Subject(s)
Breast Neoplasms/pathology , Carcinoma, Ductal, Breast/pathology , Catheterization, Central Venous , Catheters, Indwelling , Aged , Antineoplastic Agents, Hormonal/administration & dosage , Bone Density Conservation Agents/administration & dosage , Bone Neoplasms/diagnosis , Bone Neoplasms/drug therapy , Bone Neoplasms/secondary , Breast Neoplasms/diagnosis , Breast Neoplasms/drug therapy , Carcinoma, Ductal, Breast/diagnosis , Carcinoma, Ductal, Breast/drug therapy , Catheterization, Central Venous/instrumentation , Diphosphonates/administration & dosage , Drug Combinations , Female , Humans , Injections, Intravenous , Neoplasm InvasivenessABSTRACT
El miofibroblastoma es una neoplasia benigna rara que cuando se presenta en la glándula mamaria, lo hace habitualmente en varones a partir de la edad media de la vida. Clínicamente se presenta en forma de nódulo bien delimitado, habitualmente con un tamaño inferior a los 5 cm. Radiológicamente lo hace en forma de tumoración bien delimitada y heterogénea. Es imprescindible su confirmación diagnóstica para poder descartar el resto de entidades que forman parte del diagnóstico diferencial, principalmente la patología maligna. Aunque la biopsia sea confirmativa el tratamiento de elección es la tumorectomía. Presentamos el caso de un paciente varón de 62 años diagnosticado de miofibroblastoma mamario
Myofibroblastoma is a rare benign neoplasm that in the breast parenchyma is seen predominantly in middle-aged and elderly men. The clinical appearance is a well-circumscribed nodule, characteristically smaller than 5 cm. Radiologyc findings consist of a well-delimited and heterogeneous mass. The importance of its reconognition lies mainly in the differential diagnosis with malignant neoplasms. Although biopsy may support the diagnosis, tumorectomy is the treatment of choise. We report a case of myofibroblastoma in the breast of an 62-year-old man
Subject(s)
Male , Middle Aged , Humans , Neoplasms, Muscle Tissue/pathology , Neoplasms, Muscle Tissue , Neoplasms, Muscle Tissue/surgery , Breast Neoplasms, Male/pathology , Breast Neoplasms, Male , Breast Neoplasms, Male/surgeryABSTRACT
OBJECTIVE: To know the opinion of physicians in charge of informing patients about operative risks, to know how they impart the information and how they think it ought to be explained, and to compare their opinions with those of patients. PATIENTS AND METHODS: Attitude survey. Written questionnaires were given to all surgeons and anesthesiologists at our hospital (143) and to a sample of patients undergoing surgery (90). Results were compared by age, sex, responsibility, and specialty. A chi-squared test was used to compare results if the necessary conditions were met; otherwise, a Fisher exact test was used. RESULTS: Sixty percent of the doctors always inform patients about risks and 51% of the patients report having been so-informed. Information is given out of respect for the patient's desire for information and to prepare the patient for possible complications. Both the patient and the family are considered the recipients of information equally, according to all doctors except gynecologists, for whom the patient is the one who must be informed. There is little agreement among doctors about criteria for giving information about possible complications. Both surgeons and anesthesiologists believe that risks arising from associated diseases are the responsibility of the anesthesiologist. The doctors believe that information should be both oral and written and that a doctor is obliged to inform a patient about risks. More surgeons (71%) than anesthesiologists (29%) always give information about risks, and patients report learning more about surgical risks (51%) than anesthetic risks (46%). Residents give the least information and young male patients declare themselves to be the best informed. CONCLUSION: Information about operative risk is not widespread even though patients know they have a right to be so-informed.
Subject(s)
Surgical Procedures, Operative , Truth Disclosure , Adult , Anesthesiology , Female , General Surgery , Humans , Male , Middle Aged , Patients , Practice Patterns, Physicians' , Risk Factors , Surveys and QuestionnairesABSTRACT
OBJETIVOS: Conocer la opinión de los médicos encargados de informar de los riesgos operatorios: saber cómo se da esta información, cómo piensan que se debería dar y contrastar esta opinión con la de los pacientes. PACIENTES y MÉTODOS: Estudio de opinión. Se pasaron encuestas escritas a todos los cirujanos y logos del Hospital (143), y a una muestra de pacientes intervenidos quirúrgicamente (90). Se compararon los resultados según la edad, sexo, cargo y especialidad. Utilizando el test de X2 y si no cumplían las condiciones la prueba exacta de Fisher en la encuesta a los pacientes. RESULTADOS: El 60% de los médicos informa siempre de los riesgos y un 51% de los pacientes afirma haber sido informado. Se informa para respetar la voluntad del enfermo y para preparar ante posibles complicaciones. El sujeto de la información es el paciente y la familia por un igual excepto entre los ginecólogos en que es la paciente. Hay poca unidad de criterios entre los médicos sobre qué porcentaje justifica la información de una posible complicación. Tanto cirujanos como anestesiólogos opinan que los riesgos derivados de la patología asociada del enfermo los debe informar el anestesiólogo. Los médicos piensan que la información ha de ser oral y escrita, los pacientes prefieren la información oral y creen que es obligación del médico informar de los riesgos. Más cirujanos (71%) que anestesiólogos (29%) informan siempre de los riesgos y los pacientes afirman que se les informó más de los riesgos quirúrgicos (51%) que de los anestésicos (46%). Los residentes informan menos. Y los pacientes jóvenes varones se declaran más informados. CONCLUSIÓN: La información de los riesgos operatorios no es generalizada a pesar de que los pacientes se saben con derecho a que se los expliquen (AU)
OBJETIVE: To know the opinion of physicians in charge of informing patients about operative risks, to know how they impart the information and how they think it ought to be explained, and to compare their opinions with those of patients. PATIENTS AND METHODS: Attitude survey. Written questionnaires were given to all surgeons and anesthesiologists at our hospital (143) and to a sample of patients undergoing surgery (90). Results were compared by age, sex, responsibility, and specialty. A chisquared test was used to compare results if the necessary conditions were met; otherwise, a Fisher exact test was used. RESULTS: Sixty percent of the doctors always inform patients about risks and 51% of the patients report having been so-informed. Information is given out of respect for the patient's desire for information and to prepare the patient for possible complications. Both the patient and the family are considered the recipients of information equally, according to all doctors except gynecologists, for whom the patient is the one who must he informed. There is little agreement among doctors about criteria for giving information about possible complications. Both surgeons and anesthesiologists believe that risks arising from associated diseases are the responsibility of the anesthesiologist. The doctors believe that information should he both oral and written and that a doctor is obliged to inform a patient about risks. More surgeons (71%) than anesthesiologists (29%) always give information about risks, and patients report learning more about surgical risks (51%) than anesthetic risks (46%). Residents give the least information and young male patients declare themselves to be the best informed. CONCLUSION: Information about operative risk is not widespread even though patients know they have a right to be so-informed (AU)
