Organizational aspects of improving primary diagnosticsmalignant neoplasms of visual localizations in the rural municipal area

2020 ◽  
Vol 75 (3) ◽  
pp. 234-239
Author(s):  
Andrey V. Vazhenin ◽  
Natalya V. Voroshina ◽  
Alla S. Domozhirova
Keyword(s):  
Breast Cancer ◽  
Cervical Cancer ◽  
Early Detection ◽  
Organizational Structure ◽  
Reproductive System ◽  
District Hospital ◽  
Comparative Assessment ◽  
Malignant Neoplasms ◽  
Municipal District ◽  
Central District

Background. The proportion of malignant neoplasms detected at the IIIIV stages of the disease in Chelyabinsk region is large and 43.9%. Breast cancer in 2018 was detected at stages IIIIV at 24% and cervical cancer at 51.14%. Despite the fact that malignant neoplasms of vulva and vagina are diagnosed annually in isolated cases, the level of neglect reaches 66.7 and 100% respectively, which makes it necessary to develop organizational measures. Aims to increase the level of detection of visual localities OF female reproductive system organs in the early stages with the involvement of oncologists of regional clinics in the primary diagnosis. Materials and methods. Patients with malignant neoplasms of the reproductive system of visual localizations, first identified in the examining cabinet of the polyclinic of the central district hospital, geographically located and functionally subordinate oncologist of the rural municipal district. Comparative assessment of early detection of tumors in an area with high breast cancer and cervical cancer and results following the introduction of a new organizational structure. Results. Patients with malignant neoplasms of the reproductive system of visual localizations, first identified in the examining cabinet of the polyclinic of the central district hospital, geographically located and functionally subordinate oncologist of the rural municipal district. Comparative assessment of early detection of tumors in an area with high breast cancer and cervical cancer and results following the introduction of a new organizational structure. Conclusions. The involvement of oncologist of territorial polyclinics to participate in preventive examinations, which were previously within the competence of the medical assistant of the Examining Cabinet, during the first year of work increased detection and reduced the incidence of breast and cervical cancer by 8.3 and 3.7% respectively. The creation of the Breast Pathology Center in the regional oncology center, at the third level of specialized medical care on the profile of oncology, allowed to reduce the frequency of malignancy of benign and pre-cancer breast diseases.

scholarly journals Fertility Age Couples Motivation On Cervical Cancer Early Detection

2021 ◽  
Vol 3 (2) ◽  
Author(s):  
SITI NURUL KHOTIMAH
Keyword(s):  
Breast Cancer ◽  
Cervical Cancer ◽  
Reproductive Health ◽  
Early Detection ◽  
Sexual And Reproductive Health ◽  
Health Problems ◽  
Population Exposure ◽  
Second Cancer ◽  
Cancer Early Detection ◽  
Research Questions

Cervical cancer is most often attacking women. After breast cancer, cervical cancer becomes second cancer infecting women. (WHO, 2014). This research aims to get the results from the fertility age couples' motivation on cervical cancer early detection.The preparation of a scoping review adapted the Arksey O'Malley framework consisted of 5 stages: research questions with the PEOs framework (Population, Exposure, and Outcomes), searching literature using relevant databases. The 12 articles used to consist of 3 themes, namely sexual and reproductive health problems, sexual health problems, and sexual and reproductive health. 

scholarly journals Clinical and epidemiological rationale for prevention of uterus cancer

2020 ◽  
pp. 59-62
Author(s):  
T. V. Klinyshkova
Keyword(s):  
Cervical Cancer ◽  
Cancer Prevention ◽  
Russian Federation ◽  
Cancer Incidence ◽  
Reproductive System ◽  
Malignant Neoplasms ◽  
Epidemiological Features ◽  
The Russian Federation ◽  
The Stability ◽  
Uterine Body

Introduction. Malignant neoplasms of the reproductive system dominate the structure of cancer incidence in women in the Russian Federation. In the structure of oncogynecological diseases, uterine body cancer (UBC) leads the way.The purpose of the study: to analyze the dynamics of UBC incidence in the Omsk region in comparison with data for the Russian Federation in 2002–2018 years to determine the priorities of cancer prevention.Results. There was a moderate tendency to increase the incidence of UBC in the region (Rg. = +1.8 %; p < 0.001) and for the Russian Federation (Rg. = +1.7 %; p < 0.001). The maximum percentage was among patients of 60–69 years old (32.3 %). There was a moderate trend in increasing UBC among women of 30–39 years old, and in the group of women of 35–39 years old there was a distinct trend in increasing the incidence (Rg. = +5.6 %; p < 0.050). The article presents the epidemiological features of UBC in comparison with cervical cancer in the region: the increase in the incidence of UBC (Rg. =+1.8 %) and the stability of the indicator at cervical cancer (Rg. = +0.050 %), the trend to rejuvenate both locations of cancer.Conclusion. In Omsk Region, there is a unidirectional increase in the incidence of UBC with the Russian Federation, a trend in rejuvenating the disease, which dictates the need for cancer prevention in the practice of an obstetrician-gynecologist.

scholarly journals Polineoplasia in patients with cervical cancer in the Chelyabinsk region of Russia

2018 ◽  
Vol 5 (4) ◽  
pp. 8-17
Author(s):  
S. A. Bekhtereva ◽  
A. S. Domogirova ◽  
A. V. Vazhenin ◽  
I. A. Aksenova
Keyword(s):  
Breast Cancer ◽  
Cervical Cancer ◽  
Reproductive System ◽  
Survival Rates ◽  
Cervix Uteri ◽  
Female Reproductive System ◽  
Synchronous Tumors ◽  
Cumulative Survival ◽  
Chelyabinsk Region ◽  
Metachronous Tumors

The purpose of the study was to analyze the incidence of primary-multiple cancer (PMC) of the female reproductive system according to the population cancer register of the Chelyabinsk region for 15 years (1999-2013) using the example of PMC of the cervix. Carry out an analysis of the adjusted cumulative survival in the group of patients with PMC of the cervix as compared with solitary cervical cancer.Material and methods. The material was processed using the classification of Zisman I. F. and Kirichenko G. D. (1978) on the sequence of tumors: metachronous, synchronous, mechatronic-synchronous and synchronous-metachronous. The interval of metachronousness is 6 months. The survival rates of cancer patients in the Chelyabinsk region were calculated automatically with the use of the computer program "Calculation of survival rates" — an application to the population-based cancer registry of OOO Novell-SPb. Using the method of continuous sampling, we carried out a retrospective analysis of the case histories of patients with PMC of the female reproductive system treated in the SBEO CRCOD for 15 years (1999-2013).Results. During the period under review, 82 patients with PMC of the cervix uteri were examined, metachronous tumors prevailed in 55 (67.1%), synchronous tumors developed in 27 (33.75%). In the group of metachronous tumors in 12 (21.8%) patients had a combination of three tumors. Three (5.45%) patients had a combination of four tumors. Analysis of combinations of cervical cancer showed that more often, the cervical cancer metachronically met with breast cancer 35% (14 patients), endometrial cancer 17.5% (7 patients), ovarian cancer 7.5% (3 patients). Synchronously cervical cancer was more often combined with breast cancer 42.8% (9 patients), endometrium 28.6% (6 patients), ovaries 23.8% (5 patients) and rectal cancer 4.8% (1 patient).The results of calculation of the index of the adjusted cumulative survival of the study group of the PMC of the cervix showed that in the group of metachronous tumors, survival rates were significantly higher than in the group of synchronous tumors: single-year survival was 84.8 ± 6.3% against 82.4 ± 9.2, three-year survival — 66.8 ± 7.8% against 47, 1 ± 12.1, and five years after the diagnosis, 53.8 ± 8.6% of patients survived.Conclusion. Thus, patients with cervical cancer are at risk of developing cancer of other localizations that share common etiopathogenetic factors, such as HPV infection in women, hormonal disorders.

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