratamiento, en tanto que los signos y los síntomas más relevantes fueron la pérdida del cabello, el insomnio y la fatiga, además de los síntomas mamarios, la menor funcionalidad física y la menor sensación de placer sexual. Se recomienda la implementación de estrategias de intervención destinadas a mejorar la calidad de vida, y el cuidado físico y emocional de las pacientes.

Introdução: O câncer de mama é a segunda neoplasia mais comum entre as mulheres do mundo e a causamais frequente de óbitos. A mamografia é o principal método de imagem para o rastreio e diagnóstico precoce. Objetivo: Analisar o impacto da política de saúde da campanha “Outubro Rosa” sobre o diagnóstico precocedo câncer de mama e os resultados de suas estratégias de marketing social. Métodos: Estudo observacional, descritivo, transversal e retrospectivo, a partir da coleta e análise deregistros de mamografias no SISMAMA, padronizados no Breast Imaging Reporting and Data System(BIRADS®) realizado em um hospital quaternário no ano de 2016. Resultados: Foram realizadas 1.844 mamografias no serviço de diagnóstico por imagem. A análise do número de exames realizados nos meses anteriores (janeiro a setembro) e posteriores (outubro a dezembro)à campanha evidenciou um aumento estatisticamente significativo no número médio de exames após o“Outubro Rosa” (125,8 exames/mês vs 237,3 exames/mês; p = 0,003). Observou-se que a categoriaBIRADS® 2 (achados mamográficos benignos) representou a maioria dos resultados (40,9%). Não houve diferença estatisticamente significativa entre a categorização BIRADS® para o mês de outubro emcomparação com os demais meses do ano. Conclusão: Foi possível demonstrar que a campanha do “Outubro Rosa” cumpriu seu objetivo, como políticade saúde pública, de estimular o rastreamento do câncer de mama pelas mulheres brasileiras.

Objetivo: identificar e comparar o perfil das mulheres diagnosticadas com câncer de mama internadas num hospital geral nos anos de 2009 e 2019. Método: estudo transversal, quantitativo, descritivo, investigado nos prontuários. Resultado: participaram 12 e 49 mulheres respectivamente, 91,8% brancas, média de 54 e 64 anos, histórico familiar de 16,7% e 46,9%; negaram tabagismo/etilismo em 66,7%/66,7 e 63,3%/83,7%; classificação molecular de 33,3% luminal híbrido e 51,0% luminal B. Preponderou o estágio II, 33,3% e 32,7%; cirurgia associada à quimioterapia e radioterapia 58,3% e 34,7%. Discussão: perfil de maioria branca, não tabagistas/etilistas, com histórico familiar mais presente em 2019. O câncer ocorreu na faixa de idade 10 anos mais tarde após uma década. Predominou o estágio II, subtipo luminal B e tratamento com cirurgia, quimioterapia e radioterapia. Conclusão: em 10 anos aumentou o histórico familiar e idade diagnóstica. O estágio II e luminal B mais evidentes.

Objetivo deste estudo foi analisar a sexualidade das mulheres mastectomizadas, identificando quais as fases do ciclo da resposta sexual são afetadas e quais as disfunções desenvolvidas, utilizando um questionário com dados socioeconômicos e o Questionário Quociente Sexual - versão feminina. Trata-se de uma pesquisa descritiva de cunho quantitativo, com mulheres mastectomizadas em atendimento no ambulatório de Cuidado oncológicos. O desempenho sexual da população estudada apresentou-se heterogêneo, onde 50% apresentou padrão sexual satisfatório e 50% algum tipo de comprometimento na sexualidade, e dentro deste grupo, incluem-se as casadas, com menos de 49 anos e com grau de instrução de nível fundamental. Diante do exposto, os profissionais de saúde em geral devem estar atentos para a ocorrência dessas modificações na vida dessa mulher, diante do todo o processo, desde diagnóstico, no tratamento e readaptação, para dessa forma contribuir para o cuidado integral.

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Introdução: A eritrodermia esfoliativa é um evento raro que está associado a diversas doenças como psoríase, eczemas, neoplasias malignas, uso de medicamentos, entre outras. Relato do caso: Paciente de 63 anos apresentou quadro de exantema difuso iniciado em janeiro de 2018, evoluindo com descamação generalizada da pele e formação de úlceras, sentindo calafrios. Não referiu histórico de câncer na família. Na anamnese, não houve relato de nenhum tipo de eczema, doença de pele preexistente ou uso de plantas medicinais. Foi identificada neoplasia maligna de mama do subtipo molecular luminal A, posteriormente. Após mastectomia com linfadenectomia, houve apenas melhora parcial do quadro da eritrodermia. Atualmente, em uso de doxorrubicina. Conclusão: A paciente apresentou quadro clínico inicial condizente com o que se espera de eritrodermia, que pode estar associada ao surgimento de neoplasia maligna de mama. O presente relato é importante, pois pode auxiliar em diagnósticos diferenciais para a eritrodermia, mesmo na vigência de um quadro clínico atípico.

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Objective: To carry out an epidemiological characterization of Chilean men diagnosed with breast cancer. Material and method: A descriptive statistical analysis was carried out in male patients with breast cancer discharged from different Health Services between 2012 and 2018, using information obtained from the database of the Department of Health Statistics and Information (DEIS) and the National Statistics Institute (INE). Results: 497 cases of male breast cancer were reported in Chile. The annual prevalence is in a range between 0.56 to 1.11 cases per 100,000 men. The highest prevalence of the period was found in the Valparaíso region with 0.089 cases per 1000 men, followed by the Magallanes region and Chilean Antarctica with 0.082 cases per 1000 inhabitants. The Arica and Parinacota region registered 0.020 cases per 1000 inhabitants, being the region with the lowest prevalence. 41.25% (n = 205) were concentrated between 45 and 64 years, followed by 31.79% (n = 158) by the group between 65 and 79 years. The fatality rate varies between 2.08% in 2012 to 7.89% in 2014. Discussion: Our research showed a relationship with the few previous studies in terms of number of cases and prevalence, highlighting a higher prevalence in the regions of Valparaíso and Magallanes. Along the same line, an increase in the case fatality rate was observed compared to previous studies; however, these results should be interpreted with caution, taking into account the size of our study population compared to other national studies.. [ABSTRACT FROM AUTHOR]

Objective: To reveal the meanings and senses of nursing care, from the perspective of women who experience breast cancer in a situation of bone metastasis. Methods: Qualitative study based on Martin Heidegger's hermeneutic phenomenology. Twenty-four phenomenological interviews were carried out with women undergoing cancer treatment, in a public reference hospital located in the north of the country. The interviews took place in 2017 with the support of a semi-structured script. The testimonies were transcribed and analyzed in two moments: median comprehension and interpretation. Results: Women mean nursing care based on daily manifestations of zeal, affection, attention, concern, patience and professional competence. In turn, the meaning of nursing care for women is revealed in the impersonality and in the existence of the other, when women demonstrate a need to feel welcomed and recognized in their humanity. Conclusión: The results of the study demonstrate similarities in women's life experiences and suggest the need for reflections and actions to encourage nursing practices aimed at being-in-the-world and the different possibilities of care, given their different meanings and senses. [ABSTRACT FROM AUTHOR]

Objective. To evaluate the prognostic factors (clinicalpathological characteristics and treatments) in patients with breast cancer and metastasis to central nervous system (CNS) as the first site of the disease. Materials and methods. Kaplan-Meier method and life tables were used to estimate overall survival time over a retrospective cohort of 125 breast cancer patients treated at the Instituto Nacional de Cancerología (INCan) during 2007-2015, who presented metastasis to the CNS as the first site of extension of the disease. The cox proportional hazards model was used to determine the prognosis factors. Result. The median overall survival time was 14.2 months (IC95%: 11.83-26.93). Patients with triple negative (TN), according to inmunohistochemistry analysis classification, had lower survival times (p=0.0004) and had a risk of dying two times (p=0.037) higher than patients with a different immunophenotype (HR: 2.77. 95%CI: 1.10-6.99). The degree of intermediate SBR increases the risk of dying in patients with metastasis (HR 2.76, 95% CI: 1.17-6.51). Conclusion. CNS metastasis continues to be a poor prognostic factor that reduces survival and affects quality of life. It is recommended to monitor the early presence of clinical neurological manifestations during follow-up for prompt treatment. TN patients have worse prognosis and HER2+ a better control.

Copyright of Biomédica: Revista del Instituto Nacional de Salud is the property of Instituto Nacional de Salud of Colombia and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: to evidence the feelings and expectations of women regarding the diagnosis of breast cancer. Method: this is a descriptive study with a qualitative approach, developed with 12 women diagnosed with breast cancer in 2017 in Rio Branco - Acre, Brazil. Results: most of the women belonged to the age group of 50 to 59 years, with complete high school, married and with family income of 1 to 2 minimum wages. For most of them, the first symptom of the disease was the appearance of a breast lump, which is difficult to accept, as they revealed fear of death. The expectations for the future after the diagnosis were of hope and that a cure would come, in addition to feelings of gratitude for overcoming the disease and the desire to share their experience with other women; strengthening them to the challenges facing the illness. Conclusion: after confirming the diagnosis, it is necessary to carry out multiprofessional actions aimed at women, especially in relation to emotional aspects, so that they can experience this process feeling more welcomed and stronger. [ABSTRACT FROM AUTHOR]

Phyllodes tumor is an uncommon fibroepithelial neoplasia, with an epithelial benign component and mesenchymal component that can be malignant or benign and represents only 0.3 to 0.4 % of all breast tumours. It appears mainly in the female sex; a few male cases have been reported worldwide and they are unusual in girls and adolescents. It appears during the fourth or fifth decade of life. A case of a 49 year old patient is presented who came to the mastology consultation complaining of a protuberance which occupied the two left breast external quadrants. It was diagnosed by paraffin-embedded biopsy as benign phyllodes tumor of the breast. Due to the infrequent presentation of this entity, the publication of this case is considered of scientific value.

Introdução: A mama é uma região do corpo humano muito relevante na estética corporal feminina. Quando há presença de câncer, a mastectomia revela-se como um procedimento fundamental para o tratamento; contudo, produz impactos negativos à mulher. Objetiva-se descrever os sentimentos que emergem das mulheres com câncer de mama, submetidas à mastectomia total. Materiais e Métodos: Trata- se de um estudo descritivo, exploratório, com abordagem qualitativa realizado em um hospital de referência no tratamento do câncer, em Teresina-PI. Participaram doze mulheres com diagnóstico de câncer de mama submetidas à mastectomia total. A análise de dados ocorreu por meio de etapas: transcrição dos áudios, leitura flutuante dos diálogos, recorte textual em unidades de registro e formação de categorias. Resultados: A amostra correspondeu a 12 participantes, caracterizadas por serem mulheres que se declararam de cor parda, casada, com baixo grau de escolaridade, de religião católica e dona-de-casa. Discussão: Observou-se que emergiram sentimentos divergentes no tocante ao processo de mastectomia e prognóstico da doença. Verificou-se que a família, os amigos, os parceiros, a fé e crenças religiosas são elementos de crucial importância para que as mulheres se sintam seguras e fortalecidas no processo de restabelecimento da sua autoestima. Conclusões: Torna-se essencial o desenvolvimento de uma relação de confiança e incentivo entre a enfermagem e a mulher mastectomizadas, devendo ser criadas estratégias que tirem o foco da doença e complicações. Como citar este artigo: Rocha CB, Fontenele GMC, Macêdo MS, Carvalho CMS, Fernandes MA, Veras JMMF, et al. Sentimentos de mulheres submetidas à mastectomia total. Rev Cuid. 2019; 10(1): e606. http://dx.doi.org/10.15649/cuidarte.v10i1.606

Clinical guidelines can improve the quality and safety of health care by reducing inappropriate actions. However, the implementation of these documents is influenced by several factors. This study aimed to identify the barriers in the implementation of guidelines for early breast and cervical cancer detection in Brazil, as seen from the public health managers (SUS) perspective. This is a cross-sectional and exploratory research with quantitative-qualitative design, involving 60 managers. The implementation main barriers for breast cancer were: medical society conflicts (31.0%), low professionals' adherence (20.7%); and disorganization of health services (17.2%). For the cervical cancer, these are: little organizational tradition in the use of guidelines (25.0%); low professionals' adherence (21.4%); and disorganization of he alth services (21.4%). Other identified barriers were the precariousness of the information health system and high turnover of professionals. Regional differences stood out in the inappropriate demand of the population in the South Region and lack of financial resources in the North Region. The results reinforce the fact that inefficient communication does affect the medical practice. Moreover, the adherence of both professionals and users to recommendations are related to interdependent and synergistic conditions that become more relevant at the practical, systemic, and organizational dimensions. [ABSTRACT FROM AUTHOR]

Objective: To assess the impact of magnetic resonance imaging (MRI) on the locoregional staging of breast cancer. Materials and Methods: We evaluated 61 patients with breast cancer who underwent pre-treatment breast MRI, between August 2015 and April 2016. An experienced breast surgeon determined the surgical treatment, on the basis of the findings of conventional imaging examinations, and made a subsequent treatment recommendation based on the MRI findings, then determining whether the MRI changed the approach, as well as whether it had a positive or negative impact on the treatment. Results: The mean age was 50.8 years (standard deviation, 12.0 years). The most common histological type was invasive breast carcinoma of no special type (in 68.9%), and the most common molecular subtype was luminal B (in 45.9%). Breast MRI modified the therapeutic management in 23.0% of the cases evaluated, having a positive impact in 82.7%. Conclusion: Breast MRI is an useful tool for the locoregional staging of breast cancer, because it provides useful information that can have a positive impact on patient treatment. [ABSTRACT FROM AUTHOR]

Copyright of Radiologia Brasileira is the property of Radiologia Brasileira and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Cadernos de Saude Publica is the property of Escola Nacional de Saude Publica Sergio Arouca and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Nursing UFPE / Revista de Enfermagem UFPE is the property of Revista de Enfermagem UFPE and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Introduction: Breast is a part of human body that is very important for women's body image. When cancer appears, mastectomy is revealed as a fundamental procedure for its treatment. However, it has a negative impact on women. This study aims to describe the feelings of women with breast cancer who undergo a total mastectomy. Materials and Methods: An exploratory descriptive study with a qualitative approach was conducted in a reference hospital for cancer treatment in Teresina, PI. Twelve women that were diagnosed with breast cancer and underwent a total mastectomy participated in the study. Data analysis was made in stages: audio transcription, fluctuating reading of dialogues, textual excerpts in record units and category creation. Results: 12 participants were in the sample, characterized as women who declare themselves to be dark-skinned, married, low educated, catholic and housewives. Discussion: Divergent feelings were observed regarding the mastectomy process and disease prognosis. It was verified that family, friends, supporters, faith and religious beliefs are key elements for women to feel safe and strong in the process of rebuilding their self-esteem. Conclusions: It is essential to develop a relationship of trust and encouragement between nurses and the woman undergoing the mastectomy. For this, it will be necessary to create strategies whose focus moves away from the disease and its complications. [ABSTRACT FROM AUTHOR]

Breast cancer in men is rare; it represents 0.6% of all breast carcinomas and less than 15% of all cancers in men. The intracystic papillary carcinoma of the breast in men is extremely rare with only a few reports in the current literature. It represents 5 to 7.5% of all breast cancers in men. The exact etiology of breast cancer in men is currently unknown. However, some risk factors have been reported such as: gynecomastia, exposure to radiation, imbalance in the estrogen-testosterone ratio, androgen deficiency, obesity, family history of breast cancer, mutations in BRCA 1 and BRCA 2 genes. We report a case of a 78 year old man with no significant clinical history, that presents with thickening and ulceration of the skin, retraction of the nipple with occasional telorrhea and a palpable nodule. Mammography revealed a retroareolar oval nodule, complemented by ultrasound and magnetic resonance imaging observing a predominantly cystic heterogeneous lesion with a solid mural component. An ultrasound guided biopsy was performed confirming the diagnosis. [ABSTRACT FROM AUTHOR]

RESUMO O câncer de mama é a neoplasia de maior ocorrência no mundo, e o linfedema é uma das complicações mais frequentes do tratamento. O aumento do índice de massa corporal é um dos fatores de risco para linfedema após o tratamento do câncer de mama. O objetivo deste estudo foi verificar a incidência de linfedema em mulheres mastectomizadas com sobrepeso e obesidade. Os resultados mostraram que o risco de linfedema em mulheres com sobrepeso e obesidade foi quatro vezes maior (Odds Ratio, OR=3,887). Quanto maior o índice de massa corporal, maior a probabilidade de linfedema, com aumento do risco relativo de 40% para obesidade II.