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Revista Brasileira de Ginecologia e Obstetrícia. 2024;46:e-rbgo60
, , , , , , , , , , , , , , , , , , , To analyze marital outcomes, divorce or separation, and its association with demographic, socioeconomic, and clinicopathological factors among breast cancer (BC) survivors after 2-years of diagnosis.
We performed a retrospective analysis of marital status at baseline and at years 1 and 2 of follow-up of women aged ≥ 18 years diagnosed with invasive BC participating in the AMAZONA III (GBECAM0115) study. The BC diagnosis occurred between January 2016 and March 2018 at 23 institutions in Brazil.
Of the 2974 women enrolled in AMAZONA III, 599 were married or living under common law at baseline. Divorce or separation occurred in 35 (5.8%) patients at 2 years of follow-up. In the multivariate analysis, public health insurance coverage was associated with a higher risk of marital status change (8.25% vs. 2.79%, RR 3.09, 95% CI 1.39 - 7.03, p = 0.007). Women who underwent mastectomy, adenomastectomy or skin-sparing mastectomy were associated with a higher risk of divorce or separation (8.1% vs. 4.49%, RR 1.97, 95 CI 1.04 – 3.72, p = 0.0366) than those who underwent breast-conserving surgery.
Women covered by the public health system and those who underwent mastectomy, adenomastectomy or skin-sparing mastectomy were associated with a higher risk of divorce or separation. This evidence further supports the idea that long-term marital stability is associated with a complex interplay between socioeconomic conditions and stressors, such as BC diagnosis and treatment. ClinicalTrials Registration: NCT02663973.
Summary
Revista Brasileira de Ginecologia e Obstetrícia. 2024;46:e-rbgo60
, , , , , , , , , , , , , , , , , , , To analyze marital outcomes, divorce or separation, and its association with demographic, socioeconomic, and clinicopathological factors among breast cancer (BC) survivors after 2-years of diagnosis.
We performed a retrospective analysis of marital status at baseline and at years 1 and 2 of follow-up of women aged ≥ 18 years diagnosed with invasive BC participating in the AMAZONA III (GBECAM0115) study. The BC diagnosis occurred between January 2016 and March 2018 at 23 institutions in Brazil.
Of the 2974 women enrolled in AMAZONA III, 599 were married or living under common law at baseline. Divorce or separation occurred in 35 (5.8%) patients at 2 years of follow-up. In the multivariate analysis, public health insurance coverage was associated with a higher risk of marital status change (8.25% vs. 2.79%, RR 3.09, 95% CI 1.39 - 7.03, p = 0.007). Women who underwent mastectomy, adenomastectomy or skin-sparing mastectomy were associated with a higher risk of divorce or separation (8.1% vs. 4.49%, RR 1.97, 95 CI 1.04 – 3.72, p = 0.0366) than those who underwent breast-conserving surgery.
Women covered by the public health system and those who underwent mastectomy, adenomastectomy or skin-sparing mastectomy were associated with a higher risk of divorce or separation. This evidence further supports the idea that long-term marital stability is associated with a complex interplay between socioeconomic conditions and stressors, such as BC diagnosis and treatment. ClinicalTrials Registration: NCT02663973.
Summary
Revista Brasileira de Ginecologia e Obstetrícia. 1999;21(7):419-421
DOI 10.1590/S0100-72031999000700009
Squamous cell carcinoma of the mammary tissue is a very rare neoplasm, representing less than 1% of all breast carcinomas. The present study reports a case of squamous cell carcinoma of the breast, treated at the Hospital Araújo Jorge/ACCG. The tumor diagnosis, treatment and prognosis are also discussed.
Summary
Revista Brasileira de Ginecologia e Obstetrícia. 1999;21(7):419-421
DOI 10.1590/S0100-72031999000700009
Squamous cell carcinoma of the mammary tissue is a very rare neoplasm, representing less than 1% of all breast carcinomas. The present study reports a case of squamous cell carcinoma of the breast, treated at the Hospital Araújo Jorge/ACCG. The tumor diagnosis, treatment and prognosis are also discussed.
Summary
Revista Brasileira de Ginecologia e Obstetrícia. 2001;23(4):205-208
DOI 10.1590/S0100-72032001000400002
Purpose: to evaluate the rate of lymphedema and its relation to the type of surgery, age and weight of the patient. Methods: one hundred and nine patients with breast cancer, submitted to modified radical mastectomy sparing the pectoralis major or both pectorales, were studied. Differences of more than 2.0 cm between the diameters of the upper members, measured above and below the elbow, were considered as due to lymphedema. Results: a total rate of 14% of this complication was observed (15 cases). In mastectomies sparing both pectoralis muscles, a smaller rate was observed (9%), when compared to 15% using Patey's technique. However, the difference was not significant. There was a significant relationship between the incidence of lymphedema and the patient's weight and age. The lymphedema was observed in only one of the 34 patients younger than 46 years old, and none of the 19 patients with up to 50 kg presented lymphedema. Conclusion: in the present series lymphedema of the upper limb was associated with the older and heavier patients.
Summary
Revista Brasileira de Ginecologia e Obstetrícia. 2001;23(4):205-208
DOI 10.1590/S0100-72032001000400002
Purpose: to evaluate the rate of lymphedema and its relation to the type of surgery, age and weight of the patient. Methods: one hundred and nine patients with breast cancer, submitted to modified radical mastectomy sparing the pectoralis major or both pectorales, were studied. Differences of more than 2.0 cm between the diameters of the upper members, measured above and below the elbow, were considered as due to lymphedema. Results: a total rate of 14% of this complication was observed (15 cases). In mastectomies sparing both pectoralis muscles, a smaller rate was observed (9%), when compared to 15% using Patey's technique. However, the difference was not significant. There was a significant relationship between the incidence of lymphedema and the patient's weight and age. The lymphedema was observed in only one of the 34 patients younger than 46 years old, and none of the 19 patients with up to 50 kg presented lymphedema. Conclusion: in the present series lymphedema of the upper limb was associated with the older and heavier patients.