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EN
Patients with breast cancer exhibit an increased risk in developing neoplasms of other organs. In the case of the endometrium, the increased risk might be due to tamoxifen adjuvant therapy. We present two cases of homologous malignant mixed mullerian tumor (MMMT) of the uterine in two women, 77-year-old and 76-year-old, respectively, after tamoxifen treatment for postmenopausal breast cancer with positive estrogen receptors. The findings for two patients were studied and compared with similar ones discussed in the relevant literature.
EN
Introduction: Death anxiety, fear of abundance, isolation, stigma of the disease and medication side effects are among the most common sources of anxiety and depression in patients with breast cancer. Purpose: To examine the possible relationship between religiosity, psychological resilience and depression on breast cancer patients. Materials and methods: A cross-sectional design was employed in this study which 152 breast cancer patients participated. Data were collected with the following instruments: Patient Health Questionnaire-2-item scale, Connor-Davidson Resilience Scale 25 and Centrality of Religiosity Scale and a special designed sheet reporting social, demographic and clinical characteristics. Statistical analyses were conducted with the Statistical Package for the Social Science V25. Descriptive statistics such means, and frequencies were calculated and inferential statistics such correlation test, simple and multiple regression analysis were applied. Results: Approximately 1 in 3 patients suffered symptoms of depression while they were reporting moderate religiosity and resilience values. Based on the four-step mediation analysis religiosity was strongly associated with psychological resilience but it was not found to affect directly either depression, but psychological resilience can be a mediator between religiosity and depression. Conclusion: This study supports the notion thatreligiosity and spirituality can have a beneficial influence on health outcomes.
EN
Introduction: Breast cancer is the most common malignant tumor in women in the Polish region. Surgery is a basic method of breast cancer treatment. Surgery often carries a lot of unwanted changes as follows: limitation of mobility in the shoulder joint on the operated side, secondary lymphoedema, post mastectomy pain syndrome (PMPS), reduction of muscle strength or disorders in body posture. Therefore, the implementation of physiotherapeutic activities that are designed to prevent and eliminate postoperative complications seems very important. The main aim of this work was to present physiotherapeutic management in women after mastectomy based on the analysis of available literature. The physiotherapeutic process can be divided into three periods: early hospital, early ambulatory and the late ambulatory period. In the first period, active slow exercises, self-support of the upper limb on the operated side and breathing exercises on the thoracic track are used to prevent circulatory disorders, pulmonary complications, and edema. The early ambulatory period includes corrective exercises, general improvement exercises, stretching and learning of automatic massage of the upper limb of the operated side. The last period should be enriched by recreational methods of physical activity such as swimming, cycling or Nordic walking to maintain physical fitness, proper mobility of the shoulder girdle and improve the patient's psychophysical state. It is very important the patient regular continues the rehabilitation program after curing of breast cancer as well. In the case of secondary lymphoedema of the upper limb, comprehensive rehabilitation physiotherapy is used, consisting of manual lymphatic drainage, healing exercises, compression therapy, and skin care. Conclusions: Physiotherapy in women after breast cancer surgery is a complex and long-term process. Physiotherapeutic methods are effective in treating complications after surgery of breast cancer surgery. It is necessary to constantly update the physio-therapy knowledge in women after breast cancer surgery.
EN
The aim of this paper is to present the phenomenon of social exclusion of persons whose body has been deformed due to disease process. Modern concepts of stigmatization and sociocultural aspects, which can be the background of social exclusion process, are going to be shown. Authors’ own research fo- cused on how the bodies of women after mastectomy and those suffering from anorexia are perceived in the society. In the lights of obtained results, stigmatization process is in the more advanced stage in women with anorexia than in those after mastectomy. In women after mastectomy it stops on social labeling, but in the context of anorexia it reaches the stage of social rejection according to Link and Phelan’s (2001) theory, which can be connected with social attribution of responsibility for having a stigma (somatic vs mental illness).
EN
Introduction. Metaplastic breast carcinoma is expressing epithelial and/or mesenchymal tissue within the same tumor. Aim. The aim of this study is to evaluate metaplastic breast carcinoma in a case report and literature review. Description of the case. The presented case desribes metaplastic carcinoma of the breast in 65 years old female patient. Conclusion. Fibromatosis-cell metaplastic carcinoma of the breast presents a particularly large diagnostic challenge. Malignant variants of this disease have been described in the literature.
EN
Introduction. Breast cancer is the second most prevalent reason for cancer deaths after lung cancer. Incidence rates have increased worldwide. Aim. To present epidemiology of breast cancer in Podkapackie voivodship. Material and methods. This analysis was performed using a systematic literature search. Results. In the Podkarpackie voivodship up until 2014, the incidence rate of female breast cancer was rising and in 2015 it dropped by 68 cases. Even though the survival rate is increasing, it is still one of the leading causes of cancer deaths placing second after lung cancer. Conclusion. Mortality rate, unfortunately, rose gradually. This shows that even though there is a National Health Program aiming at breast cancer awareness and prevention, it is still not enough to reduce the number of breast cancer deaths.
EN
Aim. An evaluation of lifestyle changes (physical activity, diet) in patients after breast cancer surgery. Materials and method. 200 women after breast cancer surgery were surveyed. The respondents were asked whether the surgery caused a change in their diet and physical activity. An analysis was performed concerning the education, place of residence and age of the respondents. Results. Prior to being diagnosed with breast cancer, about one third of the respondents were concerned about their diet and physical activity. After the surgery more than a half of the respondents were concerned about a healthy lifestyle. Women below 50 years old with higher education, who live in a city, were concerned about their diet and physical activity both before and after surgery. Conclusions. As a result of the breast cancer surgery, lifestyle changes were most often found in women aged 50-69 years old with higher education who lived in a city. Statistical relevance of the results was noted.
PL
Rak piersi jest najczęstszym nowotworem złośliwym u kobiet zarówno w Polsce jak i na świecie. Nowotwór spośród wszystkich chorób, odbierany jest przez kobiety jako bardzo silne przeżycie traumatyczne. Celem niniejszej pracy była ocena stopnia akceptacji choroby nowotworowej przez kobiety po mastektomii. Badaniu poddano 54 pacjentki po mastektomii, średnia wieku 57,2 lat. W badaniach posłużono się ankietą składającą się z pytań dotyczących danych demograficznych i skali AIS. W momencie rozpoznania 92,59% kobiet nie zaakceptowało choroby. W chwili obecnej u 75,93% stwierdzono akceptację raka piersi. Badane czują się zarówno potrzebne (42,59%) jak i niezależne od innych (31,48%). Ponad połowa pacjentek (53,70%) nie odczuwa, że jest ciężarem dla innych, a 44,44% uważa się za pełnowartościowe kobiety. Za samowystarczalne uważa się 27,78% ogółu badanych kobiet. Niski poziom akceptacji miało 10/54 kobiet. Wysoki poziom akceptacji zaobserwowano u co drugiej ankietowanej. Na poziom akceptacji nie wpływał wiek, miejsce zamieszkania i stopień wykształcenia badanych. Upływający czas od zabiegu operacyjnego miał wyraźny wpływ na akceptację choroby (p < 0,001). Wysoki poziom akceptacji miały kobiety, które pogodziły się z chorobą do 2 lat po operacji.
EN
Aim. Breast cancer is the most common malignancy in women, both in Poland and worldwide. Unlike other diseases, cancer is perceived by women as a very severe trauma. The aim of this study was to assess the degree of cancer acceptance among women after mastectomy. Material and method. The study involved 54 patients after mastectomy, the mean age of 57.2 years. The study used a questionnaire consisting of questions and AIS scale. Results. At diagnosis, 92.59% of women did not accept the disease and at the moment of the study 75.93% did. Tested women felt both needed (42.59%) and independent from others (31.48%). More than a half of patients (53.70%) did not feel a burden to others and 44.44% considered themselves high-value women. 27.78% of the whole group stated they were self-sufficient. The low level of acceptance was observed in 10 out of 54 women. A half of women declared high level of acceptance. Age, place of residence and education of respondents did not influence the level of acceptance. The time from the surgery had a clear impact on the acceptance of the disease (p < 0.001). Conclusion. Very good level of acceptance was observed in women who got used to the fact they had cancer up to 2 years after surgery.
EN
Introduction. Breast cancer is the most frequent neoplasm among women. That is the reason why scientists all over the world are attempting to improve early detection methods of this particular malignancy. Aim. The most common and most widely used examination methods for screening for and detecting breast cancer is presented herein. Material and methods. This review was performed according to systematic literature search of three major bibliographic databases. Results. Available data suggest that incidence and mortality in high-resource countries has been declining whereas incidence and mortality in low-resource countries has been increasing. Conclusion. The role of a physician is to select the most suitable one for each patient in order to obtain the best result. No matter the method however, between 2005 and 2011, the 5-year relative survival was found to be 89%. This is thought to be due to both the increase in utilization of population-wide screening, as well as advances in treatment.
EN
Introduction. According to statistics, breast cancer is the second leading cause of death in Poland. Progress in treatment and diagnosis gives an opportunity of a quick diagnosis, but women are reluctant to undergo prophylaxis screening. Aim. To identify women’s attitudes about breast cancer prophylaxis. Material and methods. The diagnostic survey was conducted in a group of 200 women. The research tool was the questionnaire developed by the authors. Results. Knowledge about breast cancer and prophylaxis was on an average level. Nearly half of the women surveyed (45.5%) declared that they do not ask for a breast examination while visiting a gynecologist. Only 26.8% of the surveyed women were systematically subjected to preventive examinations for breast cancer, while 18.7% of them performed breast self-examination. Every fifth respondent used invitation for a free mammogram. Conclusion. The women’s knowledge about breast cancer is average, but it does not translate into their attitudes towards the prevention of this cancer. Most women niether perform breast self-examination nor benefit from free prophylaxis programs. Younger respondents most often use the Internet. Education and place of residence do not affect the participation of women in preventive examinations for breast cancer.
EN
Introduction: Time orientation can significantly improve health-related prevention behaviour and influence disease outcome through boosting health-oriented behaviour. This study aims to compare time perspective between diabetic and cancerous patients, and healthy people. Methods: A cross-sectional descriptive study was conducted on 300 patients (105 healthy, 195 patients: 108 type 2 diabetes and 87 breast and digestive system cancer) aged 20 to 70 years (average age of 45.4 years). The samples were separated into three groups based on a convenience sampling method and were matched in terms of gender, age, education and monthly income. Data was collected through the Zimbardo Time Perspective Inventory (ZTPI-56) questionnaire and then evaluated with analysis of covariance (F test) followed by Fisher’s Least Significant Difference (LSD) test. Results: The three groups showed different time perspectives (F = 4.213, p < 0.05) and different ranking in time orientation. Conclusion: Our findings show that the disease and its type can significantly impact the time orientation of patients. Therefore, to prevent potential subsequent outcomes, the patients’ time perspective towards disease should be improved, especially under disease conditions.
EN
The aim of the study was to determine the role of self-efficacy, outcome expectancies, and risk perception (including consequences of mastectomy) in formulating the intention to undergo breast reconstruction in 178 women after total mastectomy. The social-cognitive variables were measured in the context of breast reconstruction, while depression was assessed using the Beck Depression Inventory. The structural equation modeling revealed that among the predictors there were only two that accounted for the intention to undergo breast reconstruction, i.e. self-efficacy and outcome expectancies (R2 = .67). Subsequent analyses of the related moderators, i.e. depression, age, and duration of the disease indicated a good fit to the data. Nevertheless, in subgroups with poorer resources (older age, depression, and longer duration of the disease) the direct effects of self-efficacy on intention were less noticeable or non-existent. The results suggest that self-efficacy may play the regulating role in making a breast reconstruction decision if individual resources are taken into account.
XX
Introduction: Breast cancer is the most prevalent female malignancy in Poland. Oncological treatment and its adverse effects diminish quality of life of breast cancer patients, which is determined by a number of somatic, psychological and social factors. Purpose: To assess the quality of life and the level of knowledge and utilization of lymphedema prevention principles among women after surgical treatment of breast cancer. Materials and methods: The study included 145 breast cancer patients after radical mastectomy. The respondents were examined with the validated EORTC QLQ-BR23 questionnaire and a custom-designed survey. Results: Examination with the QLQ-BR23 questionnaire revealed that mastectomized women scored low on the body image scale. The most frequently reported ailments were arm and breast symptoms. While the respondents showed high level of knowledge with regards to lymphedema prevention, they poorly adhered to the prophylactic guidelines. The participants were well aware of the risk factors of lymphedema, and most of them declared avoidance of their harmful effects. Conclusions: Quality of life assessment should constitute an integral component of rehabilitation in every breast cancer patient, as mastectomy exerts significant effect on the outcome of perioperative period. Apart from specialist physiotherapy, also education of patients with regards to principles of lymphedema prevention and autotherapy constitutes an important component of complex management of lymphatic insufficiency.
PL
Wstęp. Rak piersi to nowotwór najczęściej występujący wśród kobiet na całym świecie. Zgodnie z wytycznymi WHO (World Health Organization), kluczowym elementem leczenia raka piersi jest zwrócenie uwagi na jakość życia chorych w trakcie terapii oraz po jej zakończeniu. Jednym z ważnych aspektów w chorobie nowotworowej jest akceptacja choroby i umiejętność przystosowania się do nowego życia, a co jest z tym związane – poprawa jakości życia. Cel pracy. Zbadanie wpływu akceptacji choroby na jakość życia kobiet z rakiem piersi. Materiał i metody. Badaniem objęto 100 pacjentek w wieku od 30 do 81 lat, będących w trakcie hospitalizacji z powodu nowotworu piersi w Dolnośląskim Centrum Onkologii we Wrocławiu. W badaniu posłużono się skalą akceptacji choroby AIS (Acceptance of Illness Scale) oraz kwestionariuszem ogólnym jakości życia SF-36 (Short Form 36). Wyniki. Na poziom akceptacji choroby wpływało zastosowanie leczenia adjuwantowego, gdzie pacjentki otrzymujące leczenie uzupełniające, cechowały się istotnie niższymi wartościami skali akceptacji choroby. Stwierdzono istotny wpływ miejsca zamieszkania na poziom wszystkich trzech analizowanych wymiarów jakości życia. Pacjentki zamieszkujące miasta cechowały się wyższą oceną jakości życia. Wzrost poziomu akceptacji choroby wiązał się z poprawą jakości życia we wszystkich trzech wymiarach. Wyższy poziom akceptacji choroby oraz zamieszkanie w mieście są niezależnymi czynnikami determinującymi niższe wartości wszystkich trzech wymiarów jakości życia, a więc lepszy ich poziom. Wnioski. Wyższy stopień akceptacji choroby jest niezależnym czynnikiem wpływającym korzystnie na poziom jakości życia. Obok stopnia akceptacji choroby na poziom jakości życia wpływa korzystnie zamieszkanie w mieście.
EN
Background. Breast cancer is the cancer that most often occurs among women around the world. In accordance with the guidelines of the World Health Organization the key part of treatment for breast cancer is to draw attention to the quality of life of patients during and after therapy. Quality of life takes on a particular importance in Oncology. One of the important aspects in cancer is the acceptance of the disease and the ability to adapt to a new life. Objectives. To examine the effect of the acceptance of the disease on quality of life in women with breast cancer. Material and methods. The study included 100 patients between the ages of 30 to 81 years old, in the course of hospitalization due to cancer in the breast cancer center, in Hospital of Oncology in Wrocław. The study used a scale of acceptance of AIS (Acceptance of Illness Scale) and the general quality of life questionnaire SF-36 (Short Form 36). Results. The level of acceptance of the disease has affected by the use of supplemental treatment where patients received adjuvant therapy they had considerably lower values scale acceptance of the disease. Significant impact of the place of residence on the level of all three analysed dimensions of quality of life has observed. Women living in the cities were characterised by a higher assessment of quality of life. The increase in the level of acceptance of the disease. Has been linked with the improvement of the quality of life. In all three dimensions. A higher level of acceptance of the disease and living in the city are independent factors that determine lower values of all three dimensions of quality of life, and thus better their level. Conclusions. A higher degree of acceptance of the disease is an independent factor that affects the level of quality of life. In addition to the degree of acceptance of the disease, living in the city affects the level of quality of life.
PL
Wstęp: Nowotwory to druga po chorobach układu krążenia przyczyna zgonów w Polsce. Najczęściej diagnozowanymi chorobami nowotworowymi u kobiet są rak piersi i szyjki macicy. Metody prewencji są tanie i ogólnodostępne. Najpopularniejsze badania profilaktyczne w kierunku raka piersi to samobadanie oraz mammografia. W profilaktyce raka szyjki macicy podstawowymi narzędziami diagnostycznymi są: badanie ginekologiczne i skryning cytologiczny. Cel pracy: Określenie wiedzy kobiet na temat profilaktyki nowotworów piersi i szyjki macicy oraz częstości korzystania z badań profilaktycznych. Materiał i metody: Badania zostały przeprowadzone metodą sondażu diagnostycznego, techniką ankiety w grupie 80 kobiet. Wyniki: 80% (64) kobiet przyznaje, że lekarz pierwszego kontaktu nie informuje ich o możliwości wykonania badań profilaktycznych. 96,25% (77) kobiet deklaruje, iż potrafi wykonać samobadanie piersi, natomiast zaledwie 21,25% (17) kobiet wykonuje je regularnie. Wnioski: Należy nasilić działania edukacyjne na poziomie podstawowej opieki zdrowotnej, ukierunkowane na udział pacjentek w badaniach profilaktycznych i samoopiekę.
EN
Background: Cancer is the second, after cardiovascular diseases, cause of deaths in Poland. The breast cancer and the cervical cancer are the most frequently diagnosed types in women. The prevention methods are cheap and widely available. Mammography and breast self-examination are the most common screening tests used to diagnose breast cancer. The diagnostic tools for cervical cancer include basic gynaecological examinations and cytological screening. Aim of the study: The aim of the study is to assess the knowledge of women about the prevention methods used to diagnose breast and cervical cancer, and to check the frequency of prophylactic examinations use. Material and methods: The studies were conducted using a diagnostic survey with a questionnaire for a group of 80 women. The results were as following: 80% (64) of women reported that their primary care doctor did not inform them about the possibility of preventive examinations. 96.25% (77) of them declared that they can do the breast self-examination while, unfortunately, only a little over 21.25% (17) of the respondents do it regularly. Conclusions: Higher educational efforts should be made at the level of primary health service and they should be targeted at female patients’ wider participation in the preventive diagnostics and self-care.
EN
Observing its importance to human health, NIK, on its own initiative, conducted an audit whose main objective was to evaluate health prevention in the areas of gastroenterology, gynaecology and cardiology, related to prevention of cancer and cardiovascular diseases, as well as the effects of these diseases. The audit covered secondary prevention that consists in early detection of pathological processes/changes. In their article, the authors present the detailed findings of the audit.
EN
The United States breast cancer movement helped to transform breast cancer’s social and medical landscape domestically and, in some ways, internationally. However, differences in gender identities, power relations, and the role of feminism(s) cross-culturally also shaped breast cancer advocacy itself. After giving a brief introduction to the socio-historical context of the U.S. and Polish breast cancer movements, this article illuminates some of the linkages and divergences between the United States and Poland to demonstrate the role of gender and power in social movements that concentrate exclusively on women’s (health) issues, namely breast cancer. This comparison of social phenomena from two countries illuminates the impact of cultural patterns on models of activism as they relate to feminism and traditional gender roles.
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