Assuntos
Doenças das Glândulas Suprarrenais/induzido quimicamente , Anticoagulantes/efeitos adversos , Hemorragia/induzido quimicamente , Heparina/efeitos adversos , Trombocitopenia/induzido quimicamente , Glândulas Suprarrenais/patologia , Anticoagulantes/uso terapêutico , Evolução Fatal , Heparina/uso terapêutico , Humanos , Masculino , Pessoa de Meia-Idade , Embolia Pulmonar/induzido quimicamente , Trombose/induzido quimicamenteRESUMO
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.
