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海地的宫颈癌治疗:一种适用于资源匮乏地区的垂直整合模式。

Cervical cancer treatment in Haiti: A vertically-integrated model for low-resource settings.

作者信息

DeGennaro Vincent, Shafer Madelyn, Kelly Meagan, Cornely Jean Ronald, Bernard Joseph

机构信息

Innovating Health International, Port-au-Prince, Haiti.

Department of Medicine, Florida International University College of Medicine, Miami, FL, United States of America.

出版信息

Gynecol Oncol Rep. 2019 Mar 16;28:71-75. doi: 10.1016/j.gore.2019.03.009. eCollection 2019 May.

DOI:10.1016/j.gore.2019.03.009
PMID:30963084
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6434067/
Abstract

•Raising awareness is critical to any cancer program and through our outreach events we were able to educate 33,258 women.•We have treated over 4500 women with VIA and cryotherapy or thermocoagulation.•At least 30 of our patients are currently receiving individualized chemotherapy, whether neoadjuvant, adjuvant or palliative.•We have brought 17 qualified patients to the operating room for radical hysterectomy.•Our goal is to train and establish an independently functioning Haitian oncology program.

摘要

•提高认识对任何癌症项目都至关重要,通过我们的外展活动,我们成功教育了33258名女性。

•我们已为4500多名女性进行了醋酸肉眼检查、冷冻疗法或热凝治疗。

•目前至少有30名患者正在接受个体化化疗,无论是新辅助化疗、辅助化疗还是姑息化疗。

•我们已将17名符合条件的患者送往手术室进行根治性子宫切除术。

•我们的目标是培训并建立一个能够独立运作的海地肿瘤项目。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34bf/6434067/a5899c07eb2b/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34bf/6434067/a5899c07eb2b/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34bf/6434067/a5899c07eb2b/gr1.jpg

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本文引用的文献

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Cervical cancer: lessons learned from neglected tropical diseases.宫颈癌:从被忽视的热带病中汲取的教训
Lancet Glob Health. 2019 Mar;7(3):e299-e300. doi: 10.1016/S2214-109X(18)30533-3. Epub 2019 Feb 3.
2
Epidemiological, Clinical, and Histopathological Features of Breast Cancer in Haiti.海地乳腺癌的流行病学、临床及组织病理学特征
J Glob Oncol. 2018 Sep;4:1-9. doi: 10.1200/JGO.17.00135.
3
Implementing Radiation Therapy in Haiti: Current Status and Future Directions.海地放射治疗的实施:现状与未来方向。
Cervical cancer: a meta-analysis, therapy and future of nanomedicine.
宫颈癌:纳米医学的荟萃分析、治疗与未来
Ecancermedicalscience. 2020 Sep 24;14:1111. doi: 10.3332/ecancer.2020.1111. eCollection 2020.
Int J Radiat Oncol Biol Phys. 2018 Nov 1;102(3):478-482. doi: 10.1016/j.ijrobp.2018.06.025.
4
Community-based diagnosis of non-communicable diseases and their risk factors in rural and urban Haiti: a cross-sectional prevalence study.海地城乡地区基于社区的非传染性疾病及其危险因素诊断:一项横断面患病率研究。
BMJ Open. 2018 Apr 20;8(4):e020317. doi: 10.1136/bmjopen-2017-020317.
5
Barriers and Challenges to Treatment Alternatives for Early-Stage Cervical Cancer in Lower-Resource Settings.资源匮乏地区早期宫颈癌治疗替代方案的障碍与挑战
J Glob Oncol. 2017 May 11;3(5):572-582. doi: 10.1200/JGO.2016.007369. eCollection 2017 Oct.
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Bevacizumab in Advanced Cervical Cancer: Issues and Challenges for Low- and Middle-Income Countries.贝伐单抗治疗晚期宫颈癌:低收入和中等收入国家面临的问题与挑战
J Glob Oncol. 2016 Jul 27;3(2):93-97. doi: 10.1200/JGO.2016.004895. eCollection 2017 Apr.
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Management and Care of Women With Invasive Cervical Cancer: American Society of Clinical Oncology Resource-Stratified Clinical Practice Guideline.浸润性宫颈癌女性的管理与护理:美国临床肿瘤学会资源分层临床实践指南
J Glob Oncol. 2016 May 25;2(5):311-340. doi: 10.1200/JGO.2016.003954. eCollection 2016 Oct.
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Development of a Breast Cancer Treatment Program in Port-au-Prince, Haiti: Experiences From the Field.海地太子港乳腺癌治疗项目的开展:实地经验
J Glob Oncol. 2015 Oct 28;2(1):9-14. doi: 10.1200/JGO.2015.000364. eCollection 2016 Feb.
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Cancer prevention as part of precision medicine: 'plenty to be done'.癌症预防作为精准医学的一部分:“有很多工作要做”。
Carcinogenesis. 2016 Jan;37(1):2-9. doi: 10.1093/carcin/bgv166. Epub 2015 Nov 20.