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سرطان الثدي
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Tishreen University ورقة بحثية
Publication date
2018
fields
Medicine
and research's language is
العربية
Authors
ناظم ابراهيم رنجوس( باحث )
Created by
Shamra Editor
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- شملت الدراسة 143 مريضة لديهن إصابة بسرطان الثدي و اللواتي راجعن مستشفيي الأسد و تشرين الجامعين باللاذقية في الفترة الواقعة بين عامي 2014-2017 أي أربعة أعوام . - تم توزيع المرضى حسب حجم الكتلة المكتشفة إلى ثلاثة مجموعات و لاحظنا أن النسبة الأكبر هي للكتل أكبر من 2سم و حتى 5سم . - الفئة العمرية الأشيع في الدراسة كانت بين 50- 60 سنة من العمر بنسبة 54.54 % تليها 50-40سنة بنسبة23.77%. - كانت نسبة الاستئصال الجذري المعدل 57.34% من الطرق الجراحية أما الجراحة المحافظة كانت نسبتها %9.79. - السرطانة القنوية في الثدي أكثر شيوعاً من السرطانة الفصيصية بمعدل1/2. - المضاعفات كانت نسبتها %32.86وكانت بسيطة و تم تدبيرها بشكل جيد .
-The study covered 143 famale patients with Breast cancer that have visited AL ASSAD and Tishreen University Hospital of LATAKIA in 2014-2017 (Four years) . -The patients were divided into three groups depending on diameter of the Mass, we found out that the most masses were between (2-5cm) in diameter . -The largest age group in our study was (50-60)years,54.54% then (40-50) years,23.77% . -57.34% of procedures were modified radical mastectomy, while 9.79% were conservative surgeries . -It has been noted that the incidence rate of the invasive Ductal carcinoma to Lobular carcinoma was 2/1 . All complications were simple and properly managed and their rate were 32,86%.
References used
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Schwartz's, F. Charles Brunicardi . Principles of Surgery . Ninth edition, Houston,Texas,2009, p(1866),(423-469)
Howlader n, noone am, Krapcho m, Miller d, bishop k, kosary cl , yu m,Ruhl J, Tatalovich , Mariotto A, Lewis dr, chen us, Feuer Ej, cornina ka
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Background& Objective: Determining the risk of distant metastasis in invasive breast cancer patients
with lesions measuring 40 mm or less, and comparing the risk between quadrantectomy with axillary
dissection and modified radical mastectomy with a
xillary dissection.
Materials & Methods: The study was performed prospectively by evaluating a random sample of invasive
breast cancer patients with lesions measuring 40 mm or less, who presented to Al-Byroni University
Hospital in Damascus during one year between 9/8/2009 and 9/8/2010.
Results: Ninety-four breast cancer patients were evaluated. The median age of patients was 54 years.
Excisional biopsy was the most common diagnostic tool (41%), and frozen section was used in 27% of
patients. The tumor was located in the upper lateral quadrant in 65% of patients. The tumor was in stage
one in only 13% of cases, and most tumors were in stage II (63%). Modified radical mastectomy with
axillary dissection was performed in 62 patients (66%), and quadrantectomy with axillary dissection was
performed in 32 patients (34%). The patients were followed for up to 18 months. Distant metastasis were
observed in 8 patients (13%) from the first group and 6 patients (19%) of the second group.
Conclusion: There is no important difference of risk of distant metastasis after modified radical
mastectomy or quadrantectomy in breast cancer lesions measuring 40 mm or less. We recommend
quadrantectomy as the first-line surgical treatment for breast cancer when indicated.
Breast cancer is the second leading cause of death of women in the world. The early detection gives a
better chance to cure it. Physicians diagnose breast tumors by analyzing the characteristics of the lesion in
ultrasound images. Shape data, provi
ded by a tumor contour, is important to physicians in making
diagnostic decisions. However, due to the increasing use of technology in medicine, a computer aided
detection systems (CAD) have been built to help the expert. This research focuses on using a level-set
method as an effective lesion segmentation method for breast ultrasound images. By applying non-local
means filter on image, the unwanted speckle noise will be removed and the image's important details will
be preserved. Then the initial contours are sketched using the GUI in order to apply level-set method
which delineates the contour of the lesion in breast ultrasound image. The proposed method was found to
determine the breast tumor contours that are very similar to manual-sketched contours (about 96%).
A retrospective study included 25 cases with inflammatory breast cancer. The patients were admitted to AL-Assad University Hospital, Lattakia, Syria (average age 55, and range 49-61 years old). The most common clinical signs and symptoms were: erythe
ma 100%, edema 100%, enlarged axillary nodes 100%, Nipple flattened/inverted 96%, warm Breast 92%, Ridges/thickening of breast 84%, Peau d’orange 88%, painful/tender Breast 88%, and Mass 80%. Mammography findings were: an increase in skin thickness 100%, an increased tissue density in the involved breast 100%, and an asymmetric widening of the sub-cutaneous lymphatic vessels 33.33%. 80% of cases were diagnosed as stage IV. All patients received primary neoadjuvant chemotherapy for three cycles. After that a modified radical breast mastectomy and axillary lymph nodes dissection were performed for all patients. The wound edges were closed primarily after dissecting the skin in 76%, for 4 patients 16% a split-thickness skin grafts were performed, and for 2 patients 8% a Latissimus dorsi pedicled myocutaneous flap was performed.
Background: A cancer patient demands information, not only to assist him to understand the disease and its treatment, but also to allow him to interpret the negative events and action taken, through the course of disease, so that the threat inherent
from the diagnosis and treatment becomes lessened.
Methods: With the goal of studying the information needs and source of information of women with breast cancer who were receiving chemotherapy, 60 patients were invited to complete a self-administered questionnaire which consists of 47 item about information needs and 3 questions about sources of information with three choices (personnel, printed materials and mass media). They fill it at the early stage of their chemotherapy treatment.
Results :The results showed that the majority of patients reported high level of information needs. Cancer and its spread, treatment, and side effects of chemotherapy as well as its management were priority information needs, in addition to the possibility of cancer occurrence among sisters and daughters. Results also demonstrated that the patients depended on doctors and other patients as sources of information more than on nurses and the internet.
Conclusion: Findings indicate that there is a need for the provision of education program that addresses patients' information needs. Moreover, there is a necessity for ascertaining the role of educational nursing in affording holistic nursing care for breast cancer patien
Background: people with cancer experience great changes in their life as a result of disease, treatment and disease prognosis which affect their quality of life .with the goal of investigating breast cancer patient's quality of life during chemother
apy in Tishreen hospital in Latakia..
Methods: 60 patients were invited to complete the European organization of research and treatment quality of life questionnaire version 3 and breast cancer quality of life module during their early stage of chemotherapy.
Results : the results show that the (73.3%) were under the age of fifty and half of them reported total health status score under (50) which reflects low quality of life in addition to impaired psychological ,social, cognitive and role functioning. Also more than 67% of patient suffered from chemotherapy- related side effects as nausea and vomiting, dyspnea, loss of appetite, insomnia, and fatigue. In addition to variance in quality of life scores according to age, marital status, occupation and level of education without changing of it by educational level. In addition to that the majority of patient had impaired sexual function and upset of hair loss and arm symptoms but with positive and optimistic future.
perspective. No significant differences in quality of life scores were found between urban and rural patients. Conclusion. Health care provider should assess routinely cancer patient quality of life during treatment to ascertain of providing appropriate care with supportive services for all patients
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