{"title":"Leiomioma en el pezón del varón, benigno pero infrecuente","authors":"Saúl Sánchez Iglesias, Beatriz Muñoz Jiménez, Aída Tébar Zamora","doi":"10.1016/j.senol.2024.100591","DOIUrl":"https://doi.org/10.1016/j.senol.2024.100591","url":null,"abstract":"<div><p>Leiomyoma is considered a benign tumor derived from smooth muscle tissue, also known as a fibroid tumor. Despite being a common neoplasm, its presence in the areola-nipple complex is infrequent, with even more rarity in the male, so, we present the case of a 59-year-old man with left mastodynia clinic in which a left retro areolar induration is palpated towards the internal quadrant with minimal left retro areolar glandular development in the mammogram performed.</p><p>Surgical removal of the indurated nodule attached to the left nipple is carried out including the entire nipple with pathological diagnostic compatible with leiomyoma.</p><p>Usually, these tumors are small (between 0.2 and 1.8 cm) and well circumscribed whose location is almost always sub areolar, in relation to the muscles that surround the galactophore ducts. The diagnostic of this type of lesion is always histological after its excision, there being no clinical or radiological criteria that allow to characterize them with certainty.</p></div>","PeriodicalId":38058,"journal":{"name":"Revista de Senologia y Patologia Mamaria","volume":"37 2","pages":"Article 100591"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140543168","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":"Ganglio centinela en tumores multifocales y multicéntricos: la heterogeneidad metodológica predomina, la clínica manda","authors":"Sergi Vidal-Sicart","doi":"10.1016/j.senol.2024.100596","DOIUrl":"https://doi.org/10.1016/j.senol.2024.100596","url":null,"abstract":"","PeriodicalId":38058,"journal":{"name":"Revista de Senologia y Patologia Mamaria","volume":"37 2","pages":"Article 100596"},"PeriodicalIF":0.0,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140647127","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}
Felix Josue Carofilis Gallo , Carlos Humberto Malatay González , Ramon Gonzalo Vera Mera
{"title":"Triple-negative occult breast cancer: A case report","authors":"Felix Josue Carofilis Gallo , Carlos Humberto Malatay González , Ramon Gonzalo Vera Mera","doi":"10.1016/j.senol.2024.100589","DOIUrl":"https://doi.org/10.1016/j.senol.2024.100589","url":null,"abstract":"<div><p>The phenomenon of occult breast cancer represents a rare scenario raising crucial questions regarding its clinical presentation, diagnosis, and timely treatment. The therapeutic challenge can become even more difficult in the specific case of triple-negative breast cancer. This article presents the case report of a patient who had a palpable axillary nodule during a routine gynecological exam. A core needle biopsy confirmed that the patient had metastatic ductal carcinoma of mammary origin, which was triple-negative. Despite several diagnostic procedures, there was no evidence of a primary tumor in the breast clinically or in imaging studies. The patient underwent neoadjuvant chemotherapy with satisfying outcomes and later, to radical surgery therapy regardless of the feasibility of receiving a conservative treatment.</p></div>","PeriodicalId":38058,"journal":{"name":"Revista de Senologia y Patologia Mamaria","volume":"37 2","pages":"Article 100589"},"PeriodicalIF":0.0,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140321520","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}
Núria Masana-Aleñá, Núria Maiz-Nogueroles, Anna Ferret-Piñera
{"title":"El rol enfermero en el comité de tumores de la unidad funcional de mama en un hospital de segundo nivel del área metropolitana de Barcelona","authors":"Núria Masana-Aleñá, Núria Maiz-Nogueroles, Anna Ferret-Piñera","doi":"10.1016/j.senol.2024.100588","DOIUrl":"https://doi.org/10.1016/j.senol.2024.100588","url":null,"abstract":"<div><h3>Introduction</h3><p>The Rapid Cancer Diagnosis Program was established in Catalonia in 2005. This work aims to understand the role of the nurse case manager (EGC) in the preparation, decision-making and execution of the tumor committee collected in the bibliography and compare it with the role in the breast cancer tumor committee of a regional hospital in the metropolitan area of Barcelona.</p></div><div><h3>Method</h3><p>A descriptive and comparative study was carried out through a bibliographic review and the identification of the functions performed by the breast cancer EGCs in the study center.</p></div><div><h3>Results</h3><p>The articles highlight the theoretical importance of the nurse's participation in the decision-making committee, due to her knowledge of the patient and management of healthcare resources. Despite this statement, all of them make it explicit that the EGC has little participation in the team discussion or their contributions receive little consideration from the other team members. In the Breast Tumor Committee of the study center, nurses develop all the functions of coordination, anticipation and execution that we find in the literature.</p></div><div><h3>Conclusions</h3><p>The figure of the EGC has the need to clarify and unify its functions within the tumor committees, ensuring its contribution, which will allow personalization of treatment decisions, improving the patient's experience and the optimal evolution of the process. In this way, the EGC in our center is a basic figure in the tumor committee due to its leadership; it needs to systematize its role and obtain explicit recognition from the organization.</p></div>","PeriodicalId":38058,"journal":{"name":"Revista de Senologia y Patologia Mamaria","volume":"37 2","pages":"Article 100588"},"PeriodicalIF":0.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140308653","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}
María Virginia Zaragozá Zayas, Manuel Díaz del Río, Natalia Orozco Gil
{"title":"Manejo del ganglio intramamario metastásico en carcinoma de mama. Descripción de un caso","authors":"María Virginia Zaragozá Zayas, Manuel Díaz del Río, Natalia Orozco Gil","doi":"10.1016/j.senol.2024.100587","DOIUrl":"https://doi.org/10.1016/j.senol.2024.100587","url":null,"abstract":"<div><p>Patients diagnosed with breast carcinoma may sometimes present affected intramammary nodes. This fact influences the staging of tumors and, consequently, the treatment that will be provided. This article presents a clinical case on the management of a patient diagnosed with right breast neoplasia with an intramammary lymph node positive for metastasis. This posed a diagnostic challenge, since it required imaging techniques complementary to the usual ones and additional pathological studies. Regarding surgical management, a Grisotti technique, excision of the intramammary lymph node and selective biopsy of the sentinel lymph node were carried out. With this therapeutic approach, together with subsequent adjuvant treatment, it was possible to eradicate all the lesions known to date.</p></div>","PeriodicalId":38058,"journal":{"name":"Revista de Senologia y Patologia Mamaria","volume":"37 2","pages":"Article 100587"},"PeriodicalIF":0.0,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140190871","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}
Verónica Márquez Expósito , Dolors Del Hoyo Pastor , Èlia Sais Girona
{"title":"Descripción de un caso: carcinoma apocrino triple negativo de mama en el varón","authors":"Verónica Márquez Expósito , Dolors Del Hoyo Pastor , Èlia Sais Girona","doi":"10.1016/j.senol.2024.100586","DOIUrl":"https://doi.org/10.1016/j.senol.2024.100586","url":null,"abstract":"<div><p>Breast cancer in men is rare, accounting for less than 1% of all male cancers. It shares similarities with breast cancer in women, but also important differences. It occurs between 60 and 70 years with a peak age of 67 years. Invasive ductal carcinoma is the one that prevails in men, clinically it is detected as a painless unilateral nodule. Unlike women, where screening studies are carried out, men are usually diagnosed later, because they seek medical attention late due to the low incidence of cancer in male patients and the absence of early signs and symptoms. The diagnosis is usually clinical, but mammography can currently be used to differentiate between benign and malignant breast diseases. This article presents a clinical case of a man diagnosed with locally advanced triple-negative apocrine carcinoma of the breast.</p></div>","PeriodicalId":38058,"journal":{"name":"Revista de Senologia y Patologia Mamaria","volume":"37 2","pages":"Article 100586"},"PeriodicalIF":0.0,"publicationDate":"2024-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140164046","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":"Linfoma B de la zona marginal extraganglionar de mama bilateral metacrónico","authors":"Lucía Isabel Martínez Minuesa, Sagrario Fuerte Ruiz, Teresa Carrascosa Mirón","doi":"10.1016/j.senol.2024.100585","DOIUrl":"https://doi.org/10.1016/j.senol.2024.100585","url":null,"abstract":"","PeriodicalId":38058,"journal":{"name":"Revista de Senologia y Patologia Mamaria","volume":"37 2","pages":"Article 100585"},"PeriodicalIF":0.0,"publicationDate":"2024-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140145391","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}
Laia Bernet , Stella Peláez , Juan de la Camara de las Heras
{"title":"Patrón infrecuente de respuesta patológica a la terapia sistémica primaria","authors":"Laia Bernet , Stella Peláez , Juan de la Camara de las Heras","doi":"10.1016/j.senol.2024.100584","DOIUrl":"https://doi.org/10.1016/j.senol.2024.100584","url":null,"abstract":"<div><p>Neoadjuvant chemotherapy (NACT) has become the standard treatment for high-risk breast cancer. The pathological study of post-NACT surgical specimens, always complex and still insufficiently standardised, remains the gold standard for the definitive assessment of response, the morphological patterns of which must be identified. Pathologists, therefore, must identify NACT-induced changes in both tumour cells and tumour-associated stroma, as well as in the background breast tissue. Residual tumour volume after NACT is a significant prognostic factor and different methods have been proposed to quantify it. The most commonly used are the RCB and Miller-Payne systems. Although both indices are capable of stratifying response, the RCB has greater predictive power. Neither, however, provides information on certain poorly recognised morphological response patterns that, even without residual stromal tumour, should not be considered complete pathological response and their biological significance and prognostic value are controversial. We present a case of pure lymphovascular residual tumour response, morphological characterisation, and differential diagnosis, together with the applicability of the RCB and Miller-Payne indices in these cases.</p></div>","PeriodicalId":38058,"journal":{"name":"Revista de Senologia y Patologia Mamaria","volume":"37 2","pages":"Article 100584"},"PeriodicalIF":0.0,"publicationDate":"2024-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140062193","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}
Rebeca De la Iglesia López , Alejandra García-Novoa , Carmen Conde , Alberto Bouzón Alejandro , Benigno Acea-Nebril
{"title":"¿Es la disección axilar dirigida una alternativa en el carcinoma oculto de mama? Descripción de un caso","authors":"Rebeca De la Iglesia López , Alejandra García-Novoa , Carmen Conde , Alberto Bouzón Alejandro , Benigno Acea-Nebril","doi":"10.1016/j.senol.2024.100575","DOIUrl":"https://doi.org/10.1016/j.senol.2024.100575","url":null,"abstract":"<div><p>Occult breast carcinoma is a very rare entity that is defined as the presence of axillary disease without detectable tumor in the breast. When searching for the origin of a tumor, the use of bimodal techniques such as PET/CT has become especially useful, but there is little evidence about the management of these tumors. Currently, the standard treatment is primary systemic therapy (PST), followed by axillary lymphadenectomy and radiotherapy of the breast and lymph node chains. In this case we present the possibility of treating this disease with a more conservative surgical approach: through directed axillary dissection in a patient with occult breast carcinoma, who debuted with the appearance of a single axillary adenopathy observed on tomography. After completing primary systemic therapy, a complete radiological response was confirmed and a directed axillary dissection was indicated, with evidence in the operating room of a coincidence between the sentinel lymph node and the lymph node initially biopsied. After completing the treatment with radiotherapy of the breast and lymph node chains and anti-Her2 therapy, the patient is disease-free. It seems that an axillary treatment similar to that of locally advanced breast cancer can be considered, so in limited axillary disease (N1) targeted axillary dissection associated with radiotherapy could be an alternative.</p></div>","PeriodicalId":38058,"journal":{"name":"Revista de Senologia y Patologia Mamaria","volume":"37 2","pages":"Article 100575"},"PeriodicalIF":0.0,"publicationDate":"2024-02-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139718428","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":"Utilización de semillas magnéticas en la cirugía de la mama y la axila: revisión de la literatura","authors":"Sagrario Fuerte Ruiz","doi":"10.1016/j.senol.2024.100574","DOIUrl":"https://doi.org/10.1016/j.senol.2024.100574","url":null,"abstract":"<div><p>The raise of non-palpable breast and axillary lesions has led to the development of multiple diagnostic techniques. Each one with its own has advantages and limitations. Currently, the technique using magnetic seed has increased, leading to a decrease of the other one. The aim of this study is to assess the recent experience of different groups and analyse the arguments in favour of using magnetic seed as a diagnostic technique for non-palpable breast and axillary lesions.</p><p>A literature review has been performed on PubMed and EMBASE, including articles in English and Spanish from 2018 to 2022. No restrictions have been made regarding the type of study. Forty-three articles were selected, with contributions and experiences in different countries.</p></div>","PeriodicalId":38058,"journal":{"name":"Revista de Senologia y Patologia Mamaria","volume":"37 2","pages":"Article 100574"},"PeriodicalIF":0.0,"publicationDate":"2024-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139675772","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}