Nivel de asociación entre nódulos mamarios en adolescentes y su menarquía
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2018
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Carrera de Medicina
Resumen
El cáncer de mama es una de las patologías con mayor tasa de morbimortalidad a nivel mundial, sin embargo, las lesiones benignas categorizadas como nódulos mamarios, son poco analizadas. Se menciona que la menarquia antes de los 12 años eleva el riesgo relativo de esta enfermedad en comparación con su manifestación después de los 13 años; es decir que la menarquia se vincula con la aparición y riesgo de presentación de lesiones mamarias mientras más temprana esta se presente; en Ecuador no se han repostados datos estadísticos sobre las lesiones nodulares benignas de las mujeres ni su asociación con la menarquia. Por ello nuestro estudio de forma analítica descriptiva observacional indirecta y retrospectiva pretende determinar el nivel de asociación entre la aparición de la menarquia temprana y nódulos benignos de mama (quistes o fibroadenomas) de las madres menores de 19 años, determinando que de 42 pacientes el nivel de asociación entre menarquia y nódulos, se calcula un chi cuadrado de 0.00009 y una incidencia del 58% cuyo riesgo relativo es de 1, siendo que de toda esta población la menarquia temprana se dio en el 64% de los casos y fibroadenomas en el 43% y quistes de mama en el 57%.
Breast cancer is one of the pathologies with the highest rate of morbidity and mortality worldwide, however, benign lesions categorized as mammary nodules are poorly analyzed. It is mentioned that menarche before the age of 12 increases the relative risk of this disease in comparison with its manifestation after 13 years; that is, menarche is linked to the appearance and risk of presentation of breast lesions the earlier it occurs; in Ecuador, statistical data on benign nodular lesions of women and their association with menarche have not been refilled. Therefore, our study of indirect and retrospective observational descriptive analytical form aims to determine the level of association between the onset of early menarche and benign breast nodules (cysts or fibroadenomas) of mothers under 19 years of age, determining that of 42 patients the level of association between menarche and nodules, a chi-square of 0.00009 is calculated and an incidence of 58% whose relative risk is 1, being that of this population, early menarche occurred in 64% of cases and fibroadenomas in 43 % and breast cysts in 57%
Breast cancer is one of the pathologies with the highest rate of morbidity and mortality worldwide, however, benign lesions categorized as mammary nodules are poorly analyzed. It is mentioned that menarche before the age of 12 increases the relative risk of this disease in comparison with its manifestation after 13 years; that is, menarche is linked to the appearance and risk of presentation of breast lesions the earlier it occurs; in Ecuador, statistical data on benign nodular lesions of women and their association with menarche have not been refilled. Therefore, our study of indirect and retrospective observational descriptive analytical form aims to determine the level of association between the onset of early menarche and benign breast nodules (cysts or fibroadenomas) of mothers under 19 years of age, determining that of 42 patients the level of association between menarche and nodules, a chi-square of 0.00009 is calculated and an incidence of 58% whose relative risk is 1, being that of this population, early menarche occurred in 64% of cases and fibroadenomas in 43 % and breast cysts in 57%
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Adolescente, Nódulos mamarios, Menarquía, Hospital Materno Infantil Dra. Matilde Hidalgo de Procel, Cantón Guayaquil, Ecuador