The objective of this study was to analyze the food intake and nutritional status of women with breast cancer undergoing chemotherapy. The sample consisted of 14 women, over 19 years old, survivors of breast cancer undergoing chemotherapy treatment at the Prudentino Center of Oncology, in the city of Presidente Prudente, SP. Of these, 64.3% were overweight; 71.43% had deficient intake of vitamin A, vitamin E (78.57%) and 71% had inadequate fiber intake. Consumption of 24 ± 9.6 kcal / kg / P and 0.7 ± 0.4 g / kg of protein was observed. It is concluded that food intake is below adequate and overweight is still prevalent in this group of women. It is extremely important to develop strategies for dietary reeducation, emphasizing the importance of healthy and balanced diet for the prevention and treatment of diseases, including breast cancer, aiming at improving nutritional status, maintaining healthy weight, thus contributing to a good prognosis.
Aim
There is an increase in the number of complex SPECC cases presented at colorectal MDT meetings with a wide variation in the treatments offered to patients, many of whom undergo high-risk and life-changing surgical resection. This study aimed to evaluate the detection, diagnosis and treatment of early colorectal cancer since the introduction of a SPECC MDT.
Method
This was a retrospective audit of 108 patients, from the SPECC MDT database from January 2014 to December 2019. Primary outcome assessed the recognition of lesions using endoscopy and radiological evaluation to assess depth of invasion and lymph node involvement. Secondary outcomes included definite treatment, pathological reporting and recurrence.
Results
Overall, mean age of 72, 79% had one or more significant co-morbidity. Clinical presentation; 61 asymptomatic, 46 symptomatic and 31 referred from the national bowel cancer-screening programme. All patients (n = 108) had endoscopic assessment the lesions were, 53% sessile and 47% pedunculated; 78% of the lesions were found in the rectum. We observed surgical management in 31 cases, endoscopic in 28, chemo-radiotherapy in 12 and 3 cases were palliative. However, 17 (n = 108) underwent failed endoscopic resection and required surgical intervention. Recurrence was observed in 17.6% of cases and mortality in 4%.
Conclusions
Pathological reports provide a definitive answer to questions of malignancy but SPECC can be challenging in all areas. A specialist MDT allows for appropriate assessment and treatment of lesions and leads to better patient outcomes.
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