Análisis de la situación epidemiológica y manejo actual de los sarcomas de tejido blando y hueso en el Hospital México, San José Costa Rica
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Fecha
2018-08
Tipo
artículo original
Autores
Rojas Vigott, Raquel
Landaverde Recinos, Denis
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Resumen
Antecedente: Los sarcomas de tejido blando y de hueso, son
tumores raros, que son más frecuentes en la población joven.
Existen varios subtipos y cada uno de ellos debe ser tratados
en forma individual. Este es un análisis de la situación actual
epidemiológica y del manejo de los sarcomas en general en el
Hospital México tratados en la Unidad de Sarcomas.
Métodos: Se analizó las bases de datos del Hospital México
de la Unidad de Sarcomas de febrero de 2012 a diciembre
de 2017, para un total de 60 registros, donde se estableció
estadística descriptiva de las principales características
histológicas, demográficas, y su abordaje en general.
Resultados: EL 70% de los sarcomas fueron valorados en
forma multidisciplinaria en la unidad de sarcomas en el
Hospital México, siendo lo sarcomas de tejido blando los
más frecuentes (65,6%), y en población masculina (56%). El
75.4% llegaron en estadios con intención curativa (tempranos
y resecables) aún no se cuenta con datos de supervivencia
general.
Conclusión: Mayores esfuerzos institucionales se requieren
para mejorar los tiempos de atención de los pacientes con
sarcomas, desde el diagnóstico al tratamiento. Existe avances
claros en cuanto al manejo multidisciplinario del Sarcoma
con la unidad de sarcomas.
Background: Soft tissue sarcomas, and bone sarcomas, are rare neoplasms. These malignancies are more likely to be presented in young adults. There are several sub types which must be treated individually. This is a current analysis of the epidemiological situation and also the management of sarcomas at the Unit of Sarcomas at Mexico Hospital in Costa Rica. Methods:The Unit of Sarcomas Data base was evaluated from February 2012 to December 2017, a total of 60 registries were analyzed. Descriptive statistics were used. Results:70% of all sarcomas are analyzed in the multidisciplinary tumor board. Soft tissues sarcomas are more common (65.6%) in comparison with bone sarcomas. Sarcomas in general are predominantly more frequent in males (56%). 75.4% of all sarcomas come to our clinic in early stage and will receive curative intended treatment. Conclusion: Although there are clear improvements in the multidisciplinary management approach in the Unit of Sarcomas at Mexico Hospital, even more institutional efforts are needed to optimize the timing from diagnosis to treatment in patients with sarcoma.
Background: Soft tissue sarcomas, and bone sarcomas, are rare neoplasms. These malignancies are more likely to be presented in young adults. There are several sub types which must be treated individually. This is a current analysis of the epidemiological situation and also the management of sarcomas at the Unit of Sarcomas at Mexico Hospital in Costa Rica. Methods:The Unit of Sarcomas Data base was evaluated from February 2012 to December 2017, a total of 60 registries were analyzed. Descriptive statistics were used. Results:70% of all sarcomas are analyzed in the multidisciplinary tumor board. Soft tissues sarcomas are more common (65.6%) in comparison with bone sarcomas. Sarcomas in general are predominantly more frequent in males (56%). 75.4% of all sarcomas come to our clinic in early stage and will receive curative intended treatment. Conclusion: Although there are clear improvements in the multidisciplinary management approach in the Unit of Sarcomas at Mexico Hospital, even more institutional efforts are needed to optimize the timing from diagnosis to treatment in patients with sarcoma.
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Hospital México, Epidemiología, Sarcoma, Epidemiology, 614.599 94 Cánceres