ABSTRACT
No disponible
Subject(s)
Humans , Female , Child , Adolescent , Body Modification, Non-Therapeutic , Breast/injuries , Child Abuse, Sexual/prevention & control , Sexual Development , Sexism/trends , Africa/epidemiologyABSTRACT
El cáncer de mama oculto se define actualmente como aquella neoplasia que se expresa con una adenopatía metastásica, sin manifestación clínica ni radiológica del tumor primario en la mama. Su frecuencia es baja, del orden del 0,3 al 0,8% de todos los cánceres de mama. Presentamos el caso de una paciente con una adenopatía supraclavicular izquierda secundaria a carcinoma oculto de mama. A este diagnóstico se llegó tras múltiples estudios de imagen y después de detectar la mamaglobina en el estudio inmunohistoquímico de la adenopatía. Revisamos la literatura médica, sin que hayamos encontrado ningún caso publicado en el que un cáncer oculto de mama se manifieste a través de un ganglio supraclavicular izquierdo(AU)
Occult breast cancer is currently defined as that which is expressed in metastatic lymph node tumors without a clinical or radiographic finding of a primary tumor in the breast. The frequency of this entity is low, representing between 0.3 and 0.8% of all breast cancers. We report the case of a patient with left supraclavicular lymphadenopathy secondary to occult carcinoma of the breast. The diagnosis was reached after multiple imaging studies and detection of mammaglobin in the immunohistochemical analysis of the adenopathy. We reviewed the medical literature and found no published case of an occult breast tumor detected in a left supraclavicular node(AU)
Subject(s)
Humans , Female , Breast Neoplasms/diagnosis , Carcinoma/complications , Carcinoma/diagnosis , Breast Neoplasms/physiopathology , Breast Neoplasms , Carcinoma , Immunohistochemistry/methods , Immunohistochemistry/standards , ImmunohistochemistryABSTRACT
OBJECTIVE: To report a case of co-infection with Neisseria gonorrhoeae and Actinomyces naeslundii in a woman with an intrauterine device. CASE REPORT: A 36-year-old woman with IUD, who entered to the hospital because of suprapubic abdominal pain, fever and foul-smelling vaginal discharge. RESULTS: We identified Neisseria gonorrhoeae and Actinomyces naeslundii and despite antibiotic treatment, ultrasound allowed objectify pelvic inflammatory disease and appendiceal involvement, which led to its surgical removal and bilateral salpingectomy. CONCLUSIONS: The surgical approach allowed to solve the box co.
Subject(s)
Actinomycosis/complications , Coinfection , Gonorrhea/complications , Adult , Female , HumansABSTRACT
Objetivo. Valorar la eficacia de la biopsia percutánea asistida por vacío y guiada por estereotaxia como alternativa a la biopsia quirúrgica diagnóstica. Material y métodos. Estudio retrospectivo de 250 biopsias asistidas por vacío guiadas por estereotaxia realizadas entre marzo del 2006 y agosto del 2010. Se ha analizado la tasa de falsos negativos y la subestimación diagnóstica en relación con la biopsia quirúrgica. Resultados. La tasa de falsos negativos fue del 2% (1/63) y el valor predictivo positivo fue del 100%. La biopsia quirúrgica evidenció hallazgos de carcinoma en el 30% (3/10) de los casos diagnosticados como hiperplasia ductal atípica y en el 33,3% (2/6) de los carcinomas lobulillares in situ. De las 40 lesiones diagnosticadas como carcinoma ductal in situ, la biopsia quirúrgica evidenció carcinomas infiltrantes en 4 de los casos (10%). Conclusiones. La biopsia guiada por estereotaxia puede considerarse una alternativa válida a la biopsia quirúrgica diagnóstica, aunque persiste la posibilidad de subestimación diagnóstica (AU)
Objective. To evaluate the efficiency of stereotactic vacuum-assisted core breast biopsy as an alternative to diagnostic surgical biopsy. Material and methods. A retrospective study based on 250 stereotactic vacuum-assisted percutaneous biopsies was conducted from March 2006 to August 2010. The false-negative rate and underestimation of disease at percutaneous biopsy were determined in comparison with diagnostic surgical biopsy. Results. The false-negative rate was 2% (1/63) and the positive predictive value was 100%. Surgical excision revealed carcinoma in 30% (3/10) of the patients with atypical ductal hyperplasia at core biopsy and in 33.3% (2/6) of those with lobular carcinoma in situ. Among 40 lesions diagnosed as ductal carcinoma in situ at vacuum-assisted biopsy, surgery revealed invasive carcinoma in four (10%). Conclusions. Stereotactic core breast biopsy can be considered a valid alternative to diagnostic surgical biopsy, although diagnostic underestimation still occurs (AU)
