妇科癌症妇女的警示症状说明

IF 1.8 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

Atencion Primaria Pub Date : 2025-07-15 DOI:10.1016/j.aprim.2025.103337

Blanca Sánchez-Galindo , Joseba Rabanales-Sotos , Ángel López-González , Carmen María Sánchez-Martínez , Marta Castaño-Díaz , Jesús López-Torres Hidalgo

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引用次数: 0

摘要

目的描述妇科肿瘤在初级保健中的表现，量化报警症状的存在，并建立其与诊断和治疗间隔时间的关系。设计回顾性研究一组患有妇科癌症的女性。安置：30个家庭医学咨询。参与者：138名女性（2014-2023年）。主要测量指标：患者特点、护理过程、疾病。考虑的时间间隔：患者、初级保健、诊断和总间隔。结果除卵巢癌外，大多数患者均在早期确诊。子宫内膜癌和宫颈癌最常见的症状是绝经后子宫出血，卵巢癌最常见的症状是腹胀，外阴癌最常见的症状是外阴溃疡。在子宫内膜癌中，有警报症状的女性年龄和健康问题的数量都更高（P= 0.01）。在卵巢癌中，在合并症较高的女性中，警报症状更频繁（P= 0.04）。总的来说，87.1%的患者对每个肿瘤都表现出一些特定的报警症状。在卵巢癌中，报警症状与较短的治疗间隔相关（P= 0.04）。结论除卵巢癌外，绝大多数妇科肿瘤均在早期诊断。出现报警症状的比例较高，与卵巢癌的诊断和治疗间隔时间有关。

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查看原文本刊更多论文

Descripción de los síntomas de alarma en las mujeres con cáncer ginecológico

Objective

To describe the presentation of gynecological cancer in primary care, quantifying the presence of alarm symptoms and establishing their relationship with the interval of time until diagnosis and treatment.

Design

Retrospective study of a cohort of women with gynecological cancer.

Placement

Thirty family medicine consultations.

Participants

One hundred thirty-eightwomen (period 2014-2023).

Main measurements

Characteristics of the patients, the care process, and the disease. Time intervals considered: patient, primary care, diagnosis, and total interval.

Results

Most were diagnosed in early stages, except for ovarian cancer. The most frequent presenting symptom in endometrial and cervical cancer was postmenopausal metrorrhagia, in ovarian cancer it was abdominal distension, and in vulvar cancer it was vulvar ulcer. In endometrial cancer, both age and the number of health problems were higher (P=.01) in women with alarm symptoms. In ovarian cancer, alarm symptoms were more frequent (P=.04) in women with higher comorbidity. Overall, 87.1% presented some specific alarm symptoms for each tumor. In ovarian cancer, alarm symptoms were associated with a shorter interval until treatment (P=.04).

Conclusions

Most women with gynecological cancer are diagnosed at early stages, except for ovarian cancer. A high proportion present alarm symptom, related to the interval of time until diagnosis and treatment in ovarian cancer.

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来源期刊

Atencion Primaria 医学-医学：内科

CiteScore

2.90

自引率

8.00%

发文量

156

审稿时长

33 days

期刊介绍： Atención Primaria es una revista que publica trabajos de investigación relativos al ámbito de la atención primaria de salud. Desde el punto de vista conceptual, Atención Primaria asume el nuevo modelo de atención primaria de salud, orientado no sólo a la curación de la enfermedad, sino también a su prevención y a la promoción de la salud, tanto en el plano individual como en el de la familia y la comunidad. En estos nuevos aspectos que definen el modelo de atención primaria de salud es en los que se centran los trabajos de investigación que publica Atención Primaria, la primera revista de originales española creada para recoger y difundir la producción científica realizada desde los centros de atención primaria de salud sobre cuestiones como protocolización de la asistencia, programas de prevención, seguimiento y control de pacientes crónicos, organización y gestión de la asistencia primaria, entre otros.