The breast-conserving surgery of women with breast cancer in Podlaskie Voivodeship (Poland). Population study
Journal Title: Annals of Agricultural and Environmental Medicine - Year 2013, Vol 20, Issue 2
Abstract
Introduction. The results of breast cancer treatment depend mainly on better detection in mammography screening and, consequently, a higher proportion of women with early stage of the disease. They depend also on a better access to health care services and the effectiveness of oncological treatment. One of the methods of breast cancer control is a breast-conserving surgery. With a proper patients’ classification for the treatment, the results of the breast-conserving surgery do not differ in relation to mastectomy. That’s why, the availability of breast-conserving surgical methods is particularly important, especially in a population in which a population screening is conducted.Objective. The analysis of the selected aspects of the breast cancer treatment’s standard in Podlaskie Voivodeship.Patients and methods. In years 2001–2002, 709 cases of women with breast cancer were reported to the Voivodeship Cancer Registry in Bialystok. 659 women were diagnosed with a primary invasive breast cancer. Based on a cohort of 499 women treated with radical methods the following indicators, recommended by WHO for the evaluation of the breast-conserving surgery’s availability, were calculated: a percentage of patients with whom breast-conserving surgery was used, a proportion of breast cancer cases receiving post-operative breast radiotherapy after breast-conserving surgery and a proportion of breast-conserving surgery in pT1 cases.Results. The breast-conserving surgery has been used much less frequently in Podlaskie Voivodeship than in Western Europe, but more frequently than in Poland in general.Conclusion. It should be aimed to provide a surgical treatment with the use of breast-conserving surgical methods to the highest possible percentage of patients. The increase of the percentage of patients treated with breast-conserving surgery methods can be a result of an effective screening realisation.
Authors and Affiliations
Dominik Maślach, Michalina Krzyżak, Andrzej Szpak, Iwona Bojar, Magdalena Bielska-Lasota, Alfred Owoc
Keywords
Related Articles
- EP ID EP80637
- DOI -
- Views 113
- Downloads 0
Public health hazards in Poland posed by foodstuffs contaminated with [i]E.Coli[/i] O104:H4 bacterium from the recent European out break
Shiga toxin producing [i]Escherichia coli[/i] (STEC) are the most virulent diarrhoeagenic [i]E. coli [/i]known to date. They can spread with alarming ease via the food chain, as recently demonstrated by the large outbrea...
Sexual initiation of youths in selected European countries compared with their sexual and contraceptive knowledge
The problem of educating youths entering adult life is as old as the history of mankind. The data shown in the introduction indicate that the methods of education depend on culture, religion, climatic zone, and a whole c...
Lipid pattern in middle-aged inhabitants of the Lower Silesian region of Poland. The PURE Poland sub-study
Introduction. A decreased serum high density lipoprotein-cholesterol (HDL-C) is a strong predictor of cardiovascular risk. However, total HDL is a very dynamic, changeable fraction, and does not perform the function of a...
Testing of human specimens for the presence of highly pathogenic zoonotic avian influenza virus A(H5N1) in Poland in 2006-2008 - justified or unnecessary steps?
Since 1997, human infections with highly pathogenic zoonotic avian influenza viruses have shown that the risk of influenza pandemic is significant. In Europe, infections caused by the highly pathogenic avian influenza A(...
Effect of isopropyl methylphosphonofluoridate (IMPF) poisoning on selected immunological parameters of angiogenesis
introduction and objective. Acetylcholinesterase (AChE) and cholinergic receptors play an important role in the immune system, including lymphocyte-induced angiogenesis. However, their exact role is not fully understood....