DOI: 10.21045/2071-5021-2018-59-1-6
Gatagazheva Z.M.
Ingush State University, Nazran'.
Contacts: Gatagazheva Zareta Magomedovna, e-mail:
This e-mail address is being protected from spam bots, you need JavaScript enabled to view it
.
Information about authors:
Gatagazheva Z. M. https://orcid.org/0000-0001-8067-378X
Acknowledgments. The study had no sponsorship.
Conflict of interests. The author declares no conflict of interest.
Abstract.
Malignant neoplasms of reproductive organs account for 42% of the
total cancer morbidity structure in the female population including
breast cancer, cervical, uterine and ovarian cancers. Estimating
effectiveness of reproductive cancer diagnosis, it is necessary to note
that more than two thirds of the patients are diagnosed with cancer at
the 2nd or even 3rd stage.
However, up to date, effectiveness of preventive
interventions throughout the country remains low, greatly reducing
chances for successful treatment.
The study purpose was to evaluate new organizational
forms of early diagnosis of reproductive cancers and breast cancer
within the context of developing the republican cancer service
(exemplified by the model of the Republic of Ingushetia). Data on
incidence of common malignant neoplasms of the female reproductive
organs (uterus, cervix and ovaries) and breast in the Republic of
Ingushetia served as the study materials.
Analysis of data for 2001-2008 and 2009-2016 showed
that the share of reproductive cancers and breast cancer in the total
number of malignant neoplasms in the female population of the Republic
of Ingushetia in 2001-2016 tends to increase.
Standardized morbidity rates of cervical, uterine, ovarian and breast
cancers tend to increase, standardized death rates from cervical,
uterine and breast cancers reduced while mortality from ovarian cancer
slightly increased. Active detection of malignant neoplasms of
reproductive organs and breast cancer in the Republic of Ingushetia
improved for all cancer sites.
A 16-year analysis of main indicators of cancer care
provided to female population gives strong evidence of positive trends
in care delivery. These trends are associated with the introduced “open
appointment visits” for female population, new Algorithm of examination
and selection of patients with high cancer risks using charts of
diagnostic and prognostic coefficients in addition to measures
implemented by the Ministry of Health of the Republic of Ingushetia.
Keywords: cervical cancer; uterine cancer; ovarian
cancer; breast cancer; “open appointment visit”; epidemiology; Republic
of Ingushetia.
References
-
Aksel' E.M. Epidemiologiya opukholey zhenskoy reproduktivnoy sistemy
(rak sheyki matki, rak endometriya, rak yaichnikov) [Epidemiology of
tumors of female reproductive system (cervical cancer, endometrial
cancer, ovarian cancer)]. Obrazovatel'nyy kurs Evropeyskogo obshchestva
po meditsinskoy onkologii «Onkoginekologiya» 20-21 iyunya 2006 g.
Ìoscow. 2006; P. 199-205. (In Russian).
-
Ashrafyan JI.A., Novikova E.G. Ginekologicheskie aspekty v
tendentsiyakh zabolevaemosti i smertnosti ot raka organov zhenskoy
reproduktivnoy sistemy [Gynecological aspects in the tendencies of
morbidity and mortality caused by female reproductive system cancer]. Zhurnal akusherstva i zhenskikh bolezney 2001; (1): 27-33. (In Russian).
-
Barinov V.V., Blyumberg A.G., Bogatyrev V.N. Opukholi zhenskoy
reproduktivnoy sistemy [Tumors of the female reproductive system].
Davydov M.I., Letyagin V.P., Kuznetsova V.V., editors. Ìoscow: OOO
Meditsinskoe informatsionnoe agentstvo; 2007. 376 p. (In Russian).
-
Vinokurov V.L. Rak yaichnikov: zakonomernosti metastazirovaniya i vybor
adekvatnogo lecheniya bol'nykh [Ovarian cancer: patterns of metastasis
and the choice of adequate treatment for patients]. St. Petersburg:
Foliant; 2004. 336 p. (In Russian).
-
Gabitova S.E. Nauchno-metodicheskoe obosnovanie snizheniya pokazatelya
nesvoevremennoy diagnostiki raka organov reproduktivnoy sistemy u
zhenshchin na osnove ucheta mediko-sotsial'nykh faktorov [Scientific and
methodical grounds for decrease in the indicators of untimely diagnosis
of female reproduction system cancer on the base of health and social
factors]. Cand. Med. Sci [thesis]. Kazan'. 2009. 25 p. (In Russian).
-
Gatagazheva Z.M., Nikitina V.P., Nerodo G.A., Leonov M.G., Uzdenova
Z.Kh., Shelyakina T.V., et al. Optimizatsiya vyyavleniya i lecheniya
zabolevaniy sheyki matki, vyyavlennykh na «Otkrytom prieme» v Respublike
Ingushetiya [Optimizing the diagnosis and treatment of cervical
diseases detected at the “Open reception” in the Republic of
Ingushetia]. Sovremennye problemy nauki i obrazovaniya [serial online] 2016 [cited 2017 Dec 27]; (4). Available from: http://www.science-education.ru/ru/article/view . (In Russian).
-
Davydov M.I., Aksel' E.M. Zlokachestvennye novoobrazovaniya v Rossii i
stranakh SNG v 2003 g. [Malignant neoplasm in Russia and CIS countries
in 2003]. Ìoscow: Med. inform. Agenstvo; 2005. 268 p. (In Russian).
-
Ermachenkova A.M. Vyyavlenie i lechenie minimal'nykh form raka
molochnoy zhelezy [Detection and treatment of minimal forms of breast
cancer]. Cand. Med. Sci [thesis]. St. Petersburg. 2013. 21 p. (In
Russian).
-
Kordumov M.Yu. Sovremennye podkhody k organizatsii lecheniya i
profilaktiki raka molochnoy zhelezy u naseleniya Arkhangel'skoy oblasti
[Modern approaches to organization of breast cancer treatment and
prevention in population of Archangelsk region]. Cand. Med. Sci
[dissertation]. Archangelsk. 2011. 153p. (In Russian).
-
Leonov M.G. Onkoepidemiologicheskie aspekty razrabotki putey
optimizatsii profilaktiki i ranney diagnostiki raka sheyki matki (na
modeli Krasnodarskogo kraya) [Cancer and epidemiological aspects of
developing the ways to optimize cervical cancer prevention and early
diagnosis (by the model of Krasnodar territory)].Dr. Med. Sci [thesis].
Rostov-na-Donu. 2011. 46 p. (In Russian).
-
Merabishvili V.M., Safronnikova N.R. Zlokachestvennye novoobrazovaniya
zhenskikh polovykh organov [Malignant neoplasm of female genital
organs]. In: Materialy IX Vserossiyskoy konferentsii onkologov. St.
Petersburg; 2002. P. 61–63. (In Russian).
-
Moiseenko V.M., Ermakova H.A., Urmancheeva A.F. Khimioterapiya raka
sheyki matki. Lektsii po fundamental'noy i klinicheskoy onkologii
[Chemotherapy for cervical cancer. Lectures on fundamental and clinical
oncology]. St. Petersburg. 2004. P. 386–399. (In Russian).
-
Novikova E.G., Trushina O.I. Vzglyad onkologa na skrining raka sheyki
matki [Oncologist’s view on screening for cervical cancer]. Onkologiya segodnya 2013;1(1):10-11. (In Russian).
-
Kaprin A.D., Starinskiy V.V., Petrova G.V. Sostoyanie onkologicheskoy
pomoshchi naseleniyu Rossii v 2014 godu [The state of cancer care to the
population of Russia in 2014]. Moscow: Moskovskiy
nauchno-issledovatel'skiy onkologicheskiy institut imeni P.A. Gertsena;
2015. 236 p. (In Russian).
-
Odintsova I.N. Epidemiologiya raka molochnoy zhelezy v regione Sibiri i
Dal'nego Vostoka [Epidemiology of breast cancer in Siberia and the Far
East regions]. Dr. Med. Sci [dissertation]. Tomsk. 2011. 306 p. (In
Russian).
-
Petrova G.V. Pokazateli onkologicheskoy pomoshchi bol'nym rakom sheyki
matki v Rossii [The indicators of cancer care to cervical cancer
patients in Russia]. Rossiyskiy onkologicheskiy zhurnal 2003; (5): 36-39. (In Russian).
-
Pisareva L.F., Odintsova I.N., Ananina O.A., Muranova O.Yu. Diagnostika
raka molochnoy zhelezy [Diagnosis of breast cancer]. In: VI s"ezd
onkologov i radiologov stran SNG, 2010, 1-4 oktyabrya. Dushanbe. 2010.
P. 26. (In Russian).
-
Poddubnaya I.V. Sheyka matki i vul'varnye bolezni [Cervix and vulvar
diseases]. In: Materialy nauchnoy programmy II Mezhdistsiplinarnogo
foruma s mezhdunarodnym uchastiem. Moscow. 2014. 4-5 p. (In Russian).
-
Rogovskaya S.I., Terebneva L.I. Klinicheskie aspekty ploskokletochnykh
intraepitelial'nykh porazheniy nizkoy stepeni [Clinical aspects of
squamous intraepithelial lesions of a low degree]. Akusherstvo i ginekologiya 20013;(2):136–143. (In Russian).
-
Soukhomi R., Tobayas Dzh. Rak i ego lechenie [Cancer and its treatment]. Moscow. 2009. 437 p. (In Russian).
-
Chissov V.I., Starinskiy V.V., Petrova G.V. Zlokachestvennye
novoobrazovaniya v Rossii v 2006 godu (zabolevaemost' i smertnost')
[Malignant neoplasm in Russia in 2006 [incidence and mortality)].
Moscow: FGU «MNIOI im. P.A. Gertsena Rosmedtekhnologiy»; 2008. 225 p.
(In Russian).
-
Shelyakina T.V., Leonov M.G., Kantorova A.A., Gatagazheva Z.M., Evlaeva
M.I. Sravnitel'naya retrospektivnaya otsenka chastoty faktorov riska
zabolevaniya rakom sheyki matki v razlichnykh kontingentakh zhenshchin
Krasnodarskogo kraya, Rostovskoy oblasti i Ingushskoy respubliki
[Comparative retrospective assessment of frequency of cervical cancer
risk factors in various contingents of women living in Krasnodar
territory, Rostov region, and the Ingush Republic]. Chelovek i ego zdorov'e 2010; (3): 146-152. (In Russian).
-
Shikhnabieva N.D. Epidemiologiya zlokachestvennykh novoobrazovaniy
reproduktivnoy sistemy vzroslogo zhenskogo naseleniya Respubliki
Dagestan (ekologicheskie aspekty) [Epidemiology of malignant neoplasm of
reproductive system in the adult female population in the Republic of
Dagestan (ecological aspects)]. Cand. Med. Sci [dissertation].
Makhachkala. 2005. 248 p. (In Russian).
-
Bray F. Ovarian cancer in Europe: Cross-sectional trends in incidence and mortality in 28 countries, 1953-2000. Int J Cancer. 2005; 113 (6):977-990.
-
Dunleavey R. The role of viruses and sexual transmission in anal cancer. Nurs Times. 2005 March 1-7;101(9):38-41.
Views: 9257
|