MULHERES JOVENS E CÂNCER DE MAMA: FATORES CLÍNICOS ASSOCIADOS À DOR E AO DESCONFORTO PÓS-TRATAMENTO

Authors

DOI:

https://doi.org/10.18471/rbe.v40.71065

Keywords:

Mulheres, Neoplasias da Mama, Sobreviventes de câncer, Dor, Sinais e Sintomas

Abstract

Objetivo: investigar a ocorrência de dor e desconforto e sua associação com o tempo de diagnóstico em sobreviventes jovens de câncer de mama. Método: estudo observacional, analítico, com delineamento transversal, conduzido entre setembro de 2024 a fevereiro de 2025, com 75 participantes em um Centro de Alta Complexidade em Oncologia do Sul do Brasil. Resultados: 65,3%  das participantes apresentavam comorbidades. Todas realizaram cirurgia (100%), com adesão à radioterapia (92%) e à quimioterapia (90,6%). A dor foi relatada por 44% das mulheres. O desconforto afetou 72%, sendo mais prevalente em mulheres com menos de cinco anos de doença (83,3%), em comparação às com cinco anos ou mais (61,5%), com correlação significativa (p=0,036). A dor não variou conforme o tempo de doença (p=0,59). Conclusão: as sobreviventes se encontram em uma fase de vida marcada por demandas produtivas, familiares e sociais, nas quais a dor e o desconforto persistem como sintomas expressivos.

Downloads

Download data is not yet available.

Author Biographies

Cristiano de Oliveira Ribeiro, Universidade Federal do Paraná

Nurse, Master’s degree in Nursing from the Federal University of Paraná (UFPR) and PhD candidate in the same program, with a sandwich doctorate at the Coimbra School of Nursing (UICISA:E). CAPES/Fundação Araucária scholarship holder and member of GEMSA.

Lourdes Maria Rosinski Lima Gomes , Universidade Federal do Paraná

Nurse, Master’s degree in Nursing from the Federal University of Paraná (UFPR), member of the research line Process of Care in Health and Nursing and of GEMSA. Specialist in Oncology, Emergency and Urgent Care, and Health Management.

Sonia Silva Marcon, Universidade Estadual de Maringá

Full Professor at the Department of Nursing of the State University of Maringá, working in Public Health Nursing and Family Health. PhD in Nursing Philosophy, with a Master’s degree from UFSC, and faculty member since 1983. Works in graduate programs supervising master’s, doctoral and postdoctoral students. Founder and Editor-in-Chief of the journal Ciência, Cuidado e Saúde

Julia Luriane Hermes de Oliveira, Universidade Federal do Paraná

Undergraduate nursing student at the Federal University of Paraná (UFPR) (9th semester), member of GEMSA and undergraduate research scholarship holder in integrative oncology.

Paulo Ricardo Bittencourt Guimarães, Universidade Federal do Paraná

Statistician, graduated from the Federal University of Paraná (UFPR), with a Master’s degree from the State University of Campinas (UNICAMP) and a PhD in Forest Sciences from UFPR. Associate Professor at the Department of Statistics of UFPR.

Luciana de Alcantara Nogueira, Universidade Federal do Paraná

Nurse, Master’s degree from the State University of Maringá and PhD in Nursing from the Federal University of Paraná (UFPR). Associate Professor at the Department of Nursing of UFPR, teaching Adult and Elderly Health Nursing, permanent faculty member of graduate programs in Health Care Practice and Nursing, and Editor-in-Chief of the journal Cogitare Enfermagem. 

Luciana Puchalski Kalinke, Universidade Federal do Paraná

Nurse and midwife graduated from PUCPR, with residency in Oncology Nursing, a Master’s degree in Biomedical Engineering, a PhD in Health Sciences, and postdoctoral training at the University of Milan. Associate Professor at the Department of Nursing of the Federal University of Paraná (UFPR) and permanent faculty member of the Graduate Program in Nursing.

References

International Agency for Research on Cancer. Global Cancer Observatory [Internet]. 2025 [cited 2025 Set 1]. Available from: https://gco.iarc.fr/

Ministério da Saúde; Instituto Nacional de Câncer José Alencar Gomes da Silva. Estimativa 2023: Incidência de Câncer no Brasil [Internet]. Brasília (DF): Ministério da Saúde; 2023 [cited 2025 Set 10]. Available from: https://www.inca.gov.br/publicacoes/livros/estimativa-2023-incidencia-de-cancer-no-brasil

Soldato D, Arecco L, Agostinetto E, Franzoi MA, Mariamidze E, Begijanashvili S, et al. The Future of Breast Cancer Research in the Survivorship Field. Oncol Ther. 2023;11(2):199–229. https://doi.org/10.1007/s40487-023-00225-8

Amato O, Guarneri V, Girardi F. Epidemiology trends and progress in breast cancer survival: earlier diagnosis, new therapeutics. Curr Opin Oncol. 2023;35(6):612–9. https://doi.org/10.1097/cco.0000000000000991

National Coalition for Cancer Survivorship. Cancer survivorship: definitions and resources [Internet]. 2025 [cited 2025 Set 14]. Available from: https://canceradvocacy.org/

Coles CE, Earl H, Anderson BO, Barrios CH, Bienz M, Bliss JM, et al. The Lancet Breast Cancer Commission. The Lancet. 2024;403(10439):1895–950. https://doi.org/10.1016/s0140-6736(24)00747-5

Instituto Nacional do Câncer. Rastreamento do câncer de mama na população-alvo [Internet]. 2022 [cited 2025 Set 14]. Available from: https://www.gov.br/inca/pt-br/assuntos/gestor-e-profissional-de-saude/controle-do-cancer-de-mama/dados-e-numeros/rastreamento-do-cancer-de-mama-na-populacao-alvo

Fernandes U, Guidi G, Martins D, Vieira B, Leal C, Marques C, et al. Breast cancer in young women: a rising threat: A 5-year follow-up comparative study. Porto Biomed J. 2023;8(3): e213. https://doi.org/10.1097/j.pbj.0000000000000213

Ministério da Saúde. SUS amplia acesso à mamografia a mulheres de 40 a 49 anos [Internet]. Brasília (DF): Ministério da Saúde; 2025 [cited 2025 Set 30]. Available from: https://www.gov.br/secom/pt-br/assuntos/noticias/2025/09/sus-amplia-acesso-a-mamografia-a-mulheres-de-40-a-49-anos

Malta M, Cardoso LO, Bastos FI, Magnanini MMF, Silva CMFP da. Iniciativa STROBE: subsídios para a comunicação de estudos observacionais. Rev Saude Publica. 2010;44(3):559–65. https://doi.org/10.1590/S0034-89102010000300021

Marcondes L, Silva L, Ribeiro C, Oshiro N, Nogueira L, Guimaraes P, et al. Anxiety Levels in Brazilian Women with Metastatic Breast Cancer Undergoing Palliative Chemotherapy: A Prospective Study. Asian Pac J Cancer Prev. 2024;25(4):1135–41. https://doi.org/10.31557/apjcp.2024.25.4.1135

Masiero M, Durosini I, Filipponi C, Campanini ML, Pravettoni G, et al. Chronic pain in breast cancer survivors is linked with an impairment on emotion-based decisions and fatalistic time orientation. Curr Psychol. 2024;43:27680-27689. https://doi.org/10.1007/s12144-024-06344-3

Giaquinto AN, Sung H, Newman LA, Freedman RA, Smith RA, Star J, et al. Breast cancer statistics 2024. CA Cancer J Clin. 2024;74(6):477–95. https://doi.org/10.3322/caac.21863

Rosenberg SM, Vaz-Luis I, Gong J, Rajagopal PS, Ruddy KJ, Tamimi RM, et al. Employment trends in young women following a breast cancer diagnosis. Breast Cancer Res Treat. 2019;177(1):207–14. https://doi.org/10.1007/s10549-019-05293-x

Zhang Q, Gao W, Li X, Wang D, Zhang L, Xu M, et al. Motherhood role concerns in young women with breast cancer: a mixed-methods study. BMC Womens Health. 2025 Jul 4;25(1):313. https://doi.org/10.1186/s12905-025-03870-5

Valdez BJ, Grumley M, Chang SC, Keller JK, Grumley JG, Orozco JIJ. Contemporary trends in breast cancer in females under the age of fifty: An NCDB study. Surg Oncol Insight. 2024 Jun;1(2):100049. https://doi.org/10.1016/j.soi.2024.100049

Zhang Y, Lindström S, Kraft P, Liu Y. Genetic risk, health-associated lifestyle, and risk of early-onset total cancer and breast cancer. J Natl Cancer Inst. 2025;117(1):40-48. https://doi.org/10.1093/jnci/djae208

Subhedar PD, McLaughlin SA. Breast Cancer in the Young Patient: Review of Therapy and Treatment Considerations. Breast Cancer Manag. 2020;9(2):BMT39. https://doi.org/10.2217/bmt-2020-0008

Doan LV, Yoon J, Chun J, Perez R, Wang J. Pain associated with breast cancer: etiologies and therapies. Front Pain Res (Lausanne). 2023;4:1182488. https://doi.org/10.3389/fpain.2023.1182488

Pérez C, Ochoa D, Sánchez N, Ballesteros AI, Santidrián S, López I, et al. Pain in Long-Term Cancer Survivors: Prevalence and Impact in a Cohort Composed Mostly of Breast Cancer Survivors. Cancers (Basel). 2024;16(8):1581. https://doi.org/10.3390/cancers16081581

Zhu JW, Charkhchi P, Adekunte S, Akbari MR. What Is Known about Breast Cancer in Young Women? Cancers (Basel). 2023;15(6):1917. https://doi.org/10.3390/cancers15061917

Shabangu N, Thebe T, Casey M, Wesselmann U, Parker R. Chronic pain in female breast cancer survivors - prevalence, characteristics and contributing factors: a cross-sectional pilot study. BMC Womens Health. 2023;23(1):613. https://doi.org/10.1186/s12905-023-02766-6

Cox-Martin E, Anderson-Mellies A, Borges V, Bradley C. Chronic pain, health-related quality of life, and employment in working-age cancer survivors. J Cancer Surviv. 2020;14(2):179–87. https://doi.org/10.1007/s11764-019-00843-0

Klein I, Friger M, David M Ben, Shahar D. Risk factors for long-term arm morbidities following breast cancer treatments: A systematic review. Oncotarget. 2023;14(1):921–42. https://doi.org/10.18632/oncotarget.28539

Laws A, Lagendijk M, Grossmith S, Hughes M, Lin NU, Mittendorf EA, et al. Long-Term Patient-Reported Arm Symptoms in Breast Cancer Survivors. Ann Surg Oncol. 2024;31(3):1623–33. https://doi.org/10.1245/s10434-023-14711-w

Published

2026-08-04

How to Cite

1.
de Oliveira Ribeiro C, Maria Rosinski Lima Gomes L, Silva Marcon S, Luriane Hermes de Oliveira J, Ricardo Bittencourt Guimarães P, de Alcantara Nogueira L, Puchalski Kalinke L. MULHERES JOVENS E CÂNCER DE MAMA: FATORES CLÍNICOS ASSOCIADOS À DOR E AO DESCONFORTO PÓS-TRATAMENTO. Rev. baiana enferm. [Internet]. 2026Aug.4 [cited 2026Aug.9];40. Available from: https://revbaianaenferm.ufba.br/index.php/enfermagem/article/view/71065

Issue

Section

Original Article