{"title":"Diffusion en IRM : vraiment indispensable !","authors":"Alexandra Athanasiou","doi":"10.1016/j.femme.2023.03.003","DOIUrl":"10.1016/j.femme.2023.03.003","url":null,"abstract":"","PeriodicalId":40842,"journal":{"name":"Imagerie de la Femme","volume":"33 2","pages":"Pages 62-64"},"PeriodicalIF":0.1,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43778640","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":"Issue Contents","authors":"","doi":"10.1016/S1776-9817(23)00054-8","DOIUrl":"https://doi.org/10.1016/S1776-9817(23)00054-8","url":null,"abstract":"","PeriodicalId":40842,"journal":{"name":"Imagerie de la Femme","volume":"33 2","pages":"Pages e1-e2"},"PeriodicalIF":0.1,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49737438","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":"Femme enceinte : quand la pathologie bénigne est suspecte et vice versa","authors":"Isabelle Molina-Andréo","doi":"10.1016/j.femme.2023.03.007","DOIUrl":"10.1016/j.femme.2023.03.007","url":null,"abstract":"<div><p>Les remaniements de la glande mammaire lors de la grossesse et de l’allaitement peuvent engendrer l’apparition de pathologies mammaires bénignes, ou la modification de masses mammaires bénignes préexistantes. Il est important de connaître le panel diagnostique des lésions mammaires spécifiques à la grossesse et à l’allaitement, et de rester prudent pour ne pas méconnaître des pathologies mammaires malignes dont l’aspect est parfois trompeur « pseudobénin » en échographie. Ce sera notamment le cas du carcinome canalaire infiltrant de grade élevé et de phénotype triple négatif, qui reste un piège classique.</p></div><div><p>Reorganizations of the mammary gland during pregnancy and lactation can lead to the appearance of benign breast pathologies, or the modification of preexisting benign breast masses. It is important to know the diagnostic panel for breast lesions specific to pregnancy and breastfeeding, and to remain cautious so as not to overlook malignant breast pathologies whose appearance is sometimes misleading “pseudo benign” on ultrasound. Thus, high-grade, triple-negative invasive ductal carcinoma remains the classic trap.</p></div>","PeriodicalId":40842,"journal":{"name":"Imagerie de la Femme","volume":"33 2","pages":"Pages 84-90"},"PeriodicalIF":0.1,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48443063","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":"Procédures de sénologie interventionnelle : macrobiopsies et repérages préopératoires sous angiomammographie","authors":"Dorothée Taconet, Audrey Haquin, Emmanuèle Maissiat, Juliette Pin Leveugle, Loïc Boussel","doi":"10.1016/j.femme.2023.03.004","DOIUrl":"10.1016/j.femme.2023.03.004","url":null,"abstract":"","PeriodicalId":40842,"journal":{"name":"Imagerie de la Femme","volume":"33 2","pages":"Pages 97-100"},"PeriodicalIF":0.1,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42284159","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":"Biopsies des lésions myométriales : évolution ou révolution ?","authors":"Jérémy Smadja , Sylvie Bonvalot","doi":"10.1016/j.femme.2023.03.008","DOIUrl":"10.1016/j.femme.2023.03.008","url":null,"abstract":"<div><p>Pour le diagnostic des lésions myométriales, il n’existe pas de signes pathognomoniques en IRM permettant de différencier de façon formelle les léiomyomes, les tumeurs musculaires lisses utérine de malignité incertaine (<em>uterine smooth muscle tumours of uncertain malignant potential</em>) et les léiomyosarcomes. Le diagnostic histologique de malignité repose sur des critères morphologiques complétés d’analyses moléculaires et en particulier de génomique tumorale sur des puces d’hybridation génomique comparative (<em>comparative genomic hybridization array</em>), mais jusqu’à présent obtenu en situation postopératoire. L’absence de diagnostic histologique préopératoire conduit parfois d’une part à la fragmentation d’un léiomyosarcome méconnu (+<!--> <!-->64 % de sarcomatose péritonéale et risque accru de décès), et d’autre part à un sur traitement chez des patientes jeunes avec un désir de grossesse (l’hystérectomie totale est inutile pour une tumeur suspecte en IRM mais s’avérant bénigne après l’analyse postopératoire). Le risque de dissémination sur le trajet de la biopsie étant largement inférieur (0,37 % sur l’ensemble des localisations et non retrouvé en pratique sur les biopsies utérines) à celui associé au morcellement d’un léiomyosarcome méconnu, la biopsie préopératoire devrait s’imposer comme standard dans la prise en charge initiale des tumeurs utérines suspectes en IRM. L’étude Sarcgyn, évaluant la microbiopsie percutanée préopératoire avec analyses morphologiques et génomiques, est venue confirmer la faisabilité et la sécurité de l’approche percutanée, ainsi que l’apport significatif de l’analyse moléculaire au diagnostic.</p></div><div><p>As regards uterine smooth muscle lesions, there is no pathognomonic feature to identify benign from malignant tumours. Most of the time, the diagnosis is obtained on surgical specimen, based on microscopic criteria and an increased use of molecular analyses, especially by array-comparative genomic hybridization. The lack of reliable preoperative diagnosis induces piecemeal resections of unexpected uterine leiomyosarcoma (up to +<!--> <!-->64% of peritoneal sarcomatosis and increased risk of death) and unnecessary hysterectomy (over treatment) in fertility needs patients harbouring suspicious findings on MRI but a final benign diagnosis on the specimen. The risk of spreading cells on the biopsy track has been evaluated to be 0.37% on all locations, and is significantly lower than the high risk of peritoneal sarcomatosis due to morcellation of a leiomyosarcoma. Thus, preoperative needle biopsy should become a standard of care on the diagnostic pathway of uterine smooth muscle neoplasms. The SARCGYN study, evaluating preoperative percutaneous uterine needle biopsy with microscopic and genomic analyses in patients with suspicious MRI, has recently confirmed the efficiency and safety of the percutaneous approach with a significant added value of array-comparative genomic hybridization analyses","PeriodicalId":40842,"journal":{"name":"Imagerie de la Femme","volume":"33 2","pages":"Pages 38-45"},"PeriodicalIF":0.1,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47186157","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":"Imagerie des reconstructions mammaires : méthodes et interprétation","authors":"Christophe Tourasse","doi":"10.1016/j.femme.2023.03.005","DOIUrl":"10.1016/j.femme.2023.03.005","url":null,"abstract":"","PeriodicalId":40842,"journal":{"name":"Imagerie de la Femme","volume":"33 2","pages":"Pages 91-93"},"PeriodicalIF":0.1,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42038966","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":"Évolutions et révolutions","authors":"Martine Boisserie-Lacroix, Foucauld Chamming's","doi":"10.1016/j.femme.2023.04.005","DOIUrl":"10.1016/j.femme.2023.04.005","url":null,"abstract":"","PeriodicalId":40842,"journal":{"name":"Imagerie de la Femme","volume":"33 2","pages":"Page 37"},"PeriodicalIF":0.1,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44086134","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}