2019, Number 2
Imaginological and Anotomopathological Association in nodular beast lesions with suspected malignancy
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ABSTRACTIntroduction: With a progressive increase in its incidence, breast cancer is the most frequent malignant tumor in women. The imaging method of choice for breast cancer detection is mammography, as it has high sensitivity and specificity. The BI-RADS classification has allowed standardizing the terminology and systematics of the mammographic report, and categorizing the lesions, according to the degree of suspicion of malignancy. Also, it contemplates the behavior to follow.
Objective: To describe the imaging and pathological findings in nodular lesions of the breast with suspected malignancy.
Methods: An evaluation study of an imaging technique and pathological studies was performed in the departments of Imaging and Pathology, respectively, of Hermanos Ameijeiras Clinical-Surgical Hospital, between January 2013 and December 2014. To patients with breast lesions classified by mammography as BI-RADS 3 and 4 received fine-needle cytology.
Results: 25% were women between 40-49 years. 63.9% of the lesions were framed within the category BI-RADS 4b. 45.7% of the nodules were irregular, 82.2% of which had high density, while only 13% showed microcalcifications. In the category 4c, the percentage of malignancy was 50%.
Conclusions: There was a relationship between imaging and pathological diagnoses in breast lesions with suspected malignancy.
Cuba. Ministerio Salud Pública. Incidencia de cáncer en población femenina de 15 y más año según principales localizaciones y grupos de edad. 2004, 2005. En: Anuario estadístico de Salud. 2014 [acceso: 20/02/2018]. Disponible en: http://files.sld.cu/bvscuba/files/2015/ 04/anuario-estadistico-de-salud-2014.pdf
Argote Ravelo L, Toledo Rodríguez GP, Delgado Almanza R, Domínguez Peña D, Cano Moreno P, Noa Borron, et al. Factores de riesgo del cáncer de mama en pacientes diagnosticadas en el hospital Julio Trigo. Rev Cubana Salud y Trabajo. 2010 [acceso: 06/06/2012];11(1):[aprox 3 p.]. Disponible en: http://www.bvs.sld.cu/revistas/rst/ vol11_ 1_10/rst01110.htm