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Introduccion: conocer caracteristicas y preocupaciones de los pacientes con cancer permite impartir una atencion mas adecuada a sus necesidades y responder a la experiencia de vivir con un cancer. Objetivo: identificar las principales preocupaciones de los pacientes con cancer expresadas al contactar el centro. Material y metodo: captacion de un ano a los pacientes con diversas neoplasias que asisten al Centro de educacion para el paciente y su familia del Instituto Nacional de Cancerologia (INC). Se utilizaron diarios de campo para reportar cada una de las preocupaciones referidas por estos durante las sesiones en las que participaron. Resultados: se valoraron 1975 pacientes durante el 2012. Entre las preocupaciones mas frecuentes estan: temor a los tratamientos para el cancer y sus efectos secundarios, la preocupacion que estos tratamientos “queman al paciente”, a la caida permanente del cabello, a no poder comer ciertos alimentos y a bajar de peso; con la cirugia, surge el miedo a la anestesia y a no despertar, a la mutilacion de algun organo, al cambio de imagen corporal en procedimientos como la mastectomia y la colostomia, a perder la voz, a la afectacion de la sexualidad y al manejo de dispositivos. Las anteriores expresiones estan relacionadas con creencias y mitos del entorno del paciente por inadecuada informacion y educacion sobre la enfermedad y los tratamientos. Conclusiones: las preocupaciones identificadas por los pacientes con cancer son de diferente indole: emocionales y fisicas relacionadas con los efectos del tratamiento. Rev.cienc.biomed.2015;6(1):15-21 PALABRAS CLAVE Neoplasias; Educacion en salud; Oncologia medica. SUMMARY Introduction: to know the characteristics and worries of the cancer patients allows imparting an adequate attention to their needs in order to answer the experience of living with cancer. Objective: to identify the main worries of the cancer patients expressed to contact the center. Methods: selection for one year of cancer patients who attended to the education center for the patients and their families of the Instituto Nacional de Cancerologia (INC). Field diaries were used to report each one of the worries related by those during the sessions in which they participated. Results: 1975 patients were evaluated during 2012. Between the worries identified with major noteworthiness are: the worry to the cancer treatments and their side effects, the worry of these treatments that apparently “burn the patient”, the loss of hair, not to be able to eat certain food and the worry to lose weight. With the surgery, appears the fear to the anesthesia and not to waking up, to the mutilation of some organ, to the change of corporal image in procedures as the mastectomy and the colostomy, to losing the voice, to the damage of the sexuality and to the management of devices. The previous expressions are related with the beliefs and myths of the social circles and of the environment of the patient for inadequate information and education on the disease and the treatments. Conclusions: the worries identified by the cancer patients are of different type: emotional and physical related with the effects of the treatment. Rev.cienc. biomed.2015;6(1):15-21 KEYWORDS Neoplasms; Health education; Medical oncology.

Preocupaciones de pacientes con cáncer: la experiencia del centro de educación del instituto nacional de cancerología