L48 Anthro 3283 Lecture Notes - Lecture 26: Surgical Oncology, Dole Food Company, Cervical Cancer
14 Nov 2016
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Cancer accounts for 11% of guatemalan mortality: large proportion of communicable disease, but also a high burden of. Projected deaths: deaths from infectious disease are projected to decrease, noninfectious are projected to increase, much more costly to treat these diseases. Indigenous are very racialized: 22 language groups mayan culture oncologist and no chemotherapy or radiotherapy. Case study: 55 year old indigenous woman, illiterate, minimal spanish (kaqchikel, ductal breast cancer, er+ (estrogen-receptor, her-2-neu +++ (very aggressive, stage iii. Standard of care in us: neoadjuvant (i. e. preoperative) chemotherapy, surgery, radiotherapy, hormone therapy (tmx [tamoxifen] or ai [aromatase inhibitors] for 5 years, anti-her therapy (trastuzumab) for 1 year. Findings from incan"s new experimental treatment program (breast: 32 er+ patients, 47% on tamoxifen showed clinical response and 1 from outlying, rural. Cancer) area dropped out: (cid:887)(cid:885)% referred to chemo (cid:886) died, (cid:886) dropped out, all of those who dropped out were from outlying areas, responders saved thousands of dollars in expected chemotherapy costs.
