ABSTRACT Purpose: To evaluate the quality of breast reconstruction service at a university hospital, as assessed by the patients. Methods: This cross-sectional study enrolled adult women who underwent immediate or delayed breast reconstruction by any technique performed at a university hospital between 1 and 24 months before the assessment. The Brazilian version of the Health Service Quality Scale (HSQS) was self-applied to the participants. The HSQS produces percentage scores, which are expressed in values ranging from 0 to 10 for each domain of the scale, and into an overall percentage quality score. The management team was asked to establish a minimum satisfactory score for the breast reconstruction service. Results: Ninety patients were included. The management team considered 8.00 the minimum satisfactory score for the service. The overall percentage score was 93.3%. Only one domain, ‘Support,’ had an average score lower than that considered satisfactory (7.22 ± 3.0); while the others had higher scores. The domain that scored highest was ‘Qualification’ (9.94 ± 0.3), followed by ‘Result’ (9.86 ± 0.4). There was a positive correlation between ‘type of oncologic surgery’ and ‘intentions of loyalty to the service’ (ρ = 0.272; p = 0.009) and a negative correlation between ‘education’ and ‘quality of the environment’ (ρ = –0.218; p = 0.039). The higher the patient’s level of education, the higher the score attributed to ‘relationship’ (ρ = 0.261; p = 0.013) and the lower the score of ‘aesthetics and functionality’ (ρ = –0.237; p = 0.024). Conclusions: The quality of the breast reconstruction service was considered satisfactory, but there is a demand for structural improvements, better interpersonal relationships, and a stronger support network for patients. Purpose Methods crosssectional cross sectional 2 assessment (HSQS selfapplied self applied participants scores scale Results included 800 8 00 8.0 933 93 3 93.3% ‘Support, Support 7.22 722 7 22 (7.2 3.0 30 3.0) ‘Qualification Qualification 9.94 994 9 94 (9.9 0.3, 03 0.3 , 0.3) ‘Result Result 9.86 986 86 (9.8 0.4. 04 0.4 . 4 0.4) type surgery intentions ρ 0.272 0272 272 0.009 0009 009 ‘education education environment –0.218 0218 218 0.039. 0039 0.039 039 0.039) patient s ‘relationship relationship 0.261 0261 261 0.013 0013 013 aesthetics functionality –0.237 0237 237 0.024. 0024 0.024 024 0.024) Conclusions improvements relationships 80 8. 93.3 ‘Support 7.2 72 (7. 3. 9.9 99 (9. 0. 9.8 98 0.27 027 27 0.00 000 –0.21 021 21 003 0.03 0.26 026 26 0.01 001 01 –0.23 023 23 002 0.02 02 93. 7. (7 9. (9 0.2 0.0 –0.2 ( –0. –0 –

No que se refere ao CCR, a análise dos linfonodos regionais é de suma importância visto que atua como fator prognóstico para a doença, determinando ou não a necessidade de terapia adjuvante, sendo que o número sugerido pela literatura varia entre 6 a 30 linfonodos identificados no espécime. Foi objetivo do trabalho determinar o número de linfonodos analisados em peças operatórios através de laudos histo-patológicos de pacientes submetidos a tratamento cirúrgico de câncer colorretal, por adenocarcinoma. A média de idade encontrada foi de 58,69 anos. Setenta e cinco pacientes eram do sexo feminino (56,8%). A maioria se encontrava em estadio da doença T3 (75%). 70 pacientes tiveram diagnóstico de adenocarcinoma bem diferenciado; dentre eles, 27 (42,2%) apresentaram gânglios positivos. CONCLUSÃO: A média de gânglios dissecados foi de 11,21 / peça operatória, sendo que a probabilidade de encontrarmos nodos positivo é maior quando mais de 10 gânglios foram pesquisados. A média de linfonodos positivos foi maior quando o adenocarcinoma é do tipo indiferenciado.

Lymph node analysis is very important in colorectal cancer since it is a prognosis factor for the disease, which will either determine the needs of adjuvant therapy, or not. The amount of identified lymph nodes per specimen suggested by the literature varies from 6 to 30. The purpose of this work was to show the amount of lymph nodes analyzed from operatory subjects by means of the histopathology records from patients undergoing colorectal cancer surgical treatment from adenocarcinoma. The average age found was 58,69 years. Seventy five patients were females (56,8%). Most patients were found to be in phase T3 of the disease (75%). Sixty four patients had a very differentiated adenocarcinoma. Among them, 27 (42,2%) showed positive nodes. CONCLUSION: The average of dissected lymph nodes was of 11,21 / specimen. Being that the probability of finding positive node was greater when 10 or more nodes were analyzed. The average of positive lymph node was greater in undifferentiated adenocarcinoma.