Patologia tumoral ginecologica en la Unidad de Oncologia del Hospital de Clínicas de La Paz , en un periodo comprendido del 1999 a 2004
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Cuad. - Hosp. Clín.
Abstract
Objetivo Conocer la patología tumoral ginecológica mas prevalente en la Unidad de Oncología del Hospital de Clínicas de La Paz, durante el periodo 1999 al 2004. Objetivos especificos Conocer la patología tumoral ginecológica mas frecuente. Determinar el rango de edad mas frecuente en la patología tumoral ginecológica Determinar el estado civil de mayor recurrente en la patología tumoral ginecológica Establecer el lugar de residencia mas frecuente de las pacientes con patología tumoral ginecológica. Determinar la actividad laboral de las pacientes con patología tumoral ginecológica. Material y metodos El presente trabajo es un estudio descriptivo y retrospectivo, realizado en la Unidad de Oncología del Hospital de Clínicas de La Paz, durante los años de 1999 al 2004, para lo cual se revisaron historias clínicas de 661 pacientes diagnosticadas con patología tumoral ginecológica e internadas en dicho servicio. Resultados Se cuenta con un total 661 pacientes con patología tumoral ginecológica. En relación a la edad, el grupo etareo comprendido entre 37 a 47 años es el mas prevalente con el 41% de los casos. Con respecto a la residencia las pacientes del área urbana de La Paz y El Alto con 72%(477 pacientes), seguido de las pacientes en transito. En relación al estado civil: el 58% son casadas. En cuanto a la actividad laboral el 75% de las pacientes son amas de casa. De las 661 pacientes se hallo un 7% patología ginecológica benigna. En los restantes 615 casos de cáncer ginecológico el cáncer de cervix uterino es el mas prevalente con el 61%, seguido del cáncer de mama con el 22%. El cáncer de cervix uterino en relación a su estadificación se tiene el 31% de los casos en estadio IIIb. Del total de pacientes el 42% fueron intervenidas quirúrgicamente, de las cuales el 68% fueron sometidas a exeresis con linfadenectomía correspondiente. Conclusiones La patología tumoral ginecológica mas frecuente fue el cáncer de cérvix con el 61% de los casos, lo que demuestra que no estamos lejos de las cifras latinoamericanas, lo cual representa un problema de salud pública, que amerita tomar acciones necesarias mediante programas de promoción y prevención sobre este tipo de patologías.
Objective To assess the most frequent gynaecological tumor pathology in the Cancer Unit of the Hospital de Clínicas in La Paz from 1999 to 2004 Specific Aims To identify the most frequent gynaecological tumor pathology. To determine the main age range of the patients with gynaecological tumors. To determine in which marital state patients are most vulnerable to suffer gynaecological tumors. To establish the most frequent place of residence of patients with gynaecological tumors. To determine the prevailing activity of patients with gynaecological tumors. Material and Methods This is a retrospective study of a series of cases which was conducted in the Cancer Unit of the Hospital de Clínicas in la Paz from 1999 to 2004 by checking the clinical records of 661 patients. Results We found a total of 661 patients with gynaecological tumor pathology. The age range from 37 to 47 years was the most frequent with 41% of all cases. Most of the patients were residents of the urban area of La Paz and El Alto (72%), the rest stayed temporarily in La Paz. Of all patients 58% were married and 75% were housewives. Of the 661 patients 7% had benign tumors; 61% had cervix cancer, followed by 22% with mammarian cancer . Of the patients with cancer of the cervix, 31% came to the cancer unit in stage IIIb. Of all patients 42% underwent surgery, 68% of them by exceresis with the corresponding lymphadenectomy. Conclusions The most frequent gynaecological tumor pathology was cancer of the cervix with 61% of all cases. This number is not very different from the findings in other Latinamerican countries, showing us that we are facing a public health problem. Adequate actions in the form of educational programs are necessary in order to prevent this kind of pathology.
Objective To assess the most frequent gynaecological tumor pathology in the Cancer Unit of the Hospital de Clínicas in La Paz from 1999 to 2004 Specific Aims To identify the most frequent gynaecological tumor pathology. To determine the main age range of the patients with gynaecological tumors. To determine in which marital state patients are most vulnerable to suffer gynaecological tumors. To establish the most frequent place of residence of patients with gynaecological tumors. To determine the prevailing activity of patients with gynaecological tumors. Material and Methods This is a retrospective study of a series of cases which was conducted in the Cancer Unit of the Hospital de Clínicas in la Paz from 1999 to 2004 by checking the clinical records of 661 patients. Results We found a total of 661 patients with gynaecological tumor pathology. The age range from 37 to 47 years was the most frequent with 41% of all cases. Most of the patients were residents of the urban area of La Paz and El Alto (72%), the rest stayed temporarily in La Paz. Of all patients 58% were married and 75% were housewives. Of the 661 patients 7% had benign tumors; 61% had cervix cancer, followed by 22% with mammarian cancer . Of the patients with cancer of the cervix, 31% came to the cancer unit in stage IIIb. Of all patients 42% underwent surgery, 68% of them by exceresis with the corresponding lymphadenectomy. Conclusions The most frequent gynaecological tumor pathology was cancer of the cervix with 61% of all cases. This number is not very different from the findings in other Latinamerican countries, showing us that we are facing a public health problem. Adequate actions in the form of educational programs are necessary in order to prevent this kind of pathology.
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Vol. 51, No. 1