Studies in Medical Sciences
مجله مطالعات علوم پزشکی
Studies in Medical Sciences
Medical Sciences
http://umj.umsu.ac.ir
37
journal37
2717-008X
2717-008X
10.61186/umj
fa
jalali
1389
7
1
gregorian
2010
10
1
21
3
online
1
fulltext
fa
بررسی مشخصات دموگرافیک و بالینی بیماران مبتلا به سرطان پستان در ارومیه، روش غربالگری مناسب کدام می تواند باشد؟
THE DEMOGRAPHIC CHARACTERISTICS AND CLINICAL PRESENTATION OF PATIENTS WITH BREAST CANCER IN URMIA, WHICH SCREENING PROGRAM MAY BE APPROPRIATE?
آناتومی
آناتومی
پژوهشي(توصیفی- تحلیلی)
Research
<p class="Pazeresh" dir="rtl" style="MARGIN: 0in 0in 0pt TEXT-ALIGN: center" align="center"><span lang="FA" style="FONT-FAMILY: "B Lotus""><font size="3"><strong>تاریخ دریافت 12/12/88، تاریخ پذیرش 29/2/89<p></p></strong></font></span></p><p class="Pazeresh" dir="rtl" style="MARGIN: 0in 0in 0pt TEXT-ALIGN: center" align="center"><span lang="FA" style="FONT-FAMILY: "B Lotus""><p><font size="3"><strong> </strong></font></p></span></p><p class="Titrmatn" dir="rtl" style="MARGIN: 0in 0in 0pt LINE-HEIGHT: 17pt TEXT-ALIGN: center mso-line-height-rule: exactly mso-outline-level: 1" align="center"><strong><font size="3"><font face="Times New Roman"><span lang="FA" style="FONT-FAMILY: Yagut mso-ascii-font-family: Calibri mso-hansi-font-family: Calibri mso-no-proof: yes">چکیده</span><span dir="ltr" style="FONT-FAMILY: "Calibri","sans-serif" mso-no-proof: yes"><p></p></span></font></font></strong></p><p class="Chekide" dir="rtl" style="MARGIN: 0in 0in 0pt"><font face="Times New Roman"><span><strong>پیش زمینه</strong></span><span lang="AR-SA" dir="ltr" style="mso-bidi-font-weight: bold"><span dir="ltr"></span><font size="2"> </font></span><b style="mso-ansi-font-weight: normal"><span lang="AR-SA" style="FONT-SIZE: 9.5pt FONT-FAMILY: Nazanin mso-ansi-font-size: 8.5pt">و هدف</span></b><span lang="AR-SA" style="FONT-SIZE: 9.5pt FONT-FAMILY: Nazanin mso-ansi-font-size: 8.5pt">: سرطان پستان، بعد از<span style="COLOR: red"><font size="2"> </font></span>پوست، شایعترین سرطان خانمها است </span><span lang="FA" style="FONT-SIZE: 9.5pt FONT-FAMILY: Nazanin mso-bidi-language: FA mso-ansi-font-size: 8.5pt">و</span><span lang="AR-SA" style="FONT-SIZE: 9.5pt FONT-FAMILY: Nazanin mso-ansi-font-size: 8.5pt"> راه پیشگیری قطعی ندارد</span><span lang="FA" style="FONT-SIZE: 9.5pt FONT-FAMILY: Nazanin mso-bidi-language: FA mso-ansi-font-size: 8.5pt">.تشخیص زود رس،با ماموگرافی،انتخاب روش</span><span lang="AR-SA" style="FONT-SIZE: 9.5pt FONT-FAMILY: Nazanin mso-ansi-font-size: 8.5pt">ها</span><span lang="FA" style="FONT-SIZE: 9.5pt FONT-FAMILY: Nazanin mso-bidi-language: FA mso-ansi-font-size: 8.5pt">ی درمانی، موفقیت درمان و طول عمر را زیاد </span><span lang="AR-SA" style="FONT-SIZE: 9.5pt FONT-FAMILY: Nazanin mso-ansi-font-size: 8.5pt">می</span><span lang="FA" style="FONT-SIZE: 9.5pt FONT-FAMILY: Nazanin mso-bidi-language: FA mso-ansi-font-size: 8.5pt">کند.</span><span lang="AR-SA" style="FONT-SIZE: 9.5pt FONT-FAMILY: Nazanin mso-ansi-font-size: 8.5pt"> سرطان پستان در ایران سومین سرطان شایع به شمار میرود. هدف این مطالعه بررسی و تعیین مرحله بیماری و سن بیماران در موقع مراجعه میباشد.<p></p></span></font></p><p class="Chekide" dir="rtl" style="MARGIN: 0in 0in 0pt"><font face="Times New Roman"><b><span lang="AR-SA" style="FONT-SIZE: 9.5pt FONT-FAMILY: Nazanin mso-ansi-font-size: 8.5pt">مواد و روش کار</span></b><span lang="AR-SA" style="FONT-SIZE: 9.5pt FONT-FAMILY: Nazanin mso-ansi-font-size: 8.5pt">:</span><span lang="FA" style="FONT-SIZE: 9.5pt FONT-FAMILY: Nazanin mso-bidi-language: FA mso-ansi-font-size: 8.5pt"> مشخصات بیمارانی که با سرطان پستان به درمانگاه خون وانکولوژی مراجعه داشتند، براساس پرسشنامهی تنظیمی از پرونده، پرسش مستقیم از بیماران مراجعه کننده برای پیگیری و یا پرسش تلفنی جمع آوری و آنالیز شد.<p></p></span></font></p><p class="Chekide" dir="rtl" style="MARGIN: 0in 0in 0pt"><font face="Times New Roman"><b><span lang="AR-SA" style="FONT-SIZE: 9.5pt FONT-FAMILY: Nazanin mso-ansi-font-size: 8.5pt">یافتهها</span></b><span lang="AR-SA" style="FONT-SIZE: 9.5pt FONT-FAMILY: Nazanin mso-ansi-font-size: 8.5pt">: در این مطالعه 118 بیمار، 3مرد و</span><span lang="FA" style="FONT-SIZE: 9.5pt FONT-FAMILY: Nazanin mso-bidi-language: FA mso-ansi-font-size: 8.5pt"> 115 زن در محدوده سنی 21تا 76سال، با میانگین سنی 49/49 و میانه سنی 48 سال بررسی شدند. بیشترین بیماران (35درصد) در گروه سنی 40تا49 بودند. 21درصد مرحله پیشرفته بیماری، 5/47درصد گرفتاری </span><span lang="AR-SA" style="FONT-SIZE: 9.5pt FONT-FAMILY: Nazanin mso-ansi-font-size: 8.5pt">لنفندها</span></font><font face="Times New Roman"><span lang="FA" style="FONT-SIZE: 9.5pt FONT-FAMILY: Nazanin mso-bidi-language: FA mso-ansi-font-size: 8.5pt">ی زیر بغل، 11درصد عدم گرفتاری <br></span><span lang="AR-SA" style="FONT-SIZE: 9.5pt FONT-FAMILY: Nazanin mso-ansi-font-size: 8.5pt">لنفندها</span><span lang="FA" style="FONT-SIZE: 9.5pt FONT-FAMILY: Nazanin mso-bidi-language: FA mso-ansi-font-size: 8.5pt">ی زیر بغل و20درصد وضعیت نامشخص گرفتاری </span><span lang="AR-SA" style="FONT-SIZE: 9.5pt FONT-FAMILY: Nazanin mso-ansi-font-size: 8.5pt">لنفندها</span><span lang="FA" style="FONT-SIZE: 9.5pt FONT-FAMILY: Nazanin mso-bidi-language: FA mso-ansi-font-size: 8.5pt">ی زیر بغل داشتند.</span><span lang="FA" style="FONT-SIZE: 9.5pt FONT-FAMILY: Nazanin mso-ansi-font-size: 8.5pt"> </span><span lang="AR-SA" style="FONT-SIZE: 9.5pt FONT-FAMILY: Nazanin mso-ansi-font-size: 8.5pt">سن شروع قاعدگی در 28درصد موارد زیر14، در90درصد زیر16 و در 10درصد بالای16سال بود. اولین زایمانهای ترم 100درصد موارد زیر 35 سال، 95درصد زیر 30سال، 81درصد زیر 25 سال و 43درصد زیر20سال رخ داده است. 9درصد از بیماران خانم زایمان نکرده اند. هشت بیمار (77/6درصد) سابقه فامیلی سرطان پستان داشتند.<p></p></span></font></p><p class="Chekide" dir="rtl" style="MARGIN: 0in 0in 0pt"><font face="Times New Roman"><b><span lang="AR-SA" style="FONT-SIZE: 9.5pt FONT-FAMILY: Nazanin mso-ansi-font-size: 8.5pt">بحث و نتیجه گیری</span></b><span lang="AR-SA" style="FONT-SIZE: 9.5pt FONT-FAMILY: Nazanin mso-ansi-font-size: 8.5pt">: این مطالعه نشان میدهد در این منطقه تشخیص و درمان سرطان پستان در سنین پایین و در مراحل پیشرفته صورت میگیرد. به نظر میرسد افزایش آگاهی خانمها و ایجاد تسهیلات برای تشخیص زودتر بیماری بهخصوص با روش معاینه بالینی</span><span lang="FA" style="FONT-SIZE: 9.5pt FONT-FAMILY: Nazanin mso-bidi-language: FA mso-ansi-font-size: 8.5pt"> دورهای</span><span lang="AR-SA" style="FONT-SIZE: 9.5pt FONT-FAMILY: Nazanin mso-ansi-font-size: 8.5pt"> پستان نیاز هست.</span><span lang="FA" style="FONT-SIZE: 9.5pt FONT-FAMILY: Nazanin mso-bidi-language: FA mso-ansi-font-size: 8.5pt"><p></p></span></font></p><p class="Chekide" dir="rtl" style="MARGIN: 0in 0in 0pt TEXT-ALIGN: center" align="center"><span lang="AR-SA" style="FONT-SIZE: 9.5pt FONT-FAMILY: Nazanin mso-ansi-font-size: 8.5pt"><p><font face="Times New Roman"> </font></p></span></p><p class="Chekide" dir="rtl" style="MARGIN: 0in 0in 0pt TEXT-ALIGN: center mso-outline-level: 1" align="center"><font face="Times New Roman"><b><span lang="AR-SA" style="FONT-SIZE: 10pt FONT-FAMILY: Lotus">مجله پزشکی ارومیه، دوره بیست و یکم، شماره سوم، ص 277-273، پاییز 1389</span></b><span lang="AR-SA" style="FONT-SIZE: 9.5pt FONT-FAMILY: Nazanin mso-ansi-font-size: 8.5pt"><p></p></span></font></p><p class="Chekide" dir="rtl" style="MARGIN: 0in 0in 0pt TEXT-ALIGN: center" align="center"><span lang="AR-SA" style="FONT-FAMILY: Nazanin mso-bidi-font-size: 8.5pt"><p><font face="Times New Roman" size="2"> </font></p></span></p><p class="Chekide" dir="rtl" style="MARGIN: 0in 0in 0pt"><font face="Times New Roman"><b><span lang="FA" style="FONT-SIZE: 9.5pt FONT-FAMILY: Nazanin mso-bidi-language: FA mso-ansi-font-size: 8.5pt">آدرس مکاتبه</span></b><span lang="FA" style="FONT-SIZE: 9.5pt FONT-FAMILY: Nazanin mso-bidi-language: FA mso-ansi-font-size: 8.5pt">: ارومیه، مرکز آموزشی و درمانی امام خمینی ارومیه، بخش خون و انکولوژی، تلفن تماس: 09144431632<p></p></span></font></p><span style="FONT-SIZE: 12pt FONT-FAMILY: "Times New Roman","serif" mso-fareast-font-family: 'Times New Roman' mso-bidi-language: AR-SA mso-ansi-language: EN-US mso-fareast-language: EN-US">Email: Davood.maleki@gmail.com</span>
<p class="Anevesandegan" style="MARGIN: 0in 0in 0pt DIRECTION: ltr LINE-HEIGHT: normal unicode-bidi: embed TEXT-ALIGN: center" align="center"><strong><span style="FONT-SIZE: 10pt FONT-STYLE: normal FONT-FAMILY: "Times New Roman","serif"">Received: 3 March, 2010 Accepted: 19 May, 2010</span><span style="FONT-SIZE: 10pt FONT-STYLE: normal FONT-FAMILY: "Times New Roman","serif" mso-bidi-font-family: Arial"> <p></p></span></strong></p><p class="Abstract" style="MARGIN: 0in 0in 0pt DIRECTION: ltr LINE-HEIGHT: normal unicode-bidi: embed TEXT-ALIGN: justify"><span style="FONT-SIZE: 12pt FONT-FAMILY: "Times New Roman","serif" mso-fareast-font-family: Times-Roman"><strong>Abstract<span lang="FA" dir="rtl"><p></p></span></strong></span></p><p class="Amatnmagale" style="MARGIN: 0in 0in 0pt DIRECTION: ltr LINE-HEIGHT: normal unicode-bidi: embed TEXT-ALIGN: justify"><font size="3"><i><span lang="X-NONE" style="FONT-FAMILY: "Times New Roman","serif""><strong>Background &Aims</strong></span></i><span><strong>:</strong> Breast cancer after skin cancer is the most common type of cancer in women and is not preventable, but early detection</span><span lang="X-NONE" style="FONT-FAMILY: "Times New Roman","serif" mso-fareast-font-family: KeplerStd-Regular"> through mammography</span><span lang="X-NONE" style="FONT-FAMILY: "Times New Roman","serif""> improves treatment options, success,</span><span lang="X-NONE" style="FONT-FAMILY: "Times New Roman","serif" mso-fareast-font-family: KeplerStd-Regular"> and survival.</span><span lang="X-NONE" style="FONT-FAMILY: "Times New Roman","serif""> Breast cancer is </span><span style="FONT-FAMILY: "Times New Roman","serif" mso-ansi-language: EN-US">the </span><span lang="X-NONE" style="FONT-FAMILY: "Times New Roman","serif"">third most common malignant neoplasm in Iran (10% of all cancers). </span><span lang="X-NONE" style="FONT-FAMILY: "Times New Roman","serif" mso-fareast-font-family: KeplerStd-Regular">The aim of this study was to determine the age of patients and the stage of breast cancer at the time of diagnosis.<p></p></span></font></p><p class="Amatnmagale" style="MARGIN: 0in 0in 0pt DIRECTION: ltr LINE-HEIGHT: normal unicode-bidi: embed TEXT-ALIGN: justify"><font size="3"><b><i><span lang="X-NONE" style="FONT-FAMILY: "Times New Roman","serif"">Materials & Methods</span></i></b><span lang="X-NONE" style="FONT-FAMILY: "Times New Roman","serif"">: This study examined the demographic characteristics and clinical presentation of all cases in the Hematology and Oncology Clinic of Imam hospital in Urmia. A questionnaire was used to collect data from patients' medical files and phone call contact and then analyzed. <p></p></span></font></p><p class="Amatnmagale" style="MARGIN: 0in 0in 0pt DIRECTION: ltr LINE-HEIGHT: normal unicode-bidi: embed TEXT-ALIGN: justify"><font size="3"><b><i><span lang="X-NONE" style="FONT-FAMILY: "Times New Roman","serif"">Results</span></i></b><span lang="X-NONE" style="FONT-FAMILY: "Times New Roman","serif"">: There were 118 patients, three men and 115 women (21-76 years of age). The mean and median ages at diagnosis were 49.49 and 48 years of age, respectively. Most of </span><span style="FONT-FAMILY: "Times New Roman","serif" mso-ansi-language: EN-US">the </span><span lang="X-NONE" style="FONT-FAMILY: "Times New Roman","serif"">patients (35.5%) were diagnosed between 40 and 49 years of age. There were 21% locally advanced or metastatic 47.5% axillary lymph node involvement, 11% no axillary lymph node involvement and 20% unknown axillary lymph nodes status. First menstruation has been occurred in 90% under age 16 yr and in 28% before age 14. First full term pregnancy of 100% was before age 35, 95% before age 30 and 81% before age 25 and 9%</span><span lang="X-NONE" style="FONT-FAMILY: "Times New Roman","serif" mso-ansi-language: EN-US"> </span><span lang="X-NONE" style="FONT-FAMILY: "Times New Roman","serif"">have had no pregnancy. 6.77% had family history of breast cancer. <p></p></span></font></p><p class="Amatnmagale" style="MARGIN: 0in 0in 0pt DIRECTION: ltr LINE-HEIGHT: normal unicode-bidi: embed TEXT-ALIGN: justify"><font size="3"><b><i><span lang="X-NONE" style="FONT-FAMILY: "Times New Roman","serif"">Conclusion:</span></i></b><span lang="X-NONE" style="FONT-FAMILY: "Times New Roman","serif""> In this region, breast cancer is diagnosed in earlier years of age and advanced stages. <p></p></span></font></p><p class="Amatnmagale" style="MARGIN: 0in 0in 0pt DIRECTION: ltr LINE-HEIGHT: normal unicode-bidi: embed TEXT-ALIGN: justify"><span lang="X-NONE" style="FONT-FAMILY: "Times New Roman","serif""><font size="3">It is necessary to increase public awareness about breast cancer by women, and facilitate early detection of diseases especially by periodic clinical breast examinations. <p></p></font></span></p><p class="Amatnmagale" style="MARGIN: 0in 0in 0pt DIRECTION: ltr LINE-HEIGHT: normal unicode-bidi: embed TEXT-ALIGN: justify"><b><span lang="X-NONE" style="FONT-FAMILY: "Times New Roman","serif""><p><font size="3"> </font></p></span></b><font size="3"><b><i><span lang="X-NONE" style="FONT-FAMILY: "Times New Roman","serif"">Address</span></i></b><b><span lang="X-NONE" style="FONT-FAMILY: "Times New Roman","serif"">:</span></b><span lang="X-NONE" style="FONT-FAMILY: "Times New Roman","serif""> Hematology</span><span lang="X-NONE" style="FONT-FAMILY: "Times New Roman","serif" mso-ansi-language: EN-US"> </span></font><span lang="X-NONE" style="FONT-FAMILY: "Times New Roman","serif""><font size="3">& Oncology<b> </b>Ward<b>, </b>Imam Hospital, Urmia, Iran<font face="Times New Roman"><span style="mso-spacerun: yes"> </span><b>Tel</b></font></font><font size="3">: (+98) 9144431632<p></p></font></span></p><p class="Amatnmagale" style="MARGIN: 0in 0in 0pt DIRECTION: ltr LINE-HEIGHT: normal unicode-bidi: embed TEXT-ALIGN: justify"><b><span lang="X-NONE" style="FONT-FAMILY: "Times New Roman","serif""><p><font size="3"> </font></p></span></b><font size="3"><b><i><span lang="X-NONE" style="FONT-FAMILY: "Times New Roman","serif"">Email</span></i></b><b><span lang="X-NONE" style="FONT-FAMILY: "Times New Roman","serif"">:</span></b><span lang="X-NONE" style="FONT-FAMILY: "Times New Roman","serif"">davood.maleki@gmail.com<p></p></span></font></p><p class="Amatnmagale" style="MARGIN: 0in 0in 0pt DIRECTION: ltr LINE-HEIGHT: normal unicode-bidi: embed TEXT-ALIGN: justify"><span lang="X-NONE" style="FONT-FAMILY: "Times New Roman","serif""><p><font size="3"> </font></p></span></p><p class="Amatnmagale" style="MARGIN: 0in 0in 0pt DIRECTION: ltr LINE-HEIGHT: normal unicode-bidi: embed TEXT-ALIGN: center" align="center"><b><span lang="X-NONE" style="FONT-FAMILY: "Times New Roman","serif""><font size="3">Source:</font></span></b><span lang="X-NONE" style="FONT-FAMILY: "Times New Roman","serif""><font size="3"> Urmia Med J 2010: 21(3): 273</font><font size="3"> ISSN: 1027-3727<p></p></font></span></p><p></p>
سرطان پستان، مرد، غربالگری
Breast cancer, Men, Screening
273
277
http://umj.umsu.ac.ir/browse.php?a_code=A-10-3-135&slc_lang=fa&sid=1
Davood
Maleki
داود
ملکی
Davood.maleki@gmail.com
370031947532846002540
370031947532846002540
Yes