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Health Sciences · Medicine

Women's cancer prevention and management
Research Guide

What is Women's cancer prevention and management?

Women's cancer prevention and management is the cluster of medical and public health efforts focused on preventing, diagnosing, treating, and addressing the psychosocial impacts of cervical and breast cancers in women, including tools like the Papanicolaou test, mastectomy outcomes, healthcare access, and quality of life assessments.

This field encompasses 36,716 published works on cervical cancer and breast cancer prevention, diagnosis, treatment, and psychosocial effects in women. Key topics include the Papanicolaou test for early detection, mastectomy experiences, and factors influencing quality of life post-treatment. Studies examine body image issues, sexual problems, and follow-up care in primary settings among younger patients.

Topic Hierarchy

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graph TD D["Health Sciences"] F["Medicine"] S["Public Health, Environmental and Occupational Health"] T["Women's cancer prevention and management"] D --> F F --> S S --> T style T fill:#DC5238,stroke:#c4452e,stroke-width:2px
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36.7K
Papers
N/A
5yr Growth
36.7K
Total Citations

Research Sub-Topics

Why It Matters

Women's cancer prevention and management directly affects clinical practices for breast and cervical cancer, the most common women's cancers addressed in this field. For instance, Pat Fobair et al. (2005) in "Body image and sexual problems in young women with breast cancer" found that among women diagnosed at age 50 or younger, treatment led to frequent body image and sexual problems in the first months post-treatment, informing psychosocial support protocols. Elizabeth A. Grunfeld et al. (1996) in "Routine follow up of breast cancer in primary care: randomised trial" demonstrated that shifting follow-up responsibility from hospitals to general practice did not delay recurrence diagnosis and maintained quality of life over 18 months, supporting cost-effective primary care models. Umberto Veronesi et al. (1985) in "Prognosis of Breast Cancer Patients after Mastectomy and Dissection of Internal Mammary Nodes" analyzed 1119 patients and linked internal mammary node metastases to tumor diameter, guiding surgical decisions for operable breast cancer. These findings shape preventive screening with the Papanicolaou test, as reviewed by Aristidis Diamantis et al. (2014) in "50 years after the death of George Nicholas Papanicolaou (1883-1962): evaluation of his scientific work," and improve post-mastectomy care, as explored in David K. Wellisch et al. (1978) "Psychosocial aspects of mastectomy: I. the women's perspective," where 41 women reported good overall adjustment despite sexual relationship challenges.

Reading Guide

Where to Start

"Body image and sexual problems in young women with breast cancer" by Pat Fobair et al. (2005) is the top-cited paper with 866 citations and provides an accessible entry into psychosocial impacts, detailing frequencies of issues in young patients post-treatment.

Key Papers Explained

Pat Fobair et al. (2005) "Body image and sexual problems in young women with breast cancer" (866 citations) establishes psychosocial challenges post-treatment, which David K. Wellisch et al. (1978) "Psychosocial aspects of mastectomy: I. the women's perspective" (366 citations) builds on by surveying 41 mastectomy patients' adjustments and sexual effects. Elizabeth A. Grunfeld et al. (1996) "Routine follow up of breast cancer in primary care: randomised trial" (401 citations) extends this to care delivery, showing equivalent outcomes in primary settings. Desmond Curran et al. (1998) "Quality of life of early-stage breast cancer patients treated with radical mastectomy or breast-conserving procedures: results of EORTC trial 10801" (353 citations) and G.M. Kiebert et al. (1991) "The impact of breast-conserving treatment and mastectomy on the quality of life of early-stage breast cancer patients: a review." (326 citations) connect surgical choices to quality of life metrics. Umberto Veronesi et al. (1985) "Prognosis of Breast Cancer Patients after Mastectomy and Dissection of Internal Mammary Nodes" (334 citations) adds prognostic data from 1119 cases.

Paper Timeline

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graph LR P0["The menstrual cycle.
1977 · 476 cites"] P1["Cytology from antiquity to Papan...
1978 · 386 cites"] P2["Psychosocial aspects of mastecto...
1978 · 366 cites"] P3["Routine follow up of breast canc...
1996 · 401 cites"] P4["Quality of life of early-stage b...
1998 · 353 cites"] P5["Body image and sexual problems i...
2005 · 866 cites"] P6["50 years after the death of Geor...
2014 · 395 cites"] P0 --> P1 P1 --> P2 P2 --> P3 P3 --> P4 P4 --> P5 P5 --> P6 style P5 fill:#DC5238,stroke:#c4452e,stroke-width:2px
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Most-cited paper highlighted in red. Papers ordered chronologically.

Advanced Directions

Aristidis Diamantis et al. (2014) "50 years after the death of George Nicholas Papanicolaou (1883-1962): evaluation of his scientific work." (395 citations) evaluates cytology's evolution for cervical prevention, while Marceli de Oliveira Santos et al. (2023) "Estimativa de Incidência de Câncer no Brasil, 2023-2025" (326 citations) projects rising global incidence, noting a 20% increase over the last decade and over 25 million new cases by 2030, urging policy updates. No recent preprints or news available.

Papers at a Glance

Frequently Asked Questions

What body image and sexual issues arise after breast cancer treatment in young women?

Pat Fobair et al. (2005) in "Body image and sexual problems in young women with breast cancer" determined the frequency of these problems in the first months post-treatment among women diagnosed at age 50 or younger. Breast cancer treatment caused severe effects on their bodies. The study highlights the need for targeted psychosocial interventions.

How does primary care follow-up compare to hospital follow-up for breast cancer patients?

Elizabeth A. Grunfeld et al. (1996) in "Routine follow up of breast cancer in primary care: randomised trial" conducted an 18-month randomized trial on women in remission. Transferring follow-up to general practice showed no difference in time to recurrence diagnosis or quality of life compared to hospital care. This supports efficient primary care integration.

What is the significance of the Papanicolaou test in cervical cancer prevention?

Aristidis Diamantis et al. (2014) in "50 years after the death of George Nicholas Papanicolaou (1883-1962): evaluation of his scientific work" summarize George Nicholas Papanicolaou's contributions to clinical cytology. His work on the Papanicolaou test enabled early cervical cancer detection. Hajdu Si (1978) in "Cytology from antiquity to Papanicolaou" traces its historical development for preventive screening.

How does mastectomy affect psychosocial adjustment and quality of life?

David K. Wellisch et al. (1978) in "Psychosocial aspects of mastectomy: I. the women's perspective" surveyed 41 women post-mastectomy on adjustment, sexual relationships, and age influences. Most reported good overall adjustment but indicated issues in sexual functioning. Desmond Curran et al. (1998) in "Quality of life of early-stage breast cancer patients treated with radical mastectomy or breast-conserving procedures: results of EORTC trial 10801" compared quality of life outcomes from EORTC trial 10801.

What prognostic factors are associated with mastectomy and node dissection in breast cancer?

Umberto Veronesi et al. (1985) in "Prognosis of Breast Cancer Patients after Mastectomy and Dissection of Internal Mammary Nodes" analyzed 1119 patients treated from 1965-1979 at the National Cancer Institute of Milan. Metastases to internal mammary nodes correlated significantly with maximum tumor diameter. This informs surgical prognosis for operable breast cancer.

How do breast-conserving treatments compare to mastectomy in quality of life?

G.M. Kiebert et al. (1991) in "The impact of breast-conserving treatment and mastectomy on the quality of life of early-stage breast cancer patients: a review" reviewed 18 studies on early-stage breast cancer. Breast-conserving procedures showed comparable or better quality of life impacts versus mastectomy. This challenges the necessity of more invasive surgeries.

Open Research Questions

  • ? How can body image interventions be optimized for young women experiencing sexual problems post-breast cancer treatment?
  • ? What long-term quality of life differences persist between primary care and hospital follow-up for breast cancer survivors?
  • ? In what ways do tumor characteristics like diameter influence internal mammary node involvement and survival post-mastectomy?
  • ? How do psychosocial support needs vary by age in women undergoing mastectomy?
  • ? What refinements to the Papanicolaou test cytology could further reduce cervical cancer incidence?

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