Lupus mastitis in male mimicking a breast lump

A 43-year-old male, with a 3-month history of a left breast lump underwent clinical evaluation in our Institute. This solid and irregular mass measured 2 2 cm and was located at the upper lateral quadrant with no skin changes. There were no inflammatory signs. However, a lymphadenopathy was presented with a mobile ipsilateral axillary node 1.5 cm in diameter. Computerized tomography demonstrated a hyperplastic lateral cervical lymph nodes reactio

Delay in diagnosis of breast cancer in a public oncologic hospital

Study model: A prospective, observational, transversal study. Objective: To evaluate the main factors related to delayed diagnosis of breast cancer. Method: A structured questionnaire was performed at the first clinical consultation, evaluating factors related to delayed in the diagnosis of breast cancer. Results: 156 women were selected for the study, where the majority had low education (58.9%), aged between 40 and 69 years (73.1%), lack of knowledge about breast self-examination (55.8 %) and no regularity of mammography (52.6%). 72.4 % had tumor at advanced stage at diagnosis. There was an association between delayed diagnosis and age. The multiple regression model adjusted for by age, showed increase risk related to health system (OR= 3.08), education (OR=5.46) and adherence (OR=5.67) were associated with late clinical stage at diagnosis. Conclusion: The factors related to advanced stage at diagnosis are linked and multiples. It indicates the necessity to perform strategies related to increase the adherence to mammographyModelo do estudo: Estudo prospectivo, observacional, transversal. Objetivo: Avaliar os principais fatores relacionados ao atraso no diagnóstico do câncer de mama. Método: Questionário aplicado na primeira consulta, avaliando os fatores relacionados ao atraso no diagnóstico do câncer de mama. Resultados: 156 mulheres foram avaliadas. A maioria apresentava baixa escolaridade (58,9%), faixa etária entre 40 e 69 anos (73,1%), falta de conhecimento sobre o autoexame mamário (55,8%) e não regularidade do exame mamográfico (52,6%). 72,4% apresentavam tumor de mama avançado ao diagnóstico. Houve associação entre o atraso diagnóstico e a faixa etária. No modelo de regressão múltipla ajustado por idade, o sistema de saúde (OR=3,08), a educação (OR=5,46) e a adesão (OR=5,67) estiveram relacionados a elevação do risco de estádio avançado ao diagnóstico. Conclusão: Os fatores relacionados ao estádio avançado ao diagnóstico são associados e múltiplos, fazendo-se a necessidade de elevação de estratégias visando elevação da adesão ao exame de mamografi