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Context: In the present study, we aimed to design a comprehensive system for screening, diagnosing, and treating breast cancer in the armed forces. Methods: We conducted a focused group meeting (FGM) and article review to evaluate one-stop clinics. Review studies with a standard design based on the PRISMA guidelines and the “Cochrane Handbook” to conduct data analysis were reviewed in the article review phase. In addition, for data extraction in the initial phase, the text of each session with specialists was read and discussed to get the general atmosphere of the meetings. Results: In the present study, we observed the importance of better diagnosis and treatment of army cases, as mentioned in previous studies. Thus, we should use one-stop clinics to screen, diagnose, and treat army cases with breast cancer. In the present study, we designed this system and reviewed the best results in screening, diagnosis, and treatment of breast cancer in army cases. Conclusions: A general and regular one-stop clinic dedicated to rapid diagnosis in a comprehensive cancer center can be a highly effective model of care, although not directly linked to screening structures.

Background: According to the last report of the United Nations Office on Drugs and Crime (UNOCD), opiate use (including heroin) is 1.2% of the world population. In Iran, about 2 million people are drug addicts. Heroin reduces gastric motility and prolongs gastric emptying time and causes gastric dilation which can be a reason for gastric ischemia. Gastric ischemia is an uncommon condition due to the rich gastric blood perfusion and collateral arteries. As some studies show, gastric dilation can be the cause of gastric necrosis. Methods: A 22-year-old woman presented to our hospital with severe abdominal pain and several episodes of vomiting. The patient declared that she had a history of addiction to methamphetamine and heroin. Abdominal examination revealed a soft and non-distended abdomen with generalized tenderness, mostly in the hypogastric region without rebound tenderness. Abdominal radiograph revealed that the stomach was highly distended. Abdominal CT without contrast confirmed severe gastric dilatation. In endoscopy, multiple necrotic lesions were seen throughout the stomach and mostly in the proximal part. Our finding in the laparotomy was gastric necrosis in the proximal part, which resulted in a total gastrectomy. Esophagojejunostomy was performed with roux en y reconstruction after total gastrectomy. Conclusion: Opioids can increase the risk of gastrointestinal (GI) dysfunction and can increase the risk of infection in the GI tract. In our case, heroin abuse caused gastric dilation and massive gastric necrosis.