Diagnóstico mais rápido de câncer de mama em São José dos Campos

TV Setorial
12 Jul 202406:00

Summary

TLDRThe script discusses the importance of mammograms in early breast cancer detection, especially for women over 40. It highlights the experiences of Adila and Vanilda, who underwent mammograms at the Ambulatory Medical Clinic in São José dos Campos. The clinic's efficient care process, which includes immediate follow-up of any abnormalities, has significantly reduced waiting times for results, enhancing emotional comfort for patients. The script emphasizes the benefits of early diagnosis and regular screenings, which can lead to more effective treatments and higher cure rates.

Takeaways

  • 🎉 Adila, who is 40 years old, underwent her first mammography at the medical outpatient clinic in São José dos Campos, highlighting the importance of early detection for breast cancer.
  • 📍 Living in rural areas, Adila finds it more challenging to access medical services, emphasizing the need for better healthcare infrastructure in remote regions.
  • 🗓 The health agent plays a crucial role in scheduling and reminding patients about their medical appointments, especially for those in rural areas.
  • 👩‍⚕️ Bruna, responsible for welcoming patients and performing mammograms, provides essential guidance on the procedure, which helps alleviate patients' fears and doubts.
  • 🏥 The outpatient clinic has implemented a streamlined diagnostic process for breast cancer that has been in place for a year, significantly reducing waiting times for results.
  • 📈 The clinic offers approximately 700 mammograms per month, with about 400-500 exams conducted monthly, reflecting a high demand for breast cancer screening.
  • 🔍 If any abnormalities are detected during the mammogram, patients are promptly called for further investigation, which may include additional mammograms, ultrasounds, or even biopsies, all within the same day.
  • 🚀 The new diagnostic model allows for results to be delivered within three to four weeks, a significant improvement from the previous process that could take up to two months.
  • 🌟 Vanilda, another patient, experienced a faster diagnostic process at the clinic after identifying a lump in her breast, appreciating the efficiency of the service.
  • 📊 The clinic serves patients from São José dos Campos and seven other cities in the region, showcasing its wide-reaching impact on breast cancer care.
  • 🛑 In the first five months of this year, the clinic performed 193 biopsies, with 42 positive for cancer, indicating the effectiveness of the early detection program.
  • 🌟 Mammography is the only proven test that reduces the risk of mortality from breast cancer, and it is recommended to start annual screenings from the age of 40.
  • 💡 Early detection of breast cancer can lead to more effective treatment and higher cure rates, with the possibility of avoiding more aggressive treatments like chemotherapy or extensive surgery.

Q & A

  • What is the significance of a mammography for women around the age of 40?

    -Mammography is significant for women around the age of 40 as it is a diagnostic tool that aids in the early detection of breast cancer, which is crucial for timely treatment and better outcomes.

  • Why is it challenging for women living in rural areas to undergo mammography?

    -For women in rural areas, accessing mammography can be more difficult due to limited healthcare facilities and the need for coordination with health agents to schedule appointments, which may not always be timely.

  • What is the role of Bruna in the mammography process described in the script?

    -Bruna is responsible for welcoming patients and conducting the mammography at the medical facility. She provides orientation about the procedure, which helps patients understand what to expect.

  • How has the implementation of the new diagnostic oncology process at the ambulatory care unit affected the waiting time for results?

    -The new diagnostic oncology process has reduced the waiting time for results significantly. It now takes approximately three to four weeks to deliver results, compared to the previous fragmented service that could take up to two months.

  • What is the monthly capacity for mammography exams at the ambulatory care unit?

    -The ambulatory care unit offers around 700 mammography exams per month, but due to absences and other factors, they perform approximately 400 to 450 exams each month.

  • What happens if any abnormalities are identified during a mammography exam?

    -If any abnormalities are identified, the patients are called back for further complementary examinations, which may include additional mammography, sonography, or even a biopsy, all of which can be done on the same day.

  • How does the ambulatory care unit handle patients who have had abnormal results from exams conducted in their own municipality?

    -Patients with abnormal results from exams conducted in their own municipality are referred for evaluation by a mastologist. The unit aims to complete all necessary evaluations and procedures, including any additional tests or biopsies, on the same day.

  • What was the impact of the new model on the time it takes to deliver final results to patients?

    -The new model has significantly reduced the time to deliver final results to patients, making the process more efficient and less stressful for them.

  • How many biopsies were performed in the first five months of the year at the unit in São José, and how many were positive for cancer?

    -In the first five months of the year, 193 biopsies were performed at the unit in São José, with 42 being positive for cancer.

  • Why is it recommended to start mammography screening annually from the age of 40?

    -Starting mammography screening annually from the age of 40 is recommended because it allows for early detection of breast cancer, which can significantly improve the chances of a cure and reduce the need for more intensive treatments.

  • What is the potential impact of early detection of breast cancer on treatment effectiveness and patient outcomes?

    -Early detection of breast cancer can make treatment more effective and increase the chances of a cure to as high as 95%. It can also sometimes spare patients from more aggressive treatments like chemotherapy or extensive surgery.

Outlines

00:00

🏥 Early Detection of Breast Cancer Through Mammography

The script discusses Adila's first mammography experience at the age of 40, which is a significant age for breast cancer screening. She visits the medical outpatient clinic in São José dos Campos, highlighting the importance of early detection for better treatment outcomes. The clinic's breast cancer care line has been operational for a year, reducing waiting times for results. The clinic offers around 700 mammograms per month, with additional diagnostic tests and even biopsies available on the same day if needed. The script emphasizes the emotional comfort provided to patients by reducing the fragmented process of diagnosis and treatment, which previously required multiple visits and could take up to two months. The new streamlined process now delivers results within three to four weeks, making a significant difference in positive cases.

05:00

📅 Annual Mammograms for Early Breast Cancer Detection

This paragraph emphasizes the importance of annual mammograms starting at the age of 40 for general population screening. Mammograms are crucial for early detection of breast cancer, as they do not cause the disease but can identify it at its earliest stages. Early diagnosis significantly increases the chances of a cure and can sometimes prevent more intensive treatments like chemotherapy or extensive surgery. The script mentions that early detection can lead to a 95% cure rate, underscoring the necessity of regular screenings. The paragraph also touches on the clinic's service to patients from São José dos Campos and seven other nearby cities, and the effectiveness of mammograms in reducing breast cancer mortality rates.

Mindmap

Keywords

💡Mammography

Mammography is an imaging test that uses low-dose x-rays to examine the breast tissue for abnormalities. It is a crucial tool in the early detection of breast cancer. In the script, it is highlighted as the first procedure in the diagnostic line of care for breast cancer at the medical outpatient clinic, emphasizing its importance in the early diagnosis process.

💡Breast Cancer

Breast cancer is a type of cancer that starts in the breast. It is the focus of the video script as the main health concern being addressed. The script mentions the importance of early detection through mammography and the impact of timely treatment on survival rates.

💡Diagnostic Line of Care

The diagnostic line of care refers to the sequence of medical services and procedures provided to diagnose a condition, in this case, breast cancer. The script describes the implementation of a new process that has reduced waiting times for results, enhancing the efficiency of breast cancer diagnosis.

💡Outpatient Clinic

An outpatient clinic is a healthcare facility where patients can receive diagnosis and treatment without being admitted to the hospital. The script mentions the medical outpatient clinic of São José dos Campos as the location where the mammography and other diagnostic procedures take place.

💡Rural Area

A rural area is a region with a low population density and typically fewer healthcare resources compared to urban areas. The script discusses the challenges faced by individuals living in rural areas, like Adila, in accessing regular health screenings such as mammography.

💡Health Agent

A health agent is a community health worker who helps to bridge the gap between healthcare services and the community. In the script, the health agent is mentioned as someone who assists in scheduling medical appointments, including mammograms, for individuals like Adila.

💡Nodule

A nodule is a small lump or bump that can occur in various parts of the body, including the breast. In the script, a nodule is mentioned as a reason for further investigation and potential concern, leading to the need for a mammography or other diagnostic tests.

💡Biopsy

A biopsy is a medical procedure that involves taking a sample of tissue or cells from the body to examine for signs of disease, such as cancer. The script indicates that the outpatient clinic has performed numerous biopsies, with some resulting in a cancer diagnosis.

💡Mastologist

A mastologist is a medical specialist who focuses on the diagnosis and treatment of breast diseases. In the script, patients with abnormal findings in their mammograms are referred to a mastologist for further evaluation and potential treatment.

💡Early Detection

Early detection refers to identifying a disease, such as cancer, at an early stage before it has spread or caused significant health problems. The script emphasizes the importance of early detection through regular mammograms, which can lead to more effective treatment and higher cure rates.

💡Healthcare Fragmentation

Healthcare fragmentation describes a situation where different aspects of healthcare services are disjointed, making it difficult for patients to navigate and receive comprehensive care. The script contrasts the previous fragmented system with the new streamlined process, which provides a more efficient and less stressful experience for patients.

Highlights

Adila, at 40 years old, undergoes her first mammogram at the medical clinic in São José dos Campos.

Mammograms are crucial for early cancer detection, especially for women in rural areas like Adila.

The medical clinic's cancer care line has significantly reduced waiting times for results, improving patient experience.

Bruna, responsible for patient reception and mammograms, provides essential guidance on the procedure.

The clinic offers around 700 mammogram exams per month, with about 400-500 conducted due to absences.

If any abnormalities are identified, patients are immediately scheduled for further investigation, including additional mammograms, sonograms, or biopsies, all on the same day.

Patients referred from other municipalities with abnormal findings are also evaluated and treated on the same day by the mastologist.

The new model of care has drastically reduced the time from diagnosis to final results, from about two months to just three to four weeks.

Vanilda, another patient, had a nodule detected through the high exam and sought health care for further investigation.

The clinic's streamlined process is appreciated by patients like Vanilda, who find it much faster than previous fragmented services.

The clinic serves not only São José dos Campos but also seven other cities in the region, expanding access to cancer care.

In the first five months of the year, the breast cancer care line performed 193 biopsies, with 42 positive for cancer.

Mammograms are the only proven method to reduce mortality risk from breast cancer, emphasizing the importance of early detection.

The recommendation is to start annual mammogram screenings at the age of 40 for the general population.

Early detection through mammograms can lead to less intensive treatments, sometimes even sparing patients from chemotherapy or extensive surgery.

The early diagnosis of breast cancer is vital, making treatment more effective with a 95% cure rate when detected at the onset.

Regular mammogram exams are fundamental for disease detection, significantly impacting treatment efficacy and patient outcomes.

Transcripts

play00:00

a Ádila completou 40 anos e como muitas

play00:03

mulheres da mesma faix etária foi

play00:05

realizar a mamografia Esta é a primeira

play00:09

vez que ela faz o procedimento e foi ao

play00:12

ambulatório médico de Especialidades de

play00:14

São José dos Campos um exame simples e

play00:18

rápido mas que auxilia no diagnóstico do

play00:21

câncer de mama como eu moro na zona

play00:23

rural para mim é mais difícil então

play00:25

geralmente a minha agente de saúde fica

play00:26

aha tá chegando no tempo bora marcar aí

play00:29

ela marca para mim eu acabo Vindo fazer

play00:31

essas coisas e a miografia é a primeira

play00:32

vez como já cheguei aos 40 Então já tem

play00:36

40as né então mas aí ela falou não Adila

play00:39

já tá na idade de fazer vamos começar

play00:41

para ter certinho já foi muito bom eu

play00:44

tirei todas as dúvidas eu tava até

play00:45

preocupada né querendo não a minha

play00:47

cunhada ela tem um nódulo e ela acaba

play00:49

tendo que investigar essas coisas então

play00:52

ela já me explicou certinho que se

play00:54

aparecesse alguma coisa ela já falaria é

play00:55

bacana foi muito bom na verdade já vem

play00:58

com medo Ainda mais se na primeira vez a

play01:00

gente já vem com um monte de dúvidas e

play01:01

quando ela chega e explica sai bem

play01:03

melhor toda a orientação sobre o

play01:05

procedimento foi dada pela Bruna que é

play01:08

responsável por acolher as pacientes e

play01:11

fazer a mamografia a mamografia é o

play01:14

primeiro exame da linha de cuidados de

play01:17

câncer de mama do ambulatório o processo

play01:20

atual de Diagnóstico oncológico

play01:23

completou um ano de implementação e

play01:25

ajudou a reduzir o tempo de espera por

play01:29

resultados

play01:30

nossa linha de de cuidados de mama a

play01:32

gente tem dois funcionamentos diferentes

play01:35

Vamos eu vou explicar mais ou menos

play01:36

Então a gente tem o serviço de da

play01:38

mamografia em que a gente oferta cerca

play01:41

de 700 exames de mamografia por mês

play01:43

considerando as faltas tudo acaba

play01:46

fazendo cerca de 400 a 400 exames de

play01:48

mamografia por mês todas essas pacientes

play01:51

a gente vai após o laudo Caso seja

play01:55

identificado qualquer tipo de alteração

play01:57

essas pacientes são convocadas pelo nos

play01:59

nos pelo nosso agendamento e a gente

play02:02

acaba fazendo os outros exames

play02:04

complementares de investigação se for

play02:06

necessário uma outra mamografia ou uma

play02:08

outra ou uma outra Sonografia ou até

play02:11

mesmo uma biópsia a gente consegue fazer

play02:12

tudo isso eh tudo no mesmo dia e o outro

play02:16

jeito eh de funcionamento né a outra

play02:19

porta de entrada das pacientes são os

play02:20

pacientes que fizeram exames no próprio

play02:23

município e esses exames tiveram alguma

play02:26

alteração e elas são encaminhadas para

play02:28

avaliação do mastologista E aí a gente

play02:30

também eh no nosso modelo conseguimos

play02:34

fazer tudo no mesmo dia ainda segundo o

play02:36

mastologista o principal objetivo do

play02:39

diagnóstico precoce é iniciar o quanto

play02:42

antes o tratamento oncológico e oferecer

play02:45

mais conforto emocional a paciente antes

play02:48

a gente tinha um serviço que era tudo

play02:50

fragmentado então para fazer todos esses

play02:53

processos de consultas exames

play02:55

complementares biópsia muitas vezes a

play02:57

paciente tinha que vir cerca de quatro

play02:59

assim CCO vezes e isso acabava

play03:01

demandando um período de mais ou menos

play03:03

uns dois meses até eu ter o resultado

play03:06

final com essa mudança com com esse

play03:09

projeto novo que a gente tem a gente

play03:11

consegue entregar o resultado em cerca

play03:13

de três às vezes quatro semanas então a

play03:16

gente teve uma redução bem significativa

play03:19

que isso faz muita diferença nos casos

play03:21

positivos a dona Vanilda também fez a

play03:24

mamografia no am através do alto exame

play03:27

ela identificou um nódulo e procurou

play03:30

atendimento de saúde para verificar a

play03:33

alteração eu senti um caroço no peito

play03:36

daí eu fui até o meu postinho aí cheguei

play03:39

lá um médico meu falou assim Ah vamos

play03:40

pedir uma homografia daí eu peguei

play03:43

caminhou pelo am aí eu vim aqui fiz e e

play03:46

hoje eu tô aqui para ver o resultado do

play03:48

meu caroço que saiu no seio então como

play03:51

eu sou de São

play03:53

Francisco aqui o processo dos exames

play03:56

para mim eu gostei porque tá sendo muito

play03:58

mais rápido porque lá de demora muito

play04:00

para est atendendo né então eles me

play04:03

passaram eu para vir fazer aqui e eu tô

play04:05

achando que aqui tá sendo mais rápido

play04:07

agora se for para sair mais rápido ainda

play04:09

a gente prefere né que seja mais rápido

play04:12

a gente saber qual é o problema da gente

play04:13

né que a gente tem que cuidar da saúde

play04:16

então a gente quer que as coisas anda

play04:18

mais depressa além de São José dos

play04:20

Campos o ambulatório atende pacientes de

play04:23

outras sete cidades da região como

play04:26

Jacareí Caçapava Jambeiro Santa Branca

play04:30

Paraibuna Igaratá e Monteiro Lobato a

play04:33

linha de atendimento do câncer de mama

play04:36

realizou nos cinco primeiros meses deste

play04:38

ano 193 biópsias na unidade de São José

play04:43

sendo 42 positivas para câncer o exame

play04:47

que hoje a gente é o único exame que os

play04:49

estudos demonstraram realmente uma

play04:51

redução no risco de mortalidade por

play04:53

câncer de mama a gente tem a

play04:56

recomendação que de iniciar os exames

play05:00

né de seriam os exames de rastreamento

play05:02

de uma maneira anual uma vez por ano a

play05:05

partir dos 40 anos para uma população

play05:07

geral mfia ele é um exame capaz de fazer

play05:09

uma detecção precoce então a mamografia

play05:12

ela não vai causar o câncer de mama mas

play05:16

naquelas mulheres que vão desenvolver a

play05:17

doença a gente consegue fazer um

play05:19

diagnóstico mais no início da doença e a

play05:22

gente sabe que quanto mais cedo eu

play05:24

consigo diagnosticar

play05:26

é maior a chance de cura e muitas vezes

play05:30

até os tratamentos acabam sendo menos

play05:32

intensos também a gente pode às vezes de

play05:34

poupar as pacientes de uma quimioterapia

play05:37

ou uma cirurgia menos extensa

play05:40

Simplesmente por ter feito o diagnóstico

play05:41

mais cedo e olha só o diagnóstico

play05:43

precoce do câncer de mama é muito

play05:46

importante porque deixa o tratamento

play05:48

mais eficaz e quando descoberto Logo no

play05:50

início as chances de cura podem chegar a

play05:53

95% por isso é fundamental fazer os

play05:56

exames regulares para detecção da doença

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関連タグ
Breast CancerMammographyHealthcareEarly DetectionWomen HealthMedical DiagnosticsCancer ScreeningRural AccessPatient ExperienceHealth Services
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