Table of Contents
Epidemiology Research International
Volume 2014 (2014), Article ID 261625, 6 pages
http://dx.doi.org/10.1155/2014/261625
Research Article

Breast Cancer in Young Brazilian Women: Challenge for the Oncology Care

1Postgraduate Health Sciences Program, Maringa State University, Colombo Avenue 5790, 87020-900 Maringa, PR, Brazil
2Department of Nursing, Postgraduate Nursing Program, Maringa State University, Nossa Senhora da Glória Street, 56-A Jardim, São Jorge, 87080-620 Maringa, PR, Brazil

Received 3 January 2014; Revised 14 April 2014; Accepted 6 May 2014; Published 27 May 2014

Academic Editor: H. Anton-Culver

Copyright © 2014 Angela Andréia Franca Gravena et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Objective. To investigate and compare aspects of breast cancer in young women (<40 years old) with older women (>40 years old). Methods. Retrospective, cross-sectional, analytical, and exploratory study based on data from 2009 to 2012 obtained from the Breast Cancer Information System (SISMAMA) and the Unified Health System Information Data (DATASUS). The studied population consisted of women ( ) with malignant breast cancer. The analysed variables were education level, race, nodule detection at the clinical examination or image studies, presence of palpable axillary lymph nodes, surgical approach, and tumor histological type and grade. Results. There was increasing detection of breast cancer cases in young women among the studied years. Young women had more palpable lymph nodes (OR 1.28, 95% CI: 1.18–1.39), ductal carcinoma as the most frequent histologic type (OR 1.36, 95% CI: 1.22 to 1.53), and grades II and III tumor (OR 16.01 , 95% CI: 13.30 to 19.28 ). The lesion detection by clinical examination was higher in women <40 years (OR 1.34, 95% CI: 1.24 to 1.45). Conclusion. Although there are early detection measures related to breast cancer, they are not the usual practice of the young female public, suggesting the need for a review of existing public policies in the country.