RAMB Janeiro/Fevereiro 2015 (inglês)

uiz

ssoc

ras

2015; 61(1):1

found that patients treated by the SUS are also subject-

ed more often to mutilating surgery, because they have

more advanced tumors. Furthermore, progression-free

survival, overall survival and survival after first progres-

sion are all lower in SUS patients, which shows the unac-

ceptable disparity in access to early diagnosis.

On the other hand, when there is access to early diag-

nosis for the poor, the survival rates between the public sys-

tem and the private system resemble. In other words, being

poor in a country like ours is to suffer more, to survive less,

and to be more mutilated. This situation shames us all.

What kind of health is this?

The complexity arising from the screening and treat-

ment of breast cancer is higher because of all this. We

need to spread the idea and the strategies that benefit ear-

ly diagnosis, that is, we need to encourage and achieve

early detection more and more. The Brazilian Society of

Mastology (SBM), the Brazilian College of Radiology

(CBR) and the Federation of Brazilian Societies of Gyne-

cology and Obstetrics (Febrasgo), in a joint guideline, rec-

ommend annual mammography starting at age 40. This

is the recommendation of experts of three medical-scien-

tific entities, and a legal right of women in this country.

Ensuring this right means less mutilation, less aggression

and achieving survival rates similar to those in developed

countries, offering more dignity to women, especially

those in worse financial condition in this fabulous coun-

try that we love so dearly.