亚马逊河流域帕拉州贝伦市和阿纳宁德阿市的乳腺癌流行概况和趋势

Thiago Augusto Ferreira dos Anjos, A. M. Monteiro, Raquel Gomes da Silva, Kézia Dias Lopes, Lucrécia Aline Cabral Formigosa, Luciana Ferreira dos Santos, Patrícia Santos Martins, Marcela Raíssa Asevedo Dergan
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摘要

导言:乳腺癌是一个公共卫生问题,其特点是乳腺组织中恶性细胞不受控制地生长,是女性最常见的癌症类型,也是世界上女性死亡的主要原因之一:在亚马逊帕拉州的贝伦市和阿纳宁德阿市开展乳腺癌流行病学概况和趋势调查:这是一项生态学、时间序列、回顾性、描述性、定量和分析性研究,数据来自帕拉州人口癌症登记处/州公共卫生局与奥菲尔-洛约拉医院(RCBP/SESPA/HOL)的合作:在社会人口统计学特征中,已婚变量(婚姻状况)的病例数和比例最高,为 1712 例(37%),其次是无数据的 1214 例(26%),再次是单身变量,为 1079 例(23%)。此外,棕色人种以 1627 例(35%)的总病例数位居第一,在学校教育方面,无信息数据的病例数最多,为 1638 例(35%),其次是高中(旧高中),为 1172 例(25%)。在肿瘤形态方面,浸润性导管癌在 3 309 例(71%)中占很大比例,其次是无其他规格的癌,有 284 例(6%),第三位是恶性肿瘤,有 245 例(5%)。就地形而言,在所有病例中,乳房占第一位,有 2779 例(60%),其次是乳房外上象限,有 727 例(16%),第三位是乳房浸润性病变,有 515 例(11%),而在这两个市中,贝伦市的病例数为 3872 例,阿那宁德阿市为 787 例。结论所提供的数据以及乳腺癌的流行病学指标,如疾病的趋势、决定系数、相关性和死亡率,都具有重要意义,从而阐明了一个公共卫生问题,因为贝伦市和阿纳宁德阿市的流行病学概况正在不断增加。
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Epidemiological Profile and Trends of Breast Cancer in the Municipalities of Belém and Ananindeua, Pará State, Amazon
Introduction: Breast cancer is a public health problem, characterized by an uncontrolled growth of malignant cells in breast tissue and the most common type of cancer among women, representing one of the main causes of death in the world. Objective: To carry out an epidemiological profile and trend of breast cancer in the municipalities of Belém and Ananindeua, state of Pará, Amazonia. Methods: This is an ecological, time-series, retrospective, descriptive, quantitative and analytical study, where data were collected from the Population-Based Cancer Registry/State Department of Public Health of the State of Pará in partnership with the Ophir Loyola Hospital (RCBP/SESPA/HOL). Results: The sociodemographic profile, the variable married (marital status) had the highest number of cases and percentage in 1712 (37%), followed by data without information 1214 (26%), followed by the single variable with 1079 (23%). In addition, the brown race was in first place with 1627 (35%) total cases, in schooling the data without information had the highest quantity in 1638 (35%), followed by high school (Old High School) in 1172 (25%). In tumor morphology, infiltrating ductal carcinoma was significant in 3309 (71%), followed by carcinoma without other specifications (NOS) with 284 (6%), in third place malignant neoplasm in 245 (5%). Regarding topography, in the total number of cases, breast was in first place with 2779 (60%), then the upper outer quadrant of the breast in 727 (16%), in third place invasive lesion of the breast 515 (11%), while in the two municipalities Belém had higher cases 3872, compared to Ananindeua 787. Conclusion: The data presented, as well as the epidemiological indicators of breast cancer, such as the trend of the disease, the coefficients of determination, correlation and mortality, were significant, thus elucidating a public health problem, since the epidemiological panorama in the cities of Belém and Ananindeua is increasing.
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