<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0001-6002</journal-id>
<journal-title><![CDATA[Acta Médica Costarricense]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd. costarric]]></abbrev-journal-title>
<issn>0001-6002</issn>
<publisher>
<publisher-name><![CDATA[Colegio de Médicos y Cirujanos de Costa Rica]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0001-60022022000400006</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Revisión de los factores de riesgo y factores protectores para el cáncer de mama]]></article-title>
<article-title xml:lang="en"><![CDATA[Review of breast cancer risk and protection factors]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Astorga-Ramírez]]></surname>
<given-names><![CDATA[Andrea]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sánchez-Portuguez]]></surname>
<given-names><![CDATA[Jennifer]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Solís-Barquero]]></surname>
<given-names><![CDATA[Sergio M.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad de Costa Rica Facultad de Medicina Escuela de Tecnologías en Salud]]></institution>
<addr-line><![CDATA[San José ]]></addr-line>
<country>Costa Rica</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad de Costa Rica Facultad de Medicina Escuela de Tecnologías en Salud]]></institution>
<addr-line><![CDATA[San José ]]></addr-line>
<country>Costa Rica</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad de Costa Rica Facultad de Medicina Escuela de Tecnologías en Salud]]></institution>
<addr-line><![CDATA[San José ]]></addr-line>
<country>Costa Rica</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2022</year>
</pub-date>
<volume>64</volume>
<numero>4</numero>
<fpage>6</fpage>
<lpage>16</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_arttext&amp;pid=S0001-60022022000400006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_abstract&amp;pid=S0001-60022022000400006&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.sa.cr/scielo.php?script=sci_pdf&amp;pid=S0001-60022022000400006&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo:  Revisar los aspectos clínicos necesarios a tomar en cuenta por el médico tratante al interpretar los reportes de los hallazgos radiológicos en la mamografía y de otras pruebas diagnósticas para un diagnóstico integral del cáncer de mama.  Métodos:  Se realizó una revisión sistemática de manuscritos publicados entre el 2010 y el 2020 sobre factores de riesgo y factores protectores que pueden verse involucrados en la incidencia del cáncer de mama. Se revisaron publicaciones de investigaciones realizadas en mujeres con diagnóstico de cáncer de mama de tipo ensayos clínicos aleatorizados, casos y controles, revisiones sistemáticas, metaanálisis y guías internacionales. Se buscó en las bases de datos bibliográficas PubMed, EBSCO y Scopus, publicaciones en inglés o español, utilizando términos provenientes de los Descriptores en Ciencias de la Salud (DeCS).  Resultados:  Se identificaron un total de 735 artículos en las búsquedas, de los cuáles se excluyeron 508 por su poca relevancia de acuerdo con el título. De los 227 restantes se excluyeron 22 por estar repetidos en las distintas bases, 12 porque no cumplían con los criterios de inclusión, 83 durante la revisión del resumen, y 28 al revisar el texto completo. En total se incluyeron 82 artículos para elaborar esta revisión. Los factores identificados en la revisión de la literatura se clasificaron en tres áreas: fisiopatológicos, gíneco-obstétricos y ambientales. Los factores de riesgo fisiopatológicos son la historia familiar, hiperplasia epitelial atípica, etnia, mayor edad, diabetes tipo II, síndrome metabólico, mayor peso y talla y mutaciones genéticas; los gíneco-obstétricos son la menarquía temprana, la menopausia tardía y la nuliparidad; y los ambientales incluyen fármacos, hábitos de vida, procedimientos médicos y alimentación. Mientras que, entre los factores protectores, los factores fisiopatológicos son el hipotiroidismo, el asma y la rinitis alérgica; los gínecoobstétricos son la multiparidad, el primer embarazo a una edad temprana y dar lactancia; y los ambientales incluyen fármacos, procedimientos médicos y alimentación.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Aim:  To review relevant clinical aspects for the attending physician to consider when interpreting the reports of radiological findings in the mammogram and other diagnostic tests for a comprehensive breast cancer diagnosis. 2 ISSN 0001-6012 &#8226; eISSN 2215-5856 / Acta me&#769;d. costarric. 2022 / octubre-diciembre; 64 (4): 1-11 Cáncer mama factores de riesgo y de protección  Methods:  A systematic literature review was carried out focusing on risk and protective factors associated with breast cancer incidence, within peer-reviewed scientific articles published between 2010 and 2020. Published research on women with a breast cancer diagnoses who participated in randomized clinical trials, case control studies, systematic reviews, meta-analysis, and international guides were used. Research terms were searched on PubMed, EBSCO and Scopus databases, published in Spanish and English, using terms from the Medical Subject Headings (MeSH).  Results:  A total of 735 publications were found of which 508 were excluded due to title content being irrelevant to the review. Of the remainder 227, 22 were excluded due to been repeated across the different databases used, 12 because they did not meet the inclusion criteria, 83 after abstract review, and 28 after reading the whole text. A total of 82 papers were used for this review. The identified factors were categorized in three areas: pathophysiological, gynecological and obstetrics, and environmental factors. The pathophysiological risk factors are, family history, atypical hyperplasia, ethnicity, age, diabetes type II, metabolic syndrome, greater weight and height and genetic mutations; the gynecological and obstetric factors are early menarche, late menopause and nulliparity; and the environmental factors include prescription drugs, lifestyle habits, medical procedures and eating habits. Regarding the protector factors, the pathophysiological factors include hypothyroidism, asthma and allergic rhinitis; in the gynecological and obstetrics category are multiparity, the first pregnancy at early age and breast feeding; lastly, the environmental factors include prescription drugs, medical procedures and eating habits.  Conclusions:  Considering the risk and protector factors for breast cancer would allow a more comprehensive approach in the diagnosis and treatment of breast cancer.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[El conocimiento de los factores protectores y los factores de riesgo permitiría hacer un abordaje más integral en el diagnóstico y tratamiento del cáncer de mama.]]></kwd>
<kwd lng="en"><![CDATA[Breast neoplasm]]></kwd>
<kwd lng="en"><![CDATA[mammography]]></kwd>
<kwd lng="en"><![CDATA[risk factors]]></kwd>
<kwd lng="en"><![CDATA[protective factors]]></kwd>
</kwd-group>
</article-meta>
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