Document Detail


Default from neoadjuvant chemotherapy in premenopausal female breast cancer patients: what is to blame?
MedLine Citation:
PMID:  22960958     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Breast cancer is the most frequent cancer among women in most parts of the world including Nigeria. Neoadjuvant chemotherapy has been demonstrated to be a helpful strategy in the context of locally advanced breast cancer.
AIMS: The purpose of this study was to investigate some factors that may contribute to low rate of acceptance and adherence to neoadjuvant chemotherapy.
MATERIALS AND METHODS: A 1-year prospective study of premenopausal women with locally advanced breast cancer recommended for neoadjuvant chemotherapy from June 2009 to May 2010.
RESULTS: Forty-four patients gave consent to be part of the study. The ages ranged from 26 to 51 years with a mean age of 42.1 years ± 7.7 years. Only 31 patients completed the four courses of NAC. Seventeen (38.6%) patients dropped out of treatment, before, during or after completing NAC. Ten of these defaulted due to inadequate funds to procure chemotherapy, three patients because they insisted on immediate mastectomy, and four of these patients refused surgery when they achieved complete clinical response, probably due to fear of mastectomy which is common among women in our environment. Twenty patients had dose deferment.
CONCLUSION: Lack of funds to procure chemotherapy and refusal of additional modality of treatment are the two major factors responsible for default of NAC and its goal in patients with LABC.
Authors:
O A Egwuonwu; S N C Anyanwu; A M E Nwofor
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Nigerian journal of clinical practice     Volume:  15     ISSN:  1119-3077     ISO Abbreviation:  Niger J Clin Pract     Publication Date:    2012 Jul-Sep
Date Detail:
Created Date:  2012-09-10     Completed Date:  2012-11-27     Revised Date:  2013-02-15    
Medline Journal Info:
Nlm Unique ID:  101150032     Medline TA:  Niger J Clin Pract     Country:  India    
Other Details:
Languages:  eng     Pagination:  265-9     Citation Subset:  IM    
Affiliation:
Department of Surgery, Federal Medical Centre, Owerri, Nigeria. egwuobi@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Antineoplastic Agents / economics
Breast Neoplasms / drug therapy*,  economics
Chemotherapy, Adjuvant
Female
Humans
Middle Aged
Neoadjuvant Therapy
Nigeria
Patient Compliance*
Premenopause
Prospective Studies
Chemical
Reg. No./Substance:
0/Antineoplastic Agents

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