RESUMO
Different professional reports set out recommendations for the delivery of high-quality services in cancer centers, units and primary health care. The explicit recommendations of the reports emphasized the need for cancer service to take account of the views and preferences of patients as well as of their families and careers. The assessment of the compliance with those recommendations is a base for the professional audit, measurement of the actual quality of care given, as well as the accreditation of cancer centers and units. Therefore, ensuring high quality in all areas of health care system is of great importance.
Assuntos
Neoplasias/enfermagem , Padrões de Prática Médica/normas , Garantia da Qualidade dos Cuidados de Saúde/métodos , Garantia da Qualidade dos Cuidados de Saúde/normas , Qualidade da Assistência à Saúde/organização & administração , Qualidade da Assistência à Saúde/normas , Humanos , PolôniaRESUMO
The extent of the operation in Paget's disease of the breast depends largely on the degree of clinical advancement of neoplasm as well as counter-indications for breast conserving therapy. Despite the increasing use of breast conserving therapy, rather few such operations of this kind have been performed in our department. We have carried out 29 mastectomies and only 6 breast conserving operations. No matter what type of therapy was applied the percentages of 5-year survivals for the patients with non-invasive component and for the ones with invasive component were respectively 89.76% and 49.32%.
Assuntos
Neoplasias da Mama/cirurgia , Mastectomia Radical , Mastectomia Segmentar , Doença de Paget Mamária/cirurgia , Neoplasias da Mama/tratamento farmacológico , Neoplasias da Mama/mortalidade , Neoplasias da Mama/radioterapia , Quimioterapia Adjuvante , Terapia Combinada , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Mamilos/patologia , Mamilos/cirurgia , Avaliação de Processos e Resultados em Cuidados de Saúde , Doença de Paget Mamária/tratamento farmacológico , Doença de Paget Mamária/mortalidade , Doença de Paget Mamária/radioterapia , Polônia , Complicações Pós-Operatórias/mortalidade , Radioterapia Adjuvante , Estudos Retrospectivos , Taxa de SobrevidaRESUMO
Three types of surgical procedure were applied to cover skin defect in locally advanced breast cancer after simple mastectomy. The skin defect was impossible for primary suture. In four cases we used latissimus dorsi myocutaneous flap with a very good effect. In two cases skin flap from the abdomen was used, and one case skin graft. The female patients survived 2.1 years with better quality of life.