Revista de Senologia y Patologia Mamaria最新文献

{"title":"Correlación clínico-patológica para el diagnóstico de mastitis crónica tratada con cirugía","authors":"Andrés García-Vilanova Comas ,&nbsp;María Castillo Antón ,&nbsp;Alejandra De Andrés Gómez ,&nbsp;Verónica Gumbau Puchol ,&nbsp;Carlos Castañer Puga ,&nbsp;María José García Coret ,&nbsp;Francisco Javier Tarrasa Peiró ,&nbsp;Cristóbal Zaragozá Fernández","doi":"10.1016/j.senol.2023.100564","DOIUrl":"https://doi.org/10.1016/j.senol.2023.100564","url":null,"abstract":"<div><h3>Objectives</h3><p>Chronic mastitis (CM) frequently relapse without an identified etiology, although they have been treated with a spectrum of treatments that includes different antibiotics, anti-inflammatories and surgery, more or less aggressive depending on their extension. The objective is to investigate if clinicopathological correlation is useful in the diagnosis of CM.</p></div><div><h3>Material and methods</h3><p>A descriptive, observational and retrospective study of a series of 100 patients (n = 100) diagnosed during ten years with CM is presented. Anamnesis, clinical debut, physical examination, imaging techniques, type of surgery, number of recurrences, histological inflammatory pattern data, complementary tests including microbiological study and serology, number of biopsies, number of consultation visits and time until final diagnosis are evaluated. Finally, the average of cases diagnosed by clinicopathological correlation is determined.</p></div><div><h3>Results</h3><p>Results of surgical interventions, clinical and histopathological findings, microbiology and serology are included in tables. Clinicopathological correlation achieved etiopathogenic diagnosis in 99% of the cases including chronic suppurative galactophoritis (91%); vasculitis (3%), two of them compatible with granulomatosis with polyangiitis; idiopathic granulomatous mastitis (2%) and non-diabetic lymphocytic lobulillitis (3%). Thirty-eight percent of the cases presented recurrences. The mean time to definitive diagnosis was 20.02 (standard deviation = 49.87) weeks. The average number of visits to outpatient clinics was 15.35 (standard deviation = 14.97).</p></div><div><h3>Conclusions</h3><p>Clinicopathological correlation improves the diagnosis of CM, specially relapsed and without an identified etiology, although it may take a long time.</p></div>","PeriodicalId":38058,"journal":{"name":"Revista de Senologia y Patologia Mamaria","volume":"37 2","pages":"Article 100564"},"PeriodicalIF":0.0,"publicationDate":"2024-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139399167","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}

{"title":"Inflammatory indicators as a prognostic factor of clinical response in locally advanced breast cancer (LABC) patients receiving neoadjuvant chemotherapy (NAC)","authors":"Sonar Soni Panigoro ,&nbsp;Arga Patrianagara ,&nbsp;Ninik Sukartini ,&nbsp;Trevino Aristarkus Pakasi ,&nbsp;Samuel Johny Haryono","doi":"10.1016/j.senol.2023.100553","DOIUrl":"https://doi.org/10.1016/j.senol.2023.100553","url":null,"abstract":"<div><h3>Objectives</h3><p><span><span>Breast cancer is a prevalent and fatal cancer worldwide. Neoadjuvant chemotherapy<span> is a treatment option used to reduce tumor size </span></span>in patients with </span>locally advanced breast cancer<span>. The neutrophil–lymphocyte ratio (NLR), lymphocyte–monocyte ratio (LMR), and platelet–lymphocyte ratio (PLR) are inflammatory markers that have been studied as prognostic factors in breast cancer. This cross-sectional study aimed to investigate the role of NLR, LMR, and PLR in the clinical response to neoadjuvant chemotherapy in women with locally advanced breast cancer.</span></p></div><div><h3>Materials and methods</h3><p>We used a cross-sectional research design for this study with the aim of observing the relation between NLR, LMR, and PLR and the clinical response of neoadjuvant chemotherapy. The study was conducted in Cipto Mangunkusumo General Hospital. We analyzed the medical records of 84 patients treated with neoadjuvant chemotherapy between 2016 and 2021.</p></div><div><h3>Results</h3><p><span>Our study found that majority of the subjects receives CAF combination of NAC with inoperable breast cancer. Most of the subjects have luminal B type of breast cancer and no clinical response to chemotherapy regimen. Surgery has significant association with clinical response in patients receiving NAC (</span><em>P</em> = &lt;.001). There are no significant correlation between NLR, LMR, and PLR with clinical response to neoadjuvant chemotherapy. However, we did observe a significant association between NLR and 1-year mortality rate.</p></div><div><h3>Conclusion</h3><p>In conclusion, significant association between NLR and 1-year morality rate suggest that NLR may serve as a useful prognostic factor in breast cancer patients receiving neoadjuvant chemotherapy.</p></div>","PeriodicalId":38058,"journal":{"name":"Revista de Senologia y Patologia Mamaria","volume":"37 1","pages":"Article 100553"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139090112","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}

{"title":"Impact factor achieved (But this is just the beginning)","authors":"David Martinez-Ramos ,&nbsp;Antonio Piñero-Madrona ,&nbsp;Francesc Tresserra-Casas ,&nbsp;Eduardo Alcobilla-Ferrara ,&nbsp;Manel Algara-López","doi":"10.1016/j.senol.2023.100561","DOIUrl":"https://doi.org/10.1016/j.senol.2023.100561","url":null,"abstract":"","PeriodicalId":38058,"journal":{"name":"Revista de Senologia y Patologia Mamaria","volume":"37 1","pages":"Article 100561"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139090164","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}

{"title":"Mammographic parameters and endogenous hormones association in postmenopausal women","authors":"Pascual García-Alfaro,&nbsp;Ignacio Rodríguez García,&nbsp;Jean L. Browne,&nbsp;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}

{"title":"Thrombocytopenia as first presentation of occult breast cancer. First case described","authors":"Sophie Ralston ,&nbsp;Zainab Al Dubbaisi ,&nbsp;Ricardo Pardo Garcia","doi":"10.1016/j.senol.2023.100529","DOIUrl":"https://doi.org/10.1016/j.senol.2023.100529","url":null,"abstract":"<div><p>Occult breast carcinoma is very rare and will appear initially as metastatic with undetectable primary breast tumor. This is the first case described in the literature with thrombocytopenia as first clinical symptom.</p></div>","PeriodicalId":38058,"journal":{"name":"Revista de Senologia y Patologia Mamaria","volume":"37 1","pages":"Article 100529"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139090072","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}

{"title":"Sepsis de tejidos blandos secundaria a enfermedad por modelantes. Reporte de caso","authors":"Luis Antonio Jaén-Vento ,&nbsp;Alejandra Angulo-Rodríguez ,&nbsp;Roberto Délano-Alonso","doi":"10.1016/j.senol.2023.100563","DOIUrl":"https://doi.org/10.1016/j.senol.2023.100563","url":null,"abstract":"<div><p>Modeling disease is a complication derived from the infiltration of multiple high-density compounds used for aesthetic purposes, which has become popular due to its low cost and easy access to the general population. This practice is considered an illegal activity, as it entails significant risks to the health of patients, causing high rates of morbidity and mortality.</p><p>We present the case of a 42-year-old transexual male with a history of mineral oil infiltration for breast augmentation, who attended the emergency department due to septic shock secondary to soft tissue infection, whose poor response to treatment led to death.</p></div>","PeriodicalId":38058,"journal":{"name":"Revista de Senologia y Patologia Mamaria","volume":"37 2","pages":"Article 100563"},"PeriodicalIF":0.0,"publicationDate":"2023-12-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139100591","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}

{"title":"Description of a case, bladder metastasis from breast carcinoma","authors":"Inês Vieira Martins ,&nbsp;Júlio Caldas ,&nbsp;Catrine Dahlstedt Ferreira","doi":"10.1016/j.senol.2023.100560","DOIUrl":"https://doi.org/10.1016/j.senol.2023.100560","url":null,"abstract":"<div><p><span><span>Breast cancer is the main cause of cancer-related death in women and almost all related deaths occur due to metastasis<span>. The most frequent places of metastasis are lymph nodes, bone, lung, liver, and central nervous system. </span></span>Bladder metastasis<span> are very rare, being described in only 7% of autopsy studies. Besides being uncommon, most cases of secondary bladder involvement occur as a result of </span></span>disseminated disease, being the solitary bladder metastasis sporadically reported.</p><p>This article presents the case of a woman with a history of invasive lobular breast carcinoma<span> who, 18 months after diagnosis, presents herself with complaints of urinary urgency<span> and urinary incontinence. The requested complementary exams revealed a voluminous bladder mass and the anatomopathological study was compatible with a metastatic lesion.</span></span></p></div>","PeriodicalId":38058,"journal":{"name":"Revista de Senologia y Patologia Mamaria","volume":"37 1","pages":"Article 100560"},"PeriodicalIF":0.0,"publicationDate":"2023-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138396994","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}

{"title":"Extranodal Rosai-Dorfman disease presenting as a suspicious breast lump: An infrequent but elusive differential diagnosis. A case report","authors":"Ana Cristina Díaz-Degollado ,&nbsp;Jorge Said Haro-Cruz ,&nbsp;Claudio Daniel Rojas-Gutiérrez","doi":"10.1016/j.senol.2023.100559","DOIUrl":"https://doi.org/10.1016/j.senol.2023.100559","url":null,"abstract":"<div><p><span><span>Rosai-Dorfman disease represents a very rare idiopathic disorder mainly characterized by sinus histiocytosis and massive </span>lymphadenopathy. In even rarer occasions (&lt;</span> <!-->43%), extranodal involvement has been reported, with one of the least common presentations being isolated breast affection (&lt;<!--> <span>1%). We report the case of a 64-year-old woman who debuted with a suspicious breast lump<span> and underwent a prolonged study protocol before a proper histopathological diagnosis could be obtained. Surgical management was effective, and follow-up shows no signs of recurrence. In the context of ruling out breast malignancy, even rare alternatives should be considered when a diagnosis eludes us.</span></span></p></div>","PeriodicalId":38058,"journal":{"name":"Revista de Senologia y Patologia Mamaria","volume":"37 1","pages":"Article 100559"},"PeriodicalIF":0.0,"publicationDate":"2023-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138396290","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}

{"title":"Evaluation of pathologically confirmed benign inflammatory breast diseases using artificial intelligence on ultrasound images","authors":"Irmak Durur-Subasi ,&nbsp;Abdulkadir Eren ,&nbsp;Fatma Zeynep Gungoren ,&nbsp;Pelin Basim ,&nbsp;Fazli Cem Gezen ,&nbsp;Asli Cakir ,&nbsp;Cengiz Erol ,&nbsp;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> &lt; .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}

{"title":"Descripción de un caso de fístula quilosa poslinfadenectomía axilar derecha","authors":"Sara Fernández Planas,&nbsp;Raül Guerrero López,&nbsp;Helena Vallverdú Cartié","doi":"10.1016/j.senol.2023.100556","DOIUrl":"https://doi.org/10.1016/j.senol.2023.100556","url":null,"abstract":"<div><p>The axillar dissection is one of the pillars of the breast cancer treatment. Post-surgical axillary chylous fistula is a rare complication. As suggested in the literature the conservative treatment with pharmaco-dietary measures, reserving the surgical option as a second line.</p><p>We present a case of a patient with right axillar chylous fistula with a correct clinical evolution with conservative management.</p></div>","PeriodicalId":38058,"journal":{"name":"Revista de Senologia y Patologia Mamaria","volume":"37 1","pages":"Article 100556"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92100896","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}