2023, Number 3
<< Back Next >>
Aten Fam 2023; 30 (3)
Clinical-Epidemiologic Characterization of Patients with Breast Cancer in a Family Medicine Unit
Sosa-Martínez MJ, Urbina-Aranda II, Ramírez-Ríos R, Ocampo-Rentería T, Espino-Rodríguez Y, Pérez-Saldívar ML
Language: Spanish
References: 37
Page: 206-211
PDF size: 147.55 Kb.
ABSTRACT
Objective: analyze the clinical-epidemiological
characterization of patients
with breast cancer in the Family Medicine
Unit (UMF) No. 9, of the Mexican
Institute of Social Security (IMMS) in
Acapulco, Mexico from 2018 to 2021.
Methods: cross-sectional, descriptive,
retrospective study which included 71
patients with a positive diagnosis of
breast cancer, assigned to the fmu No.
9, in Acapulco, Mexico, from 2018
to 2021. The studied population was
obtained from the Institutional Cancer
Registry of the Epidemiology system;
the source of information was the
electronic clinical record, from which
clinical-epidemiological information,
mammography report, histopathological
result, and clinical stage were collected.
Descriptive statistics were performed
using simple frequencies and percentages
with the obtained data.
Results: 46.4%
(33/71) of breast cancer cases were
registered in 2018. 32.4% were 61-70
years old, 98.6% were women, 42.3%
were overweight, and 31.0% had type
2 diabetes mellitus (DM2). According
to the BI-RADS (B) classification, 38.0%
presented a b4. Regarding the histopathological
report, ductal carcinoma
was the most common with 76.1%
(54/71).
Conclusions: a significant percentage
of breast cancer was detected in
patients who were overweight, and had
type 2 diabetes mellitus, nearly 40% of
the patients had lesions of intermediate
suspicion of malignancy, while three
quarters of the patients presented with
ductal carcinoma. It is extremely important
to strengthen the primary care level
through health promotion, and encourage
breast and clinical self-examination
during the first medical contact to detect
risk factors and clinical signs suggestive
of the disease, which will reduce morbidity
and mortality.
REFERENCES
Yazdani-Charati R, Hajian-Tilaki K, SharbatdaranM. Comparison of pathologic characteristics ofbreast cancer in younger and older women. CaspianJ Intern Med. 2019; 10(1):42-47.
Bernal-Salazar MJ, González HC, López-SánchezNL, Juárez-Lira A, Mancera-Roque H, Hernández-Castañón MA, et al. Asociación del cáncer demama con síndrome metabólico y estado nutricionalen mujeres en Querétaro, México. Rev Actualizaciónen Nutrición. 2016;17(4):102-108.
Organización Panamericana de la Salud (OPS).Cáncer de mama [Internet]. [Citado 2023 Ene 5].Disponible en: https://www.paho.org/es/temas/cancer-mama
Ferlay J, Colombet M, Soerjomataram I, MathersC, Parkin D, Piñeros M, et al. Estimating theglobal cancer incidence and mortality in 2018:GLOBOCAN sources and methods. Int J Cancer.2019;144(8):1941-1953.
Osorio-Bazar N, Bello-Hernández C, Vega-BazarL. Factores de riesgo asociados al cáncer de mama.Rev Cubana Med Gen Integr. 2020;36(2):1-6.
Palacio-Mejía LS, Lazcano-Ponce E, Allen-LeighB, Hernández-Ávila M. Diferencias regionalesen la mortalidad por cáncer de mama y cérvix enMéxico entre 1979 y 2006. Salud Pública Mex.2009;51(Suppl.2):208-219.
Instituto Nacional de Estadística y Geografía(INEGI). Estadísticas a propósito del día mundialde la lucha contra el cáncer de mama [Internet].[Citado 2021 junio 16]. Disponible en: https://www.inegi.org.mx/contenidos/saladeprensa/aproposito/2020/Cancermama20.pdf
Instituto Mexicano del Seguro Social. Guía Técnicapara la Atención Integral del Cáncer de Mama[Internet]. [Citado 2021 Jul 26]. Disponibleen: https://imsssalinacruzoaxaca.files.wordpress.com/2019/11/guc3ada-cama_2019.pdf
Secretaria de Salud. Norma Oficial MexicanaNOM-041-SSA2-2011 [Internet]. [Citado 2021Jul 26]. Disponible en: http:www.salud.gob.mx/unidades/cdi/nom/041ssa202.html
Bhattacharjee A, Bhattacharyya T, Thomas A. Humanepidermal growth factor receptor 2 borderlinemortality in breast cancer patients: evidencefrom surveillance, epidemiology, and end resultsprogram population-based study. Clin EpidemiolGlobal Health. 2018;6(2):88–93.
Bertehelli-Carona I, Ángeles-Casas M, Mejía-MirandaN, Martínez Ángeles, J. Obesidad en mujerescon cáncer de mama en un hospital generalde zona de Hidalgo, México. Atención Familiar.2018;25(1):3-6.
División de Prevención y Control del Cáncer, Centrospara el Control y la Prevención de Enfermedades[Internet]. [Citado 2021 junio 16]. Disponibleen: https://www.cdc.gov/spanish/cancer/breast/basic_info/risk_factors.htm
World Health Organization. Cáncer de mama [Internet][Consultado 2021 junio 16]. Disponibleen: https://www.who.int/news-room/fact-sheets/detail/breast-cancer
Durruthy LS, Toirac RR, Rubio-Hernández MC,Fitz AT, Camejo YC, Madruga TG. Factores deRiesgo reproductivo en pacientes con cáncer demama. Rev Archivo del Hospital Universitario“Calixto García”. 2017;5(1):13-19.
Adeloye D, Sowunmi OY, Jacobs W, David RA,Adeosun AA, Amuta AO, et al. Estimating theincidence of breast cancer in Africa: a systematicreview and meta-analysis. J Glob Health.2018;8(1):010419.
Torre LA, Bray F, Siegel RL, Ferlay J, Lortet-TieulentJ, Jemal A. Global cancer statistics, 2012. CACancer J Clin. 2015;65(2):87–108
Ferlay J, Soerjomataram I, Dikshit R, Eser S,Mathers C, Rebelo M, Parkin DM, Forman D,Bray F. Cancer incidence and mortality worldwide:sources, methods and major patterns in GLOBOCAN2012. Int J Cancer. 2015;136(5):E359-86.
Ghoncheh M, Pournamdar Z, Salehiniya H. Incidenceand Mortality and Epidemiology of BreastCancer in the World. Asian Pac J Cancer Prev.2016;17(S3):43–46.
Guía de Práctica Clínica: Tratamiento del cáncer demama en segundo y tercer nivel de atención [Internet].[Citado 2021 junio 16]. Disponible en: imss.gob.mx/sites/all/statics/guiasclinicas/232GER.pdf
Ramos-Águila YC, Marimón-Torres ER, Crespo-González C, Junco-Sena B, Valiente-Morejon W.Cáncer de mama, su caracterización epidemiológica.Rev Ciencias Médicas. 2015;19(4):619-629.
Solano-Piza RI, Joanico-Morales B, Candelario-Cruz R, Sierra-López L, Salgado-Jiménez MA,Rodríguez-Echeverría G. Características epidemiológicas,radiológicas e histológicas de cáncer demama en usuarias de un hospital general regionalen Guerrero, México. Aten Fam. 2022;29(1):20-24.
Maffuz-Aziz A, Labastida-Almendaro S, Espejo-Fonseca A, Rodríguez-Cuevas S. Característicasclinicopatológicas del cáncer de mama en una poblaciónde mujeres en México. Cirugía y Cirujanos.2017; 85(3):201–207.
Ferlay J, Shin HR, Bray F, Forman D, MathersC, Parkin DM. Estimates of worldwide burden ofcancer in 2008: GLOBOCAN 2008. Int J Cancer.2010;127(12):2893-917.
Ly D, Forman D, Ferlay J, Brinton LA, CookMB. An international comparison of male and femalebreast cancer incidence rates. Int J Cancer.2013;132(8):1918-1926.
Instituto Nacional de Cancerología. Anuario Estadístico2010 [Internet]. [Citado 2022 Sep 4]. Disponibleen: http://www.cancer.gov.co/documentos/Anuario%20Estaditico/2010/Anuario%20Impreso_2010.pdf
Abdelwahab Yousef AJ. Male Breast Cancer:Epidemiology and Risk Factors. Semin Oncol.2017;44(4):267–272.
Lundqvist A, Andersson E, Ahlberg I, NilbertM, Gerdtham U. Socioeconomic inequalities inbreast cancer incidence and mortality in Europe-asystematic review and meta-analysis. Eur J PublicHealth. 2016;26(5):804–813.
Cóppola F, Nader J, Aguirre R. Metabolismo delos estrógenos endógenos y cáncer de mama. RevMed Urug. 2005;21(1):15-22.
Herrera-Pastrana IL, Albavera-Hernández C,Morales-Jaimes R, Ávila-Jiménez L. Característicasclínicas y epidemiológicas de cáncer de mama enun hospital general de Cuernavaca, México. AtenFam. 2021;28(2):101-105
Rui L, Guijuan Z,Fengjie B, Min M, Yi M. Eugenol suppresses thedevelopment of estrogen receptor-positive precancerousbreast lesions and regulates estrogen receptor-related proteins. Acta Medica Mediterr. 2018;34(6):1821-1827.
J.R. Harris, M.E. Lippman, M. Morroe, C.K.Osborne. Disease of the breast. 3.a ed, LippincottWilliams and Wilkins, (2004), pp. 47-56.
Gomes C, Vieira AM, Gonçalves P, Naves W. Principaleshallazgos de los exámenes de ultrasonografíade mama y clasificación BI-RADS. Rbus- BrasilianJ Ultraso. 2020;28(28):9-12.
Li J, Zhang BN, Fan JH, Pang Y, Zhang P, WangSL, et al. A Nation-Wide multicenter 10-year(1999-2008) retrospective clinical epidemiologicalstudy of female breast cancer in china. BMCCancer. 2011;11:364.
Balekouzou A, Yin P, Pamatika CM, BishwajitG, Nambei SW, Djeintote M, et al. Epidemiologyof breast cancer: retrospective studyin the Central African Republic. BMC PublicHealth.2016;16(1):1230.
Ramírez-Valle M, García-Montesino G, Lores-Hechevarría C, Sánchez-Azcuy Y, Márquez-HernándezC. Histología e inmunohistoquímica delcáncer de mama invasivo en la provincia de Pinardel Río. Rev. Ciencias Médicas. 2019;23(1):71-78.
Shankar S, Boyanagari M, Boyanagari VK, ShankarM, Shankar-Ayyanar R. Profile of breast cancerpatients receiving government sponsored freetreatment and the associated economic costs. ClinEpidemiol Global Health. 2018;6(4):203–207.
Hassanipour S, Maghsoudi A, Rezaeian S, Arab-Zozani M, Mokhtari AM, Abdzadeh E, et al. Survivalrate of breast cancer in eastern mediterraneanregion countries: a systematic review and metaanalysis.Ann Global Health. 2019;85(1):138.