A New Modality for Breast Cancer Diagnosis During the COVID-19 Pandemic: A Case Report.

European journal of breast health Pub Date : 2021-12-30 eCollection Date: 2022-01-01 DOI:10.4274/ejbh.galenos.2021.2021-4-1
Florence Vibert, Camille Martel, Raluca Andreea Ionescu, Carole Mathelin, Shanti Ame
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引用次数: 1

Abstract

Organized screening for breast cancer (BC) was suspended in most countries of the world during the coronavirus disease-2019 (COVID-19) pandemic. Com-puted tomography (CT) scans of the chest, frequently performed in patients with severe forms of COVID-19, may detect asymptomatic breast abnormalities. A 72-year-old patient, with a severe form of COVID-19 underwent a diagnostic CT scan. This led to the unexpected discovery, at an early stage, of a 12 mm, high grade, Human epidermal growth factor receptor 2 positive BC, with a high proliferation index. After responding to chemotherapy, she was managed with conser-vative breast surgery with sentinel lymph node biopsy. Delayed management of BC can be responsible for poor outcomes. Patients with severe forms of COVID-19 are also at risk for developing BC due to common risk factors. Thirty percent of incidental breast lesions discovered on CT scans are undiagnosed BC. Careful study of the mammary glands on CT scan of patients with COVID-19 may allow early diagnosis of a malignant tumor in a high-risk population for BC and deprived of routine screening mammography.

Abstract Image

Abstract Image

COVID-19大流行期间乳腺癌诊断的新模式:一份病例报告
在2019冠状病毒病(COVID-19)大流行期间,世界上大多数国家暂停了有组织的乳腺癌筛查。在患有严重COVID-19的患者中经常进行胸部计算机断层扫描(CT),可以发现无症状的乳房异常。一名患有严重COVID-19的72岁患者接受了诊断性CT扫描。这导致了意外的发现,在早期阶段,12毫米,高级别,人表皮生长因子受体2阳性BC,具有高增殖指数。化疗有效后,她接受了保守的乳房手术和前哨淋巴结活检。延迟的BC治疗可能导致预后不良。由于常见的危险因素,患有严重形式的COVID-19的患者也有患BC的风险。在CT扫描中发现的偶发乳腺病变中有30%是未确诊的乳腺癌。仔细研究COVID-19患者CT扫描上的乳腺,可能有助于在BC高危人群中早期诊断恶性肿瘤,并剥夺常规乳房x光检查。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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