Oncoplastic Surgery and the Clinical Features of Breast Cancer-Relevant Factors Associated with Reoperation in Breast Oncoplastic Surgery.

Oncoplastic breast surgery slowly becomes a part of routine breast cancer surgical management but evidence with regard to oncological safety remains limited. The aim of this study was to compare relevant factors associated with the particular type of breast carcinoma and the applied surgical techniques either with or without oncoplastic surgery. This retrospective study enrolled the breast cancer female patients who underwent breast-conserving therapy alone or with the oncoplastic surgery in the Department of Surgical Oncology at the Center of Oncology of the Lublin Region St.

Breast Cancer-Epidemiology, Risk Factors, Classification, Prognostic Markers, and Current Treatment Strategies-An Updated Review.

Breast cancer (BC) is the most frequently diagnosed cancer in women worldwide with more than 2 million new cases in 2020. Its incidence and death rates have increased over the last three decades due to the change in risk factor profiles, better cancer registration, and cancer detection. The number of risk factors of BC is significant and includes both the modifiable factors and non-modifiable factors.

Intensity of menopausal symptoms and quality of life in climacteric women.

Menopause is a difficult period in a woman's life, associated not only with the end of menstruation, but also with symptoms such as hot flashes, sweating, dizziness, and palpitations which occur due to fluctuations in the hormones oestrogen and progesterone. The aim of this study was to evaluate the quality of life of women (aged 48-55 years) in the physical, mental and social spheres, to determine the intensity of menopause symptoms and to ascertain whether the above indicators are influenced by sociodemographic factors. The study was conducted by diagnostic survey using two tools - the WHOQOL-BREF questionnaire for the measurement of the quality of life and the Kupperman index, which measures the severity of menopause symptoms.

Satisfaction with the Aesthetic Effect and Quality of Life for Women after Breast Conserving Therapy (BCT)-Preliminary Research.

All methods of breast cancer treatment may potentially lead to breast deformities, which are often associated with the reduced mental well-being of patients. Breast conserving therapy (BCT) is commonly used, and its core element is breast conserving surgery (BCS).The aim of this study was to determine the level of satisfaction with the aesthetic outcome of surgery and quality of life (QoL) of breast cancer patients undergoing BCT in a longitudinal study performed three months, six months and 12 months after surgery.

The effect of pre-emptive analgesia on the level of postoperative pain in women undergoing surgery for breast neoplasm.

Aim Of The Study: Dynamic development of research on pain has resulted in the formulation of the concept of pre-emptive analgesia, which involves administration of analgesics before the first pain-producing stimulus appears. It is meant to prevent increased sensitivity to pain in the postoperative period. The aim of this study was to assess the possibilities of modifying the intensity of postoperative pain evaluated with the visual analogue scale (VAS) in patients after surgical treatment for breast neoplasm offered by pre-emptive analgesia.

Retrospective study of injury rates among children and adults in the Lublin Region of Poland.

Introduction And Objective: In Poland and worldwide, injury rates, as well as accident rates among children and adolescents still remain a social, health and economic problem, despite an attempt to inhibit the growing tendency of this phenomenon.

Objective: An attempt to evaluate current trends in injury rates among children and adolescents based on the example of two provinces in the Lublin Region of Poland during the period 2006-2010.

Materials And Method: The retrospective study was conducted by the method of examination of documents, using the technique of content analysis.

Myeloid-Derived Suppressor Cells Endow Stem-like Qualities to Breast Cancer Cells through IL6/STAT3 and NO/NOTCH Cross-talk Signaling.

Myeloid-derived suppressor cells (MDSC) contribute to immune suppression in cancer, but the mechanisms through which they drive metastatic progression are not fully understood. In this study, we show how MDSC convey stem-like qualities to breast cancer cells that coordinately help enable immune suppression and escape. We found that MDSC promoted tumor formation by enhancing breast cancer cell stem-like properties as well as by suppressing T-cell activation.

Selected breast cancer risk factors and early detection of the neoplasm in women from Lublin region attending screening program in St. John's Cancer Center, years 2005-2006.

Introduction And Objective: In Poland, consulting is offered to women about risk factors of breast cancer, breast symptoms and early cancer detection. Study aims were to evaluate the correlation between some risk factors and women's attendance to breast checkups, and to assess links between risk factors and detection of early breast cancer.

Materials And Methods: The study involved 8014 women aged 50-69 years, participating in breast cancer screening program.

Causes of late diagnosis of the reproductive organs' cancer in the opinion of suffering women from urban and rural areas of Lublin as an indicator of the condition of the early cancer detection system: a preliminary report.

Introduction: Tumours as well as the cardiovascular diseases are the leading causes of deaths in Poland. This article contains excerpts from research on complex causes of late diagnosis of cancer among the region's residents.

Aim Of The Study: One of the specific aims of the research undertaken was to learn about subjective assessment of women suffering from cancer taking into account its late diagnosis.

T-tube duodenocholangiostomy for the management of duodenal fistulae.

Background: The tube decompression of the duodenum through an additional point of access of the duodenal wall or occasionally via the leak site decreases morbidity and mortality in patients with duodenal fistula. The objective of this paper is to present the detailed technique and clinical benefits of simplified duodenal and biliary decompression achieved by transampullary insertion of a T-tube with one-step duodenal closure for the prevention and/or treatment of duodenal leak.

Methods: The duodenocholangiostomy using T-tube with laterally perforated long duodenal limb was performed preventively in 4 patients and as a secondary procedure for septic duodenal leak in another selected 12.

[Knowledge of the term and methods of alternative medicine in the example of the patients of one bioresonance practice].

Unlabelled: The growing number of patients of various kinds of unconventional medicine poses a question as to the reason of taking up such treatments. Do such people know whether the methods of treatment they opt for are scientifically proven? Aim of the study was to test the knowledge among patients of bioresonance practice on methods of alternative medicine and to determine the break down of those patients based on their sex, age and the level of education.

Material And Methods: 152 patients of bioresonance practice were asked to fill in an anonymous questionnaire.

Prognostic value of p27 kip1 expression in adenocarcinoma of the pancreatic head region.

Background: p27(kip1) is a tumour suppressor gene, functioning as a cyclin-dependent kinase inhibitor, and an independent prognostic factor in breast, colon, and prostate adenocarcinomas. Conflicting data are reported for adenocarcinoma of the pancreas. The aim of this study was to establish the prognostic value of p27(kip1) expression in adenocarcinoma of the pancreatic head region.

Breast self-examination among Polish women of procreative age and the attached significance.

The aim of the study was to check whether and how frequently Polish women of procreative age examine their breasts, what this is conditioned by, and whether such self-examination has diagnostic significance. In this study, survey by questionnaire of 492 women of procreative age was conducted. Breast self-examination (BSE) was conducted by 82.

Self-examination of breasts as an element of breast cancer prophylaxis.

Increased mortality, morbidity and incidence of neoplastic diseases, malignancy especially, has been observed in Poland for over 20 years. Death rate has increased from 19.34% to 22.

Complementary and alternative care within cancer care.

In this paper the authors will describe the emergence of CAM within cancer care by summarizing developments in research, practice and delivery, and outline the context within supportive and palliative care and highlight the parallels within the emergence of this specialty. It will be illustrated how the users, patients and their families are increasingly shaping service, provision and describe initiatives, both regional and national, which put the patients' perspective at the heart of decision making for the future CAM research and service delivery. The paper makes an attempt to identify and discuss briefly integrative medicine and describe the variety of forms and venues in which integrative medicine can be practiced by oncologists to treat cancer patients.

Care of a patient with acute leukemia based on a Dutch specialized model of oncology nursing.

Within the University Hospital Vrije Universiteit autologous and allogenic SCT are practiced. The hematology ward has 18 beds 3 of which are isolation rooms with laminar airflow and six day-care beds. In a year about 20 allogeneic and some 50 autologous SCT take place.

Professional information, education and counselling as prerequisites for quality cancer care.

The importance of psychosocial factors in the cancer journey for both patients and their careers has been recognized, yet, there is still a great gap between the theory and the practice. The majority of cancer patients express universal need and stress the importance of having good relationships with health-care professionals and receiving good-quality information. There is still much to do when it comes to informing cancer patients.

Communication with patients and their families, who undergo bone marrow transplantation.

Bone marrow transplantation (BMT) is a widely accepted treatment for malignant and nonmalignant diseases. With advances such as autologous and allogenic stem cell transplant, umbilical cord blood transplant, and improved biomedical support therapies, the need to evaluate the impact technology on the patient and the family continues to be an important aspect of medical and nursing research. BMT has been described as a procedure associated with isolation of the patient, prolonged hospitalizations, rapid fluctuations in medical conditions, frequent and often life-threatening infections, and graft-versus-host disease (GVHD).

The possibilities of surgical cover of skin defect in locally advanced breast cancer.

Three types of surgical procedure were applied to cover skin defect in locally advanced breast cancer after simple mastectomy. The skin defect was impossible for primary suture. In four cases we used latissimus dorsi myocutaneous flap with a very good effect.

Surgical treatment in Paget's disease of the breast.

The extent of the operation in Paget's disease of the breast depends largely on the degree of clinical advancement of neoplasm as well as counter-indications for breast conserving therapy. Despite the increasing use of breast conserving therapy, rather few such operations of this kind have been performed in our department. We have carried out 29 mastectomies and only 6 breast conserving operations.

Palliative care professional education in the new millennium: global perspectives--universal needs.

In the 20th century, the palliative care is based mostly upon the Anglo-Saxon and Christian contemporary model of care. Is such a model sufficient and could be transformed to the places outside of Judeo-Christian based, west civilization? Is such a model transcultural and could be used for problems solving for those who are professionally involved in the end-of-life care? The universal needs of the dying human being and the family are seen by the authors in the global perspective, and that perspective is tailored as a base for the transcultural model of the education for the professionals within the palliative care.

Starting with the hospice/palliative care project--the philosophy and the practice.

The goals of the palliative care is the maximizing of the quality of life of people with the chronic progressive illness, their families and those who care about them. The palliative care is characterized by the interdisciplinary and patient-centered approach which consists of five dimensions: the sphere of the biological, psycho-social and spiritual functioning centered on the patients life, and the others: the care for the family and care for ourselves concerned with the care for the caregivers. The authors describe the development of the palliative care in the last twenty years and stress the importance of the difficult but necessary balance-keeping between the philosophy, mission and the practical needs.

Quality of care. Understanding the theoretical framework and learning the practical setting.

Different professional reports set out recommendations for the delivery of high-quality services in cancer centers, units and primary health care. The explicit recommendations of the reports emphasized the need for cancer service to take account of the views and preferences of patients as well as of their families and careers. The assessment of the compliance with those recommendations is a base for the professional audit, measurement of the actual quality of care given, as well as the accreditation of cancer centers and units.

Palliative care--transiting old tradition and values into the modern health care practice.

Care of the dying patient is care for the patient who is still living, it is helping that patient to live his or her life to the fullest whether at home or hospice, or in hospital. It is care that is not just centered on the individual but includes members of the family. It is focused on improving the quality of patients' life, by incorporating into the professional care most of unique human values, such as respect, empathy, compassion and tender loving care.

Information needs of the patients undergoing bone marrow transplantation.

The number of allogenic and autologous bone marrow transplantation (BMT) and the number of centers which perform these procedures have increased dramatically over the last 10 years. This increase can be attributed to the progress in supportive care which caused a significant decrease of transplant related mortality. Hematopoietic stem cell transplantation (HSCT) is now established therapy for many hematological malignancies, solid tumors and autoimmune disease.