The quality of early breast cancer diagnosis in urban women by doctors of adult polyclinics

In oncology, one of the leading places belongs to breast cancer. This problem is particularly significant in the current situation, when the issue of reproductive health of the female population is acute lyuped in connection with the unfavourable demographic trends in our country. Early diagnosis of precancerous diseases and initial stages of cancer is possible only with active search of patients among practically healthy people. However, despite the availability of breast for examination in adult clinics, malignant tumors of these locations are often found with considerable delay. The most important factor in the success of early diagnosis of oncopathology is the work of primary health care physicians. However, there have been no studies on the quality of early diagnosis of breast cancer in urban women in modern seffings. Purpose of the study. to study the quality of early diagnosis of breast cancer in urban women by doctors of adult polyclinics. Materials and methods. Adult clinics №.1, 2, 3, 4, 5, 6, 7, 8, 11, 12 of Ivanovo have been identified as the basis of the study. The study was conducted in 2018. The program of the study included the use of methods: expert, sociological, mathematical and statistical. Surveillance units: a woman with a malignant breast formation living in the city; case of detected and confirmed malignant breast formation. A retrospective analysis of 600 expert opinions was carried out, the survey method on the questionnaire studied women's satisfaction with premorbid prevention in the adult clinic and the availability of early diagnosis of breast cancer (100 patients). The data were processed using applied computer programs. Results. It has been established that the main causes of late diagnosis of breast cancer in urban women are: untimely treatment of the patient in a medical and preventive institution, deviations from the standard of examination of women for oncopathology, errors in diagnosis, features of the course of the disease (lightning or latent form), non-compliance with continuity in the management of the patient.

Conclusion. Analysis of expert opinions on advanced cases of breast cancer showed that the bulk of the defects detected are preventable and are associated with low cancer of doctors and failure to fully and properly perform the standard of examination oncopathology.

1. Zaridze DG, Kaprin AD, Stilidi IS. Dynamics of morbidity and mortality from malignant tumors in Russia. Problems in oncology. 2018; 64(5):578—591. (In Russian).

2. Gordienko VP, Mazharova OA, Korobkova TN. Some aspects of epidemiology of malignant tumors in the far eastern federal district. Amur Medical Journal. 2018; 3(23):38-41. (In Russian). DOI: 10.22448/AMJ.2018.3.38-41

3. Aksel EM, Vinogradova NN. Statistics of malignant neoplasms of female reproductive organs. Gynecologic Oncology. 2018; 3(27):64—78. (In Russian).

4. Sych GV, Kosolapov VP, Letnikova LI, Lastochkina KS. Onco-logical morbidity and mortality from malignant novelties in the Voronezh region. System analysis and management in biomedical systems. 2018; 17(2):479-485. (In Russian).

5. Vaninov AS. Incidence of malignant new growths of female re-productive organs and mammary gland in the kyrgyz republic. International journal of applied and fundamental research. 2019; (8):50—53. (In Russian). DOI: 10.17513/mjpfi.12824

6. Merabishvili VM. Medium-term prognosis of cancer mortality among the population of Russia. Siberian journal of oncology. 2019; 18(4):5—12. (In Russian). DOI: 10.21294/1814-4861-2019-18-4-5-12

7. Leonov MG, Akhmatkhanov KhU, Chernov SN, Goryashko OV. Data analysis of detection and diagnosis state of cervical cancer in the Russian Federation in 2016. Effective Pharmacotherapy. 2018; (25):30-32. (In Russian).

8. Voroshina NV, Vazhenin AV, Tyukov YA. Effectiveness of the early detection system of malignancies of the breasts and cervix by the assessment of women of fertile age. Ural Medical Journal. 2019; 4(172):91-95. (In Russian).

9. Baltabekov NT, Olzhaev ST, Nurmalov SR, Zhumashev UK, Igisinova GS, Amanbekov NA, et al. Ways to improve early detection of malignant neoplasms in people above 65. Oncology and radiology of Kazakhstan. 2018; 1(47):6-11. (In Russian).

10. Kaprin AD, Aleksandrova LM, Starinsky VV, Mamontov AS. Technologies for early diagnosis and screening in the early detection of malignant neoplasms. P. A. Herzen journal of oncology. 2018; 7(1):34-40. (In Russian). DOI: 10.17116/onkolog20187134-40

11. Sych GV, Kosolapov VP, Gulov VP, Dzhavahadze RE. The organization of cancer services in the territory of the voronezh region: state, problems and prospects of development. Journal of new medical technologies, eEdition. 2018; 3:112-116. (In Russian). DOI: 10.24411/2075-4094-2018-16048

12. Ikonnikova AV, Dzhuraeva Sh. F. Onconsistence of dentists: issues of primary diagnosis of cancer of the tongue. Modern dentistry. 2019; 2(75):46-48. (In Russian).

13. Gatagazheva ZM. Implementing new organizational forms of oncogynecological and onkomammological care to female population into republican oncogynecological service and its results. Social aspects of population health. 2018; 1(59):6. (In Russian).

14. Kondrashkina NB, Kamaev IA. Improvement of medical care for cancer patients in the current socio-economic conditions of a particular region (Kaluga region). Scientific and practical journal «Modern science: actual problems of theory and practice». 2018; (12):132-136. (In Russian).

15. Gatagazheva ZM, Zelenova OV. The results of introducing the novel organizational forms of gynecological breast cancer care for the female population in the work of a regional cancer service. Russian Journal of Preventive Medicine and public health. 2018; 21(5):35-44. (In Russian). DOI: 10.17116/profmed20182105135

16. Kozlov VA, Funtikova EL, Polyakov BA, Mushnikov DL. Principles of formation of regional policy health in cancer care part. Journal of scientific articles Health and Education millennium. 2017; 19(12):100-103. (In Russian).