Lozano-Ascencio Rafael, Gómez-Dantés Héctor, Lewis Sarah, Torres-Sánchez Luisa, López-Carrillo Lizbeth
Institute for Health Metrics and Evaluation, University of Washington, 2301, 5th Ave, Suite 600, Seattle, WA 98121, USA.
Salud Publica Mex. 2009;51 Suppl 2:s147-56. doi: 10.1590/s0036-36342009000800004.
Breast cancer is currently the most significant cause of death from malignancies in Latin American women, including cervical cancer.
Describe the magnitude and spatial-temporal distribution of breast cancer in Latin America and the Caribbean (LAC) from 1979-2005.
National and international incidence and mortality statistics were reviewed and organized (registries, databases, and published literature), basic estimators and mortality ratios for each country were calculated and trends were analyzed.
Despite substantial data gaps in incidence for many countries, an increase in incidence and mortality is observed in LAC countries. Deaths/cases ratios illustrate problems in access to detection and treatment and the greatest gaps are observed in poorer countries.
A regional effort is needed to improve information systems related to cancer in general and breast cancer in particular. It is imperative to develop strategies to improve diagnostic infrastructure in order to achieve early detection and effective treatment and halt the upward trend in premature mortality.
乳腺癌目前是拉丁美洲女性（包括宫颈癌患者）因恶性肿瘤死亡的最主要原因。
描述1979年至2005年拉丁美洲和加勒比地区（LAC）乳腺癌的发病规模及时空分布情况。
对国家和国际发病率及死亡率统计数据进行回顾和整理（登记处、数据库及已发表文献），计算每个国家的基本估计值和死亡率，并分析趋势。
尽管许多国家在发病率数据方面存在重大缺口，但LAC国家的发病率和死亡率仍呈上升趋势。死亡/病例比显示出在检测和治疗可及性方面存在问题，且在较贫穷国家差距最大。
需要开展区域努力，以改善总体上与癌症相关、特别是与乳腺癌相关的信息系统。必须制定战略来改善诊断基础设施，以便实现早期检测和有效治疗，并遏制过早死亡率上升的趋势。
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