2008, Number 3
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Anales de Radiología México 2008; 7 (3)
Biopsia con aguja gruesa de corte guiada por estereotaxia en lesiones mamarias no palpables. Experiencia en el Hospital General
Martín RJ, Ramírez CAL, Redondo SF, Ronzon RAA, Tirado GBP
Language: Spanish
References: 14
Page: 159-165
PDF size: 473.53 Kb.
ABSTRACT
Objective: To show the histopathological correlation of non palpable injuries, and being suspicious of malignity and shown through mastography in the Hospital General de México, through percutaneous biopsies with 11G cutting thick needle and vacuum through sterotaxy (BACVE).
Material and methods: 80 BACVE of patients, shown through mastography, age ranging between 32 and 71 years old, from January 1
st, 2005, to December 31
st, 2007, using a GE analogical mastographer with digital vertical stereotaxy and with a Mammotome Biopsy equipment. Findings were micro-calcifications, nodules, asymmetrical densities and destruction distortion; and being classified in the categories BI-RADS 3, 4 and 5.
Results: 80 patients were studied, findings were 38 micro-calcifications (47.5%), 37 nodules (46.25%) and an asymmetrical density (1.25%). 66 injuries were benign (82.5%) and 14 malign (17.5%), the age group more affected was younger than 39 years old. The ratio between benignity
vs. malignity was of 5.7:1. The more frequent malign subtype was the canalicular carcinoma
in situ in seven patients (50%). The most common benign lesion was a fibrocystic condition, found in 39 patients (48.75%).
Conclusions: The BACVE is less expensive and invasive, besides if the diagnosis is a carcinoma, tumor markers may be obtained as well as hormonal receptors that provide a predictive value and a prognosis to plan a specific treatment.
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