Asunto(s)
Enfermedades de las Glándulas Suprarrenales/inducido químicamente , Anticoagulantes/efectos adversos , Hemorragia/inducido químicamente , Heparina/efectos adversos , Trombocitopenia/inducido químicamente , Glándulas Suprarrenales/patología , Anticoagulantes/uso terapéutico , Resultado Fatal , Heparina/uso terapéutico , Humanos , Masculino , Persona de Mediana Edad , Embolia Pulmonar/inducido químicamente , Trombosis/inducido químicamenteRESUMEN
For 38 consecutive patients presenting with breast masses we compared accuracy of diagnosis, before biopsy, of the techniques of clinical examination, bilateral xeromammography, and aspiration cytology with a 10-cc syringe and a 22-gauge needle. Of the 38 patients, nine had carcinoma and 29 had benign breast disease. The overall diagnostic accuracy showed a perfect correlation between aspiration cytology and subsequent biopsy for carcinoma in this group. Clinical impression made the correct diagnosis in 89.5% of the cases and bilateral xeromammography produced the correct diagnosis in 84.9%. Both clinical impression and mammography were incorrect in diagnosing 33.3% of the malignancies. The technique of cytologic aspiration is a simple, accurate, and effective adjunct to the early diagnosis and treatment of carcinoma of the breast, and this should become a part of the initial evaluation of the patient who presents with a breast mass.