Instituto Nacional de Cancerología, Bogotá, D. C, Colombia.
Oncólogos del Occidente, Manizales, Caldas, Colombia.
Breast Cancer Res Treat. 2021 Feb;186(1):15-24. doi: 10.1007/s10549-020-06091-6. Epub 2021 Feb 21.
To provide a comprehensive overview of breast cancer in Colombia.
Data on breast cancer in Colombia are scarce. We present incidence data from population-based cancer registries that represent 4 distinct regions of the country. Other data originate from non-governmental institutions and healthcare providers within Colombia, official sources, expert opinion, Colombian legislation, and the Cancer Mortality Atlas publishes by Colombian National Cancer Institute.
In Colombia, the age-standardized incidence rate remained relatively stable between 2012 and 2020 (43.1 to 47.8 cases per 100,000 women-years); Additionally, survival since 1995 has presented a substantial improvement from 65.7 to 72.1. In 33% of cases, the diagnosis of breast cancer was made in advanced stages, stage III or higher. The health demography survey conducted in 2015 showed that the participation in mammography screening in women aged 40 to 69 remains low 48.1%. Some limitations regarding access to early detection and diagnosis include economic strata, health insurance coverage, origin, and accessibility. On average, a 90-day period was reported from onset of symptoms to diagnosis of breast cancer.
The first action towards improving outcomes in breast cancer should be to improve stage at diagnosis and timely access to care.
提供哥伦比亚乳腺癌的全面概述。
哥伦比亚的乳腺癌数据稀缺。我们展示了来自代表该国 4 个不同地区的基于人群的癌症登记处的发病率数据。其他数据来自哥伦比亚境内的非政府机构和医疗机构、官方来源、专家意见、哥伦比亚法规以及哥伦比亚国家癌症研究所发布的癌症死亡率地图集。
在哥伦比亚，2012 年至 2020 年期间，年龄标准化发病率保持相对稳定（每 10 万名女性年 43.1 至 47.8 例）；此外，自 1995 年以来，生存率有了显著提高，从 65.7 提高到 72.1。在 33%的病例中，乳腺癌的诊断处于晚期，即 III 期或更高期。2015 年进行的健康人口普查显示，40 至 69 岁女性参与乳房 X 线筛查的比例仍然很低，仅为 48.1%。在获得早期检测和诊断方面存在一些限制，包括经济阶层、医疗保险覆盖范围、来源和可及性。平均而言，从出现症状到诊断乳腺癌的时间为 90 天。
改善乳腺癌治疗结果的第一步应该是提高诊断时的分期和及时获得治疗的机会。
