Revista de Senologia y Patologia Mamaria最新文献_第10页

Mammographic parameters and endogenous hormones association in postmenopausal women 绝经后妇女的乳腺造影参数与内源性激素的关系

Revista de Senologia y Patologia Mamaria Pub Date : 2024-01-01 DOI: 10.1016/j.senol.2023.100562

Pascual García-Alfaro, Ignacio Rodríguez García, Jean L. Browne, Rafael Fábregas Xauradó

{"title":"Mammographic parameters and endogenous hormones association in postmenopausal women","authors":"Pascual García-Alfaro, Ignacio Rodríguez García, Jean L. Browne, Rafael Fábregas Xauradó","doi":"10.1016/j.senol.2023.100562","DOIUrl":"https://doi.org/10.1016/j.senol.2023.100562","url":null,"abstract":"<div><h3>Objectives</h3><p>To examine the association between endogenous hormones with mammographic breast density, glandular volume, and breast volume in postmenopausal women.</p></div><div><h3>Material and methods</h3><p><span><span><span>A cross-sectional study among 363 postmenopausal women not using menopausal hormonal treatment. The following data were collected: age, age at menopause, smoking status, </span>body mass index, adiposity, and physical activity. Plasma levels of follicle-stimulating hormone, estradiol, testosterone, </span>dehydroepiandrosterone sulfate (DHEAS), ∆</span> <span><span>4 androstenedione<span>, cortisol, insulin-like growth factor-1 (IGF-1), and 25-hydroxyvitamin D were evaluated. Directed acyclic graph was used for the selection of potential confounding variables, and the </span></span>linear regression was adjusted for confounders to study the association between endogenous hormones and mammographic parameters. Results are reported as β-coefficients (β) and 95% confidence interval (95% CI).</span></p></div><div><h3>Results</h3><p>Multivariable linear regression analysis adjusted for confounding variables showed that cortisol (β = 0.20; 95% CI: 0.02; 0.37), and ∆4 androstenedione (β = −1.90; 95% CI: −3.30, −0.39) were significantly associated with breast density. IGF-1 (β = −0.01; 95% CI: −0.20, −0.01) was the only hormone with significant association with glandular volume. No relationship was found between the studied hormones and breast volume.</p></div><div><h3>Conclusions</h3><p>Higher cortisol and lower ∆4 androstenedione levels are associated with higher breast density, and higher IGF-1 levels are associated with lower glandular volume in postmenopausal women.</p></div>","PeriodicalId":38058,"journal":{"name":"Revista de Senologia y Patologia Mamaria","volume":"37 1","pages":"Article 100562"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139090071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Thrombocytopenia as first presentation of occult breast cancer. First case described 血小板减少症是隐匿性乳腺癌的首发症状。首例描述

Revista de Senologia y Patologia Mamaria Pub Date : 2024-01-01 DOI: 10.1016/j.senol.2023.100529

Sophie Ralston , Zainab Al Dubbaisi , Ricardo Pardo Garcia

引用次数: 0

Sepsis de tejidos blandos secundaria a enfermedad por modelantes. Reporte de caso 继发于模型病的软组织败血症。病例报告

Revista de Senologia y Patologia Mamaria Pub Date : 2023-12-29 DOI: 10.1016/j.senol.2023.100563

Luis Antonio Jaén-Vento , Alejandra Angulo-Rodríguez , Roberto Délano-Alonso

引用次数: 0

Description of a case, bladder metastasis from breast carcinoma 报告一例乳腺癌膀胱转移

Revista de Senologia y Patologia Mamaria Pub Date : 2023-11-22 DOI: 10.1016/j.senol.2023.100560

Inês Vieira Martins , Júlio Caldas , Catrine Dahlstedt Ferreira

引用次数: 0

Extranodal Rosai-Dorfman disease presenting as a suspicious breast lump: An infrequent but elusive differential diagnosis. A case report 结外Rosai-Dorfman病表现为可疑的乳房肿块:一种罕见但难以捉摸的鉴别诊断。病例报告

Revista de Senologia y Patologia Mamaria Pub Date : 2023-11-20 DOI: 10.1016/j.senol.2023.100559

Ana Cristina Díaz-Degollado , Jorge Said Haro-Cruz , Claudio Daniel Rojas-Gutiérrez

引用次数: 0

Evaluation of pathologically confirmed benign inflammatory breast diseases using artificial intelligence on ultrasound images 超声图像人工智能对病理证实的乳腺良性炎性疾病的评价

Revista de Senologia y Patologia Mamaria Pub Date : 2023-11-07 DOI: 10.1016/j.senol.2023.100558

Irmak Durur-Subasi , Abdulkadir Eren , Fatma Zeynep Gungoren , Pelin Basim , Fazli Cem Gezen , Asli Cakir , Cengiz Erol , Ilker Ozgur Koska

{"title":"Evaluation of pathologically confirmed benign inflammatory breast diseases using artificial intelligence on ultrasound images","authors":"Irmak Durur-Subasi , Abdulkadir Eren , Fatma Zeynep Gungoren , Pelin Basim , Fazli Cem Gezen , Asli Cakir , Cengiz Erol , Ilker Ozgur Koska","doi":"10.1016/j.senol.2023.100558","DOIUrl":"https://doi.org/10.1016/j.senol.2023.100558","url":null,"abstract":"<div><h3>Objectives</h3><p>It was aimed to use AI retrospectively to evaluate US images of pathologically confirmed benign inflammatory lesions, to compare the results of AI with our US reports, and to test the reliability of AI in itself.</p></div><div><h3>Methods</h3><p>US images of 71 histopathologically confirmed benign inflammatory breast lesions were analysed by the FDA-approved AI programme (Koios Decision Support) using 2 orthogonal projections. The lesions' probability of malignancy based on AI and BI-RADS categories of the lesion based on initial US interpretations were recorded. Categories obtained by both systems were divided into 2 groups as unsuspicious and suspicious in terms of malignancy and compared statistically. Reliability of AI was also evaluated.</p></div><div><h3>Results</h3><p>No statistically significant difference was found in the lesions' likelihood of malignancy based on the AI and initial US interpretations (<em>P</em> = .512). Additionally, a positive and substantial association (τ-b = 0.458, <em>P</em> < .001) between the levels of suspicion by AI and the initial US interpretation reports was discovered, as per Kendall-b correlation analysis. With a Cronbach alpha correlation coefficient of 0.727, the reliability was high for AI.</p></div><div><h3>Conclusions</h3><p>Benign inflammatory breast lesions may show suspicious appearances in terms of malignancy with US and AI. Artificial intelligence produces results comparable to radiologists' US reports for benign inflammatory diseases. AI has high reliability within itself.</p></div>","PeriodicalId":38058,"journal":{"name":"Revista de Senologia y Patologia Mamaria","volume":"37 1","pages":"Article 100558"},"PeriodicalIF":0.0,"publicationDate":"2023-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91987288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Descripción de un caso de fístula quilosa poslinfadenectomía axilar derecha 右腋窝淋巴结切除术后胃瘘的描述

Revista de Senologia y Patologia Mamaria Pub Date : 2023-10-31 DOI: 10.1016/j.senol.2023.100556

Sara Fernández Planas, Raül Guerrero López, Helena Vallverdú Cartié

引用次数: 0

Oncoplastia extrema, ¿alternativa a la mastectomía? Revisión de la literatura 极端肿瘤成形术，乳房切除术的替代方案?本研究的目的是:

Revista de Senologia y Patologia Mamaria Pub Date : 2023-10-27 DOI: 10.1016/j.senol.2023.100555

Mireia Gutiérrez Prat, Sonia Baulies Caballero, Rafael Fábregas Xaudaró, Carmen Ara Pérez, Maria Garcia Gallardo, Francesc Fargas Fábregas

{"title":"Oncoplastia extrema, ¿alternativa a la mastectomía? Revisión de la literatura","authors":"Mireia Gutiérrez Prat, Sonia Baulies Caballero, Rafael Fábregas Xaudaró, Carmen Ara Pérez, Maria Garcia Gallardo, Francesc Fargas Fábregas","doi":"10.1016/j.senol.2023.100555","DOIUrl":"https://doi.org/10.1016/j.senol.2023.100555","url":null,"abstract":"<div><h3>Introduction</h3><p>Conservative treatment is considered the standard of care for early stages of breast cancer with no difference in oncological safety compared to mastectomy. However, there are still certain scenarios in which mastectomy is advocated. The concept of oncoplastic surgery has emerged to improve the defects resulting from conservative surgery, in which plastic surgery techniques are used and which could also have added value in reducing the indications for mastectomy. In this context, the aim of this review is to analyse the current scientific evidence on extreme oncoplastic surgery in locally advanced breast cancers.</p></div><div><h3>Materials and methods</h3><p>We undertook a search of the literature published in the Medline database using the terms \"extreme oncoplasty\" OR \"extreme oncoplastic\", and found a total of 17 publications. Finally, 6 articles were analysed, after applying the inclusion and exclusion criteria.</p></div><div><h3>Results</h3><p>The re-excision rate after extreme oncoplasty ranged from 0%-37.8% with a conversion rate to mastectomy of 0%–13.5%. The highest rate of minor complications was 24% and of major complications was 10%, with no delay in the initiation of adjuvant treatment. Satisfaction scores of more than 75% were obtained. These results compare favourably with conventional oncoplastic surgery and mastectomy.</p></div><div><h3>Conclusions</h3><p>Extreme oncoplasty may be a conservative alternative to mastectomy with reconstruction in a selected group of patients with local recurrence of less than 10% at 10 years, with a low complication rate and good patient satisfaction. However, prospective randomised trials are needed to improve the quality of the evidence.</p></div>","PeriodicalId":38058,"journal":{"name":"Revista de Senologia y Patologia Mamaria","volume":"37 1","pages":"Article 100555"},"PeriodicalIF":0.0,"publicationDate":"2023-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92100895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Factors causing failure of the sentinel node technique in mammary tumors larger than 4 cm without clinical axillary invasion 前哨淋巴结技术在大于4 cm且无临床腋窝侵犯的乳腺肿瘤中的失败因素

Revista de Senologia y Patologia Mamaria Pub Date : 2023-10-25 DOI: 10.1016/j.senol.2023.100554

Saïd Haddadi , Makram El Mammeri , Nora Graidia , Rabah Ourdane , Ladjel Khelafi , Yasmina Yahia-Messaoud , Rezki Touati , Kheira Medjaher

{"title":"Factors causing failure of the sentinel node technique in mammary tumors larger than 4 cm without clinical axillary invasion","authors":"Saïd Haddadi , Makram El Mammeri , Nora Graidia , Rabah Ourdane , Ladjel Khelafi , Yasmina Yahia-Messaoud , Rezki Touati , Kheira Medjaher","doi":"10.1016/j.senol.2023.100554","DOIUrl":"https://doi.org/10.1016/j.senol.2023.100554","url":null,"abstract":"<div><h3>Introduction</h3><p>The high detection rate of the sentinel lymph node<span> (SLN) in breast cancer is a quality criterion of the procedure. The aim of our work is to identify the failure factors (FF) of the SLN biopsy in tumors larger than 4 cm.</span></p></div><div><h3>Material and methods</h3><p>This is a prospective series of patients with breast tumors larger than 4 cm without clinical axillary involvement. The colorimetric method was used in 52% of cases and the dual method in 48% of cases.</p></div><div><h3>Results</h3><p>The failure rate (FR) is 13%. The FF with a statistically significant difference are axillary invasion (<em>P</em>: .03; OR: 6.58) and the presence of lympho-vascular emboli (LVE) (<em>P</em><span> < .05; OR: 4.95). It should be noted that lympho-vascular emboli only concern those found in the peri-tumoral area. On the other hand, age over 60 years, Body mass index (BMI) over 30 and Ki 67 over 14 are not determining factors.</span></p></div><div><h3>Discussion</h3><p>Sener finds a more important FR when more than 10 lymph nodes of the axillary dissection are reached compared to the axillary hollows free from any neoplastic infiltration (<em>P</em>: .002; OR: 9.19). The FR for Gimbergues was statistically correlated with lymph node status (0% for pN0 tumors, versus 55% for pN1–N2 tumors). For Brenot-Rossi, the existence of LVE is a significant failure factor (<em>P</em> = .004).</p><p>For other factors (obesity, advanced age), the data in the literature are contradictory.</p></div><div><h3>Conclusion</h3><p>The infiltration of the axillary fossa and the existence of LVE constitute the main FF of SLN biopsy in patients with tumors larger than 4 cm without clinical axillary invasion.</p></div>","PeriodicalId":38058,"journal":{"name":"Revista de Senologia y Patologia Mamaria","volume":"37 1","pages":"Article 100554"},"PeriodicalIF":0.0,"publicationDate":"2023-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91987296","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Mastitis granulomatosa: experiencia diagnóstica y terapéutica multidisciplinaria del Hospital Argerich de Buenos Aires 肉芽肿性乳腺炎:布宜诺斯艾利斯Argerich医院的多学科诊断和治疗经验

Revista de Senologia y Patologia Mamaria Pub Date : 2023-10-17 DOI: 10.1016/j.senol.2023.100547

Gustavo Fernández , Ingrid Sehringer , Eliana Blanco , Mariela Fernández , Darío Mata

{"title":"Mastitis granulomatosa: experiencia diagnóstica y terapéutica multidisciplinaria del Hospital Argerich de Buenos Aires","authors":"Gustavo Fernández , Ingrid Sehringer , Eliana Blanco , Mariela Fernández , Darío Mata","doi":"10.1016/j.senol.2023.100547","DOIUrl":"https://doi.org/10.1016/j.senol.2023.100547","url":null,"abstract":"<div><h3>Introduction</h3><p>Granulomatous mastitis is a chronic inflammatory disease that presents as a painful breast mass, associated with abscesses and fistulas, which can mimic carcinoma. Etiology is still unclear, and an autoimmune response related to <em>Corynebacterium</em> is postulated. There are no diagnostic guidelines or therapeutic algorithms. In our study we analyzed the clinical presentations, images, cultures, and pathological findings together with the treatments, results, and evolution.</p></div><div><h3>Material and methods</h3><p>We carried out a descriptive, retrospective, and observational study of patients diagnosed with granulomatous mastitis treated in our hospital in the period 2017-2022.</p></div><div><h3>Results</h3><p>51 women. Average age 38.1 years. Pregnancies and Lactation 88.2%. Clinic: Abscessed and/or fistulized palpable mass 74.5%, painful palpable mass 13.8%. Asymptomatic mass 11.7%. Erythema Nodosum 11.7% BIRADS images 4/5: 82.3%. Average size: 3.54 cm. Pathology: Cystic vacuoles associated with <em>Corynebacterium</em> in 24 biopsies (47.1%). Bacteriology: positive cultures for <em>Corynebacterium</em> in 13 of 47 samples (27.6%). Treatment: antibiotic therapy 92.1%, immunosuppression 78.4%, surgical treatment 60.7%. Mean time of immunosuppression with corticosteroids 7.09 months and with methotrexate 9.27 months. Complications: 9.8% Aesthetic sequelae: 39.2% Disease-free time: 14.04 months. Recurrences: 13.7%.</p></div><div><h3>Conclusions</h3><p>The bacteriological and pathological search for <em>Corynebacterium</em> and a patient tailor made multidisciplinary approach is essential to achieve therapeutic success.</p></div>","PeriodicalId":38058,"journal":{"name":"Revista de Senologia y Patologia Mamaria","volume":"37 1","pages":"Article 100547"},"PeriodicalIF":0.0,"publicationDate":"2023-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49873724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0