Purpose: The Instituto Mexicano del Seguro Social is a tripartite contribution providing care to more than 74 million beneficiaries, representing more than 50% of the country's general population. This study aims to describe the survival outcomes and clinicopathologic characteristics of patients with breast cancer at our Center.
Methods: A retrospective cohort of patients with breast cancer treated between January 2012 and December 2020 was conducted.
BMJ Open
November 2023
Introduction: Nearly 30 000 Mexican women develop breast cancer annually, frequently presenting unmet supportive care needs. In high-income countries, incorporating electronic patient-reported outcomes (ePROs) into cancer care has demonstrated potential for increasing patient-centred care and reducing unmet needs. No such ePRO interventions have been implemented in Mexico.
View Article and Find Full Text PDFMacrophages with the M2 phenotype promote tumor development through the immunosuppression of antitumor immunity. We previously demonstrated the presence of mesenchymal stem/stromal cells (MSCs) in cervical cancer (CeCa-MSCs), suggesting an immune protective capacity in tumors, but to date, their effect in modulating macrophage polarization remains unknown. In this study, we compared the capacities of MSCs from normal cervix (NCx) and CeCa to promote M2 macrophage polarization in a coculture system.
View Article and Find Full Text PDFEur J Histochem
February 2022
Desmoplastic stroma (DS) and the epithelial-to-mesenchymal transition (EMT) play a key role in pancreatic ductal adenocarcinoma (PDAC) progression. To date, however, the combined expression of DS and EMT markers, and their association with variations in survival within each clinical stage and degree of tumor differentiation is unknown. The purpose of this study was to investigate the association between expression of DS and EMT markers and survival variability in patients diagnosed with PDAC.
View Article and Find Full Text PDFSince the second half of the 20th century, our knowledge about the biology of cancer has made extraordinary progress. Today, we understand cancer at the genomic and epigenomic levels, and we have identified the cell that starts neoplastic transformation and characterized the mechanisms for the invasion of other tissues. This knowledge has allowed novel drugs to be designed that act on specific molecular targets, the immune system to be trained and manipulated to increase its efficiency, and ever more effective therapeutic strategies to be developed.
View Article and Find Full Text PDFObjectives: To develop and validate a Patient-Centred Quality of Cancer Care Questionnaire in Spanish (PCQCCQ-S) appropriate to the Mexican context.
Design: Psychometric validation of a questionnaire.
Setting: Two public oncology hospitals in Mexico City.
During the last two decades, three different epidemics, caused by three different coronaviruses, have affected humankind. The most recent, known as COVID-19, has caused in only five months, more than 340,000 deaths worldwide. Knowing the biology of coronavirus is key, not just to face the current pandemic, but to prepare ourselves for future epidemics.
View Article and Find Full Text PDFSupport Care Cancer
September 2015
Purpose: The purpose of this study is to validate the Mexican version of the Short-Form Supportive Care Needs survey (SCNS-SFM).
Methods: A cross-sectional survey was conducted from June to December 2013 at the Oncology Hospital of the Mexican Institute of Social Security in Mexico City. The study included 825 subsequent cancer patients >20 years of age with all forms of solid cancer.
In Mexico, breast cancer is the leading cancer-related death among women and most cases are diagnosed at advanced stages (50-60%). We hypothesized health system factors could be partly responsible for this delay and performed a prospective review of 166 new breast cases at a major public hospital in Mexico City. Our analysis confirmed the prevalence of locally advanced and metastatic disease (47% of patients).
View Article and Find Full Text PDFRev Med Inst Mex Seguro Soc
August 2007
Introduction: How the physician situates the autopsy among the elements to improve the clinical performance is related to the possibility that he or she requests it to the patient's family and that they authorize it.
Objective: To explore the perceptions and perspectives that medical post graduate trainees on oncology specialities have of the potential current functions of the autopsy.
Material And Methods: A semi-structured written questionnaire with four questions was applied to residents in surgical oncology, medical oncology and radio-oncology.
J Surg Oncol
April 2005
Introduction: Histologic examination of circumferential margins is an important predictor of local and distant relapse in non-radiated rectal cancer. However, for patients who received preoperative chemoradiotherapy this role has not yet been addressed.
Methods: From January 1995 to December 1997, 61 patients with rectal adenocarcinoma located between 0 and 10 cm from anal verge with invasion into perirectal fat assessed by rectal ultrasound were included.
Background: Histologic examination of a regional lymphadenectomy specimen ordinarily should include 12 or more lymph nodes. However, in specimens from patients who received preoperative chemoradiotherapy this number has not yet been established.
Methods: From January 1990 to December 2000, 210 patients with rectal adenocarcinoma located between 0 and 10 cm from anal verge with invasion into perirectal fat, tethered or fixed to the pelvis, diagnosed by computed tomography (CT) scan and/or rectal ultrasound were included.
Introduction: Clinical anastomotic leakage remains a major problem after anterior or low anterior resection for rectal or sigmoid cancer.
Objective: To analyze risk factors associated with this complication.
Material And Methods: From January 1992 to December 2000, 232 anterior or low anterior resections were performed.
Background And Objectives: Standard treatment of rectal adenocarcinoma located 3-6 cm above anal verge is abdominoperineal resection. The objective was to evaluate feasibility, morbidity, and functional results of anal sphincter preservation after preoperative chemoradiation therapy and coloanal anastomosis in patients with rectal adenocarcinoma located between 3 and 6 cm above the anal verge.
Methods: This study included 17 males and 15 females with a mean age of 54.
Background: There is a lack of appropriate information in regard to the optimal treatment for colon cancer infiltrating neighboring organs.
Objectives: The objective of this study is to analyze treatment results and to identify the risk factors of death by cancer in these patients.
Methods: A retrospective analysis of 40 patients with colon cancer infiltrating neighboring organs without distant metastases was carried out.