Does Pink October really impact breast cancer screening?

Objective: This study aims to evaluate the impact of the Pink October Campaign on the increase in mammographic screening in Brazil. Study design: Ecological observational study, based on retrospective data. Methods: Brazilian national screening database (DATASUS/SISMAMA/Information System on Breast Cancer) was used as a data source and is publicly available for download and analysis. We report screening numbers and outcome rates from January 2017 to December 2021 comparing statistically (ANOVA test, post-Tukey test), age groups, regions of Brazil, and the four quarters of the year. Results: During the study period, the average number of exams performed monthly over the five years was 137,400.117. An increase in the number of mammograms performed in October was identified, as well as in the two following months, respectively 33%, 39%, and 22%, with statistical significance (p = 0.000) in relation to the three quarters of the year. In addition, in the other months, we found values below the monthly average. Statistical difference was not found in the increase in mammograms considering age groups (p = 0.5) and different regions of the country (p = 0.6). Conclusions: This study showed an increase in mammographic screening in the three months following the Pink October Campaign, so we should intensify similar actions throughout the year and not just in October.

PHYLLODES TUMORS OF THE BREAST: A RETROSPECTIVE EVALUATION OF CASES FROM THE HOSPITAL DO SERVIDOR PÚBLICO ESTADUAL DE SÃO PAULO / Tumor filoides de mama: avaliação retrospectiva de casos do Hospital do Servidor Público Estadual de São Paulo

Objective: To evaluate the clinical and pathological characteristics of phyllodes tumors, and to identify possible associated risk factors for relapses among patients from the Breast Surgery Department of the Hospital do Servidor Público Estadual of São Paulo (HSPE-SP). Methods: Retrospective, descriptive study of data from 52 patients, between 1976 and 2013. The following data were collected: age, tumor size, histological type, surgical margins, type of surgery performed, relapses and amount of time before relapse. Results: The mean age of the patients was 45.7 years old, the mean size of the tumor was 7.8 cm. A mastectomy was performed on 12 patients, and the others underwent a wide excision. Benign phyllodes tumors were found in 30 patients, and the others were found as follows: 11 with borderline tumors and 11 with malign phyllodes tumors. There was no statistical relevance with regard to the relapses and the characteristics evaluated. Conclusion: The sample studied has similar clinical and pathological characteristics as described in the scientific literature, with the mean age at diagnosis being 45 years old, the mean tumor size, 7.8 cm. The majority found were benign phyllodes tumors and 33% were from relapses. There was no statistical significance between the evaluated variables and the risk for relapse.

Objetivo: Avaliar as características clínicas e patológicas do tumor filoides e identificar fatores relacionados com risco de recidivas em pacientes acompanhadas no ambulatório de Mastologia do Hospital do Servidor Público Estadual de São Paulo (HSPE-SP). Método: Estudo retrospectivo descritivo de dados de 52 pacientes, entre 1976 e 2013, dentre os quais: idade, tamanho do tumor, tipo histológico, margens cirúrgicas, tipo de cirurgia, recidivas e tempo para recidiva. Resultados: A idade média das pacientes foi 45,7 anos. O tamanho médio do tumor foi de 7,8 cm. O tratamento em 12 pacientes foi a mastectomia, e as demais 40 a excisão ampla. O tipo histológico encontrado em 30 pacientes foi tumores benignos, 11 malignos e 11 de variedade borderline. Após o seguimento médio de 53,93 meses, observaram-se 17 recidivas. Não houve relevância estatística entre a recorrência local e as variáveis avaliadas. Conclusões: A amostra avaliada tem características clínicas e patológicas condizentes com a literatura, com média de idade de 45 anos, tamanho do tumor de 7,8 cm, sendo encontrados na maioria tumor filoides benigno e 33% de recidivas. Não houve significância estatística entre características avaliadas e o risco de recidiva.

Uso empírico de plantas medicinais por mulheres / Empiric use of medicinal plants by women

avaliar o uso empírico de plantas medicinais por mulheres. Método: estudotransversal, com 200 mulheres, no ambulatório de Ginecologia e Obstetrícia do Hospital Fundação Santa Casa de Misericórdia do Pará, durante o período de julho a setembro de 2006. Realizadas entrevistas com protocolos padronizados. Realizada análise estatística,utilizando-se o teste Qui-quadrado, com intervalo de confiança de 95% e p < 0,05. Resultados: Observou-se que 80% das mulheres já utilizou alguma planta medicinal para tratamento. Dentre os relatos, encontrou-se com maior freqüência a utilização de boldo (17,2%), verônica (15,26%), barbatimão (10,3%), andiroba (9,5%) e "garrafadas" (4,5%).89% das mulheres relataram melhora nos sintomas. A maioria (71,9%) teve a indicação do uso feita por um membro da família. Conclusão: o uso de plantas por mulheres atendidas no HFSCMP é muito difundido, e que a cultura e tradição populares ainda estão muito presentes no cotidiano dessas mulheres.

evaluate the empiric use of medicinal plants among women. Methods: thestudy was prospective, transversal and cohort, with 200 women, at the Gynecology and Obstetric ambulatory of Hospital Fundação Santa Casa de Misericórdia do Pará. Interviews were conducted with standardized protocols and the statistic analysis were made using x² test, with confidence intervals of 95% and p < 0,05. Results: it was observed that 80% of women have already used any medicinal plant for treatment. It was found a larger utilization of boldo (Permus boldus) (17,2%), veronica (Veronica sp..) (15,26%), barbatimão (Stryphnodendronrotundifolium) (10,3%), andiroba (Carapa guianensis) (9,5%) e "garrafadas", a pot-pourri of plants mixed with liquid and sold in bottles (4,5%); 89% of women noticed relieve of symptoms. Most of them (71,9%) had the indication of use made by a family member. Conclusion: the utilization of medicinal plants among women is very common, and theculture and tradition resists, and it is still present on the daily life of these women.

Aspectos clínicos otorrinolaringológicos da doença de Charcot-Marie-Tooth / Otorhinolaryngological clinical features of Charcot-Marie-Tooth

A doença de Charcot-Marie-Tooth é a neuropatia periférica hereditária mais comum em seres humanos, apresentando a incidência de 1:2500 pessoas...

Charcot-Marie-Tooth disease is the most common hereditary peripheral neuropathy in humans, presenting incidence of 1:2500 people...