Subject(s)
Humans , Male , Middle Aged , Diaphragm/anatomy & histology , Electrocardiography, Ambulatory/methods , Hiccup/classification , Hiccup/pathology , Hiccup/therapy , Phrenic Nerve/injuries , Vagus Nerve/anatomy & histology , Palpation/adverse effects , Stomach/injuries , Glottis/physiology , Medical History Taking , Gastroesophageal Reflux/etiologyABSTRACT
Existem evidências conclusivas de que ocorre reduçäo significativa na mortalidade por câncer de mama como resultado de rastreamento mamográfico de grandes populaçöes de mulheres. Após rastreamento e estudos diagnósticos, substancialmente mais pacientes estäo sendo encaminhadas aos cirurgiöes, principalmente aquelas portadoras de lesöes näo palpáveis. A lesäo oculta näo palpável é entidade clínica que, geralmente, requer localizaçäo com agulha e biópsia para o diagnóstico. Esta técnica, amplamente usada, envolve um esforço coordenado entre o radiologista, o patologista, o cirurgiäo e a paciente. Apenas 10 a 30 por cento das biópsias mamárias com o emprego dessa conduta säo malignas, indicando alto grau de falso-positivo. Este trabalho estudou 81 pacientes com lesöes
Subject(s)
Humans , Female , Middle Aged , Adult , Biopsy, Needle , Breast Neoplasms , Palpation/adverse effects , Predictive Value of Tests , Mammography/statistics & numerical dataABSTRACT
We have reviewed 1066 thyroid lesions and compared the relative incidence of the so called 'palpation thyroiditis' between autoimmune thyroiditis and normal thyroid parenchyme surrounding the nodular thyroid lesion and also discussed the pathogenesis of palpation thyroiditis. The typical histopathologic features of 'palpation thyroiditis' were seen in 275 cases among 467 adenomatous goiters and in none of the autoimmune thyroiditis. We here in this paper suggest that the so called 'palpation thyroiditis' is not merely a secondary phenomenon to mechanical follicular damage by vigorous palpation, but this lesion more likely develops in conditions where certain types of physiologic alteration has occurred in follicular basement membrane, just like a pathogenesis of subacute granulomatous thyroiditis.