F. Mahdavi , R. Eghdam Zamiri , Volume 2, Issue 1 (1-2023)
Abstract
Aims: About one-third of breast cancer patients occur over 70 years old. Aging leads to the modification of a number of different drugs in the treatment of breast cancer, which provides the basis for incomplete treatment of these patients. The aim of this study was to evaluate the clinical features of breast cancer in elderly women. Instrument & Methods: This descriptive study was conducted in 2020 by reviewing the clinical records of all women with breast cancer over the age of 70 over a ten-year period ending in 2020 with a clinical record of 183 patients. Demographic information, type of tumor pathology, clinical stage of the tumor, status of hormone receptors and tumor HER2 protein, type of surgery, type of adjuvant treatment was extracted from the files and used. Findings: In 88 non-metastatic patients, there were 90 lymph nodes positive, of which 33 (37.5%) had no estrogen receptor and 55 (62.5%) had estrogen receptor. The most systemic treatment in patients with estrogen receptor-free tumor was chemotherapy (81.8%) and in patients with estrogen receptor tumor, chemotherapy plus hormone therapy (58.2%). there were 40 non-metastatic lymph node-negative patients, of which 9 (22.5%) had no estrogen receptor and 31 (77.5%) had estrogen receptor. The most systemic treatment received in patients without estrogen receptor was only chemotherapy (77.8%) and in patients with estrogen receptor tumor was only hormone therapy (54%). Conclusion: The most common stage of the breast cancer in over 70 years old women is type IIB.
F. Mahdavi , R. Eghdam Zamiri , Volume 2, Issue 4 (10-2023)
Abstract
Aims: Hysterectomy is the most common surgery of choice after cesarean section in medical centers, and abdominal wall infection is one of the most important complications after this operation, which leads to readmission of the patient and long-term treatments. Therefore, this study was performed to determine the incidence and risk factors of surgical wound infection after abdominal hysterectomy in women with and without cancer. Materials & Methods: This descriptive cross-sectional study was performed during the years 2019-2020 in the hospitals of Tabriz University of Medical Sciences with the participation of 400 women candidates for abdominal hysterectomy (with and without cancer). The incidence of infection after surgery was measured and its factors were examined. Findings: The incidence of ulcers after hysterectomy was between 6 and 7%, which factors such as the use of drugs that weaken the immune system, diabetes, late shaving before surgery and the urgency of surgery lead to an increased risk of infection after surgery. Conclusion: To reduce the rate of infection after abdominal hysterectomy, preventive measures should be taken based on the risk of infection.
