RESUMO
BACKGROUND: The incidences of breast cancer (BC) and cervico-uterine cancer (CC) vary widely from country to country. In Mexico, BC mortality has doubled in the last 20 years to become the second leading cause of death for women aged 30 to 54 years. CC is the most common cause of death from neoplasia in women over 25 years old. In 2006, the state of Nayarit had one of the highest mortality rates for these types of cancers in Mexico. OBJECTIVE: To analyze and characterize the current demographics and morbidities associated with BC and CC in the state of Nayarit. MATERIAL AND METHODS: In this retrospective study, the clinical histories of patients who were diagnosed with BC or CC at the State Cancer Center from January 2006 to December 2010 were analyzed. RESULTS: A total of 406 patients with BC and 328 patients with CC were registered. The most common clinical stage for both cancer types was IIB. The municipalities of San Pedro Lagunillas and El Nayar presented the highest prevalences of BC and CC, respectively. CONCLUISION: Our results suggest that women living in poorer and more marginalized regions have a higher possibility of developing BC and CC. Because BC and CC are preventable and treatable in their early stages, demographic information from population records for these cancers is helpful in determining the incidence rates and patterns and improving decision-making processes.
Assuntos
Neoplasias da Mama/epidemiologia , Neoplasias do Colo do Útero/epidemiologia , Adulto , Idoso , Idoso de 80 Anos ou mais , Neoplasias da Mama/patologia , Neoplasias da Mama/prevenção & controle , Carcinoma/epidemiologia , Carcinoma/patologia , Feminino , Humanos , Incidência , México/epidemiologia , Pessoa de Meia-Idade , Morbidade/tendências , Estadiamento de Neoplasias , Pobreza , Estudos Retrospectivos , Fatores Socioeconômicos , Neoplasias do Colo do Útero/patologia , Neoplasias do Colo do Útero/prevenção & controle , Adulto JovemRESUMO
OBJECTIVE: Biomarkers of pesticide toxicity and paraoxonase 1 (PON1) phenotype and genotypes were evaluated in indigenous Mexican farmworkers exposed mainly to organophosphate (OP) pesticides. METHODS: Acetylcholinesterase, butyrylcholinesterase, and PON1 activities--arylesterase and CMPAase activities--were evaluated spectrophotometrically. PON1 55 and 192 polymorphisms were determined by real-time polymerase chain reaction. Hematological parameters were evaluated using a cytometer. RESULTS: Butyrylcholinesterase and arylesterase activities were lower in farmworkers, who also showed lower levels of leukocytes but higher percentages of lymphocytes when compared with the nonexposed group. Our results showed a high frequency of OP, high hydrolysis-related PON1 alleles (LL/QR and LL/RR) in the study population. An association was observed between CMPAase activity and PON1Q192R polymorphism. CONCLUSIONS: Our results suggest that pesticide exposure modifies biochemical and hematological biomarkers in the study population, and that the phenotype of PON1 (CMPAase) is a sensible susceptibility biomarker of OP pesticide toxicity.
Assuntos
Agricultura , Arildialquilfosfatase/sangue , Arildialquilfosfatase/genética , Hidrolases de Éster Carboxílico/sangue , Inseticidas/toxicidade , Exposição Ocupacional/efeitos adversos , Organofosfatos/toxicidade , Acetilcolinesterase/sangue , Adolescente , Adulto , Biomarcadores/sangue , Contagem de Células Sanguíneas , Butirilcolinesterase/sangue , Estudos Transversais , Feminino , Genótipo , Hematócrito , Hemoglobinas/metabolismo , Humanos , Masculino , México , Pessoa de Meia-Idade , Resíduos de Praguicidas/toxicidade , Fenótipo , Polimorfismo de Nucleotídeo Único , Adulto JovemRESUMO
OBJECTIVE: This study evaluates the effects of exposure to pesticides on the health of pesticide retailers. METHODS: The study population comprised 83-male pesticide retailers and 98 controls. Serum butyrylcholinesterase levels and complete blood analysis were performed in a certified laboratory and each subject completed a structured questionnaire. RESULTS: Butyrylcholinesterase activity and hematological parameters such as hemoglobin and hematocrit were significantly lower in pesticide retailers than in control subjects. In contrast, platelet count as well as hepatic parameters such as glutamic-pyruvate transaminase and gamma-glutamyl transpeptidase activities was higher in pesticide retailers. Furthermore, pesticide retailers experienced burning sensations in the skin more frequently than controls. CONCLUSIONS: These preliminary results suggest the importance of evaluating further toxicological biomarkers in these populations.