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世界上大多数地区的女性乳腺癌患者在寻求医疗建议方面存在延误和就诊较晚的情况。我们能否做出改变?以埃及塞得港的 23 年经验为例。

Delay in seeking medical advice and late presentation of female breast cancer patients in most of the world. Could we make changes? The experience of 23 years in port said, egypt.

机构信息

Faculty of Medicine, Suez Canal University, Ismailia ; Alsoliman Radiation Oncology Unit, Egypt ; Early Detection and Cancer Chemotherapy Unit, Port Said General Hospital, Egypt ; Insurance Hospital, Port Said, Egypt.

出版信息

Breast Care (Basel). 2008 Mar;3(1):37-41. doi: 10.1159/000113936.

DOI:10.1159/000113936
PMID:20824019
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2931017/
Abstract

BACKGROUND

In the low and middle income countries delays in seeking consultation, late presentation, and the availability of breast cancer management for all patients, represent major challenges.

MATERIALS AND METHODS

The delay in seeking medical advice and the pathological tumor size of females breast cancer patients in the years 2004-2006 in Port Said, Egypt were studied and compared with previous studies by Elzawawy published since 1987. We report the progress of availability of breast cancer management from 1984 until the end of June 2007.

RESULTS

There was a decline in advanced cases. Mean time from a symptom to seeking advice was 18, 8, 3, and 1 month respectively in 1987, 1989, 1999, and 2007. Since 1984, facilities for all lines of comprehensive management have been established, interconnected, and been made accessible for all citizens, free of charge.

CONCLUSION

Breast cancer problems are characterized by a certain multi-complexity. There is no one single cause for late cases. However, we report that the availability of cancer management facilities could lead to earlier presentation. Early detection programs would be frustrating for both patients and health authorities if patients were unable to afford accessible treatment.

摘要

背景

在中低收入国家,寻求咨询的延迟、晚期就诊以及所有患者都能获得乳腺癌治疗,这些都是主要的挑战。

材料与方法

本研究对 2004-2006 年埃及塞得港女性乳腺癌患者寻求医疗建议的延迟和肿瘤病理大小进行了研究,并与 Elzawawy 自 1987 年以来发表的以往研究进行了比较。我们报告了自 1984 年至 2007 年 6 月底乳腺癌管理的供应进展情况。

结果

晚期病例有所减少。1987 年、1989 年、1999 年和 2007 年,从症状出现到寻求建议的平均时间分别为 18、8、3 和 1 个月。自 1984 年以来,已经建立了所有综合管理线的设施,它们相互连接,并向所有公民免费开放。

结论

乳腺癌问题的特点是具有一定的复杂性。晚期病例没有单一的原因。然而,我们报告说,癌症管理设施的供应可以导致更早的就诊。如果患者无法负担可及的治疗,那么早期发现计划对患者和卫生当局来说都是令人沮丧的。

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