Ugarte MD, Ugarte SJC, Díaz RB, Nerey RA, Tellez PR, González NJ

Language: Spanish
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ABSTRACT

Introduction. The only way to reduce the morbidity and mortality of solid breast lesions is through early detection, proper and timely management. Magnetic resonance has a high diagnostic sensitivity in breast cancer, so it was necessary to determine the usefulness of magnetic resonance in the diagnosis of women with solid mammary lesions. Methods. A cross-sectional prospective descriptive observational study was developed in 62 patients with solid mammary lesions, who underwent a comprehensive study with ultrasound, mammography, contrast-enhanced magnetic resonance, spectroscopy, diffusion, and ultrasound-guided BAG. morphological variables by magnetic resonance. The sensitivity, specificity and predictive values were determined by correlating them with the histological results of these lesions. Results. The infiltrating ductal carcinoma was the most frequent malignant lesion and the benign fibroadenoma. The BI-RADS by ultrasound, mammography and magnetic resonance confirmed by thick needle biopsy showed a high predictive value. There was a high coincidence of the biopsy relation with respect to each MRI technique with predominance of spectroscopy and delayed emptying in the diagnosis of solid mammary lesions. Conclusions. The contrast magnetic resonance, diffusion and spectroscopy were a highly useful technique, with high coincidence with the histopathological diagnosis, of the solid mammary lesions.