Características epidemiológicas y clínicas del cáncer de mama. Hospital José Carrasco Arteaga, Cuenca 2014

Abstract

Objectives. To determine the epidemiological and clinical characteristics of breast cancer in a level III hospital.

Methodology. With a descriptive design, information about the casuistry of breast cancer treatment were collected from June 2010 to May 2014 in the José Carrasco Arteaga, IESS Hospital in Cuenca. Information from medical records was extracted.

Results. A total of 202 cases diagnosed histologically, 99.51% female and 0.49% male were recorded. The age range was 41-60 years. The prevalence of obesity and overweight was 56.9%, the 7.9% had a personal history of breast cancer and 17.8% family history of breast cancer. The 9.9% had early menarche, nulliparity 20.4%, late age at first birth 7.9%, 4.4% late menopause. 23.8% received hormonal treatment. The 77.2% of patients were diagnosed by mammography. Within the histological diagnosis of ductal carcinoma, it was the most frequent with 93.1%. The 77.1% were diagnosed early. As treatment a radical surgery was performed in 53,4% and conservative in 46.5%, chemotherapy in 86.6%, biological therapy in 15.8%, hormone therapy in 59.4% and radiotherapy in 46%.

Conclusions: A majority percentage of patients were diagnosed early. About half could retain their mammary gland. The variables age at menarche, age at first birth and age at menopause did not show statistical significance. Nulliparity was presented in a considerable number of cases. The hospital has all therapeutic modalities.