García AR, Terán GRM

Language: Spanish
References: 17
Page: 46-54
PDF size: 66.51 Kb.

ABSTRACT

Introduction: breast cysts are diagnosed by ecography frecuently. Breast complex cysts have an important possibility of been malignant and they are classified as IV or V lesions in the BIRADS score. Thus, it is necessary its histological analisis.
Objective: to prove relationship between ultrasonography characteristics and histopathological diagnosis of breast complex cyst lesions.
Material and Methods: a descriptive-longitudinal study was carried out. Ecographical characteristics and histopathological diagnosis of 243 breast complex cyst masses were studied. Data were processed at statistic package SPSS 11.5 version for Windows and were expressed in percentages for descriptive statistics and Chi square test for inferential statistics.
Results: the 56,0% of breast complex cysts were benign, meanwhile, 44,0% were malignant. Complex cysts with major percentages of benignancy were type I with regular edges (85,8%), circumscribe edges(91,7%), and paralell orientation(81,1%). Malignity prevailed in complex cysts Type IV with irregular edges (77,8%), antiparalell orientation (88,0%), and Type I with non circumscribe edges (90,0%). The 63,8% of Type IV complex lesions were malignant.
Conclussions: major percentage of breast neoplasm were found in type IV complex cysts. There was statistic difference as benignancy and malignity, prevailing benignancy, in complex lesions with regular edges and circumscribe edges, and prevailing malignity, in complex cysts with irregular edges, non circumscribe edges and antiparallel orientation.

REFERENCES

1. Álvarez S, Anorbe E. Role of sonography in the diagnosis of axillary lymph node metastases in breast cancer: a systematic review. AJR Am J Roentgenol. 2006; 186(5): 1342-8.

2. Pérez Reina R. Morbilidad del cáncer de mama en la mujer. Rev.Cub.Med.Gen. Integr. 2007;15 (3):247-52.

3. Yang W. Dempsey PJ. Diagnostic breast ultrasound: current status and future directions. Radiol Clin North Am. 2007; 45(5): 845-61.

4. Athanasiou A, Tardivon A. How to optimize breast ultrasound. Eur J Radiol. 2009; 69(1): 6-13.

5. Galleguillos C, Horvath E. Cánceres sólo detectados en la ultrasonografía mamaria. Rev Chil Ultrasonog. 2007;(10): 116-21.

6. Vercauteren D, Kessels G. Clinical impact of the use of additional ultrasonography in diagnostic breast imaging. Eur Radiol. 2008;18(10): 2076-84.

7. Horvan E, Uchida M, Galleguillos C, Behnka C, Drogett E, Silva M, et al. Revisión de la Literatura para el uso del Ultrasonido en Cáncer de mama. Indicaciones y requerimientos mínimos para asegurar la calidad del examen. Medwave. 2010; X (1).

8. Cellamare P. Masas quísticas complejas de la mama: correlación imagenológica-patológica. Mérida, Venezuela; Universidad de los Andes; 2010.

9. Doshi DJ, March DE, Crisi GM, Coughlin BF. Complex Cystic Breast Masses: Diagnostic Approach and Imaging-Pathologic Correlation. RadioGraphics. 2007; 27: S52-S64.

10. Lobato D, Aguilar A. Lesiones quísticas complejas de mama. Hallazgos mamográficos y ecográficos. Manejo diagnóstico y correlación anatomopatológica. España: Hospital comarcal axarquía y materno-infantil "Carlos Haya"; 2010.

11. Casas A. Masas quísticas de la mama. Correlación ultrasonográfica y anatomopatológica, Trabajo para optar por el título de Master de Atención Primaria de Salud; La Habana: 2010.

12. Kopans DB. Breast Imaging. 3rd ed. Philadelphia: Lippincott Williams & Wilkins; 2007.

13. Amorós Rivero J, Lemus J. Cáncer de mama. Criterios ecográficos de malignidad. España: 2009, p. 179-185.

14. Stavros AT, Thickman D, Rapp CL, Dennos MA, Parker SH, Sisney GA. Solid breast nodules: use of Sonography to distinguish between benign and malignant lesions. Radiology. 1995; 196:123-34.

15. Villa H, Pabón JC, Jaramillo N, Mantilla JC. Ultrasonografía de mama. MedUNAB 2006; 9: 98-107.

16. Madjar H. Ecografía mamaria. Buenos aires: Ediciones Journal; 2008.

17. Chang YW, Kwon KH, Yang SB, Diferencias en la sonografia de las lesiones mamarias quisticas benignas y malignas. Journal of ultrasound in Medicine, 2007;26(1):47-53.