Photo: Ernesto González Ibarra / CaOva
In Ovarian Cancer Forum
By: Dra. Dolores Gallardo Rincón, Head of the Ovarian Cancer Program of the National Institute of Cancerology.
MundodeHoy.com .- In Mexico there are about 4,000 new cases of ovarian cancer that are translated into 11 daily diagnoses, taking 7 daily lives, is a more lethal disease than breast and cervical cancer, with a hereditary pattern of up to 30% in our country, is little alert about their risk factors such as hormone replacement therapy, simple menopause with symptoms of aggravated colitis, so ovarian cancer is manifested, if with colitis.
Ovarian cancer is not diagnosed by a Papanicolaou study, and women with this disease ask: doctor, why did this happen to me if I get my Pap every year?
Women have not been told that their ovaries can get cancer.
This sickness began to have visibility in Mexico with the Treatment Access Program of the National Institute of Cancerology that started in the year 2011 and that has been possible thanks to continuous and determined support of the equality and health commissions of this Senate of the Republic and the Chamber of Deputies, of three legislatures.
The treatment access program has provided comprehensive care, with a level of excellence of 2,200 women since 2011, with what we have been able show that women with this condition have a future, that their disease can be controlled and cured and that they can be with your family and children, work and continue to support partially or totally family as often happens. 40% of the women in our program come from single-parent families.
This program has been the spearhead to make possible its coverage by popular insurance, which was announced in May 2016, Two years have passed since its inception, Today there are 20 accredited cancer centers for the care of this neoplasm, covering 16 states of the republic that represent 60% of the population of women in our country, without a doubt a great triumph but it is still insufficient.
A significant achievement has been the fact that since the INCAN ovarian cancer program we have been working for a year, so that in the Health Law of CD MX incorporates the right of women to receive a preventive and timely diagnosis in ovarian cancer; and the attribution of the secretary of health of the CD MX, so that implement training programs and campaigns for the prevention and detection of ovarian cancer. This law was approved in the month of April 2017, we continue in its implementation, comment that there are very few radiologists trained in the first level of care that they can do transvaginal ultrasound studies which is the way to diagnose ovarian cancer.
We have a historical backlog in health education to warn about ovarian cancer, while the campaign for the prevention and control of cervical cancer It is more than half a century old and that of breast cancer is more than 30 years old, that of ovarian cancer has not started. For ovarian cancer there is no national plan for prevention and timely detection of early and less advanced disease.
Women with ovarian cancer usually suffer from persistent colitis and they are not identified, the first contact physicians within which are the doctors general practitioners, gynecologists, general surgeons and gastroenterologists, they have a very low or no diagnostic suspicion towards this diagnosis. So after a viacrucis through which patients pass Y what their digestive symptoms have worsened, they are often surgically treated inadequately, in second level care hospitals where there is no oncologists or private clinics of medium or low quality, also by non-oncological surgeons, with a very high economic cost. More than a half will require be reoperated surgically, or it also happens that they lose their opportunity to be able to operate them. In general, patients delay their appropriate treatment in oncological institutions for a period of between 6 and 12 months, thus subtracting their possibilities of healing and control of the disease,
It can also happen that they arrive with a transvaginal ultrasound study in which suspected diagnosis of ovarian cancer, but when assessed in the areas of pre-consultation by reception staff and not by a doctor, they can be denied the attention because The requirement is that you have a report of pathology of malignancy. When the simple suspicion of ovarian cancer should be enough for these women to be admitted.
Today 60% of the population of women in Mexico has coverage of ovarian cancer care by the popular insurance and this has been a great relief, no doubt. Of the centers with popular insurance for ovarian cancer some they can offer attention with quality and efficiency, other centers refer that the resource does not reach them in time and form, these centers where the resource does not arrive properly request to be able to be decentralized public organizations (OPD) with which the resource would arrive directly at the hospital unit. .
It is evident that a regulation is urgently needed to address ovarian cancer in Mexico that includes awareness and education to women in Mexico, sensitization and education to the medical profession, to awaken interest in the governing institutions of health, continue to work with non-governmental organizations and the civilian population in matters of prevention, early diagnosis and less advanced disease, in the granting the best quality care in any corner of our country. Pushing prevention and more timely diagnosis of this disease. Our struggle is permanent.