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Approach to Breast Lesions with Radiology-pathology Discrepancy: Discussion Based on 3 Cases Diagnosed with Malignancy After Surgery 处理放射学与病理学不一致的乳腺病变的方法:基于 3 例术后诊断为恶性肿瘤病例的讨论
Pub Date : 2024-04-05 DOI: 10.4274/cmj.galenos.2024.49469
Sümeyra Emine Bölük, G. Ercan, L. Ercan
Breast lesions are mainly classified as benign and malignant. When breast cancer is diagnosed, the patient is evaluated and a treatment plan is prepared. For benign lesions, follow-up or surgery may be performed. Imaging and biopsy results are essential when deciding on surgery. In particular, when there is a discrepancy between radiologic imaging and pathology results, excision may be useful for definitive diagnosis. We planned to present an approach to suspicious breast lesions with radiology pathology discordance through the presentation of three patients diagnosed with malignancy. Between February 2018 and March 2023, patients who underwent wire marking and excision for suspicious breast lesions were analyzed. Three patients diagnosed with malignancy after total excision were analyzed in detail. Of 33 patients, 2 (6.06%) patients had ductal carcinoma in situ and 1 (3.03%) patient had invasive tubular carcinoma. Preoperative and postoperative pathological findings were consistent with benign changes in all three cases. After total excision, a definitive diagnosis was made, and follow-up and treatment were planned. In cases of radiology-pathology discordance, total excision may be effective in detecting atypia, carcinoma in situ , or invasive carcinoma not detected on pathologic examination. Therefore, even if the biopsy result is not malignant, wire-guided total excision of radiologically suspicious lesions should be considered as a diagnosis and treatment method.
乳房病变主要分为良性和恶性。当确诊为乳腺癌时,医生会对患者进行评估,并制定治疗方案。对于良性病变,可进行随访或手术。在决定手术时,成像和活检结果至关重要。特别是当放射成像和病理结果不一致时,切除术可能有助于明确诊断。我们计划通过介绍三名确诊为恶性肿瘤的患者,介绍一种处理放射病理不一致的可疑乳腺病变的方法。我们对 2018 年 2 月至 2023 年 3 月间,因乳腺可疑病变而接受线切割的患者进行了分析。详细分析了全切后确诊为恶性肿瘤的三名患者。在33名患者中,2名(6.06%)患者患有导管原位癌,1名(3.03%)患者患有浸润性管状癌。这三例患者的术前和术后病理结果均为良性病变。全切手术后,医生做出了明确诊断,并计划进行后续治疗。在放射学和病理学结果不一致的情况下,全切术可以有效地发现不典型性、原位癌或病理学检查未发现的浸润性癌。因此,即使活检结果不是恶性的,也应考虑将线导全切术作为诊断和治疗放射学可疑病变的一种方法。
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引用次数: 0
A Rare Cause of Occult Gastrointestinal Bleeding: Solitary Rectal Ulcer Syndrome 隐匿性胃肠道出血的罕见病因:孤立性直肠溃疡综合征
Pub Date : 2024-04-05 DOI: 10.4274/cmj.galenos.2024.77486
Azar Abiyev, İbrahim Doğan
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引用次数: 0
We Say “Reunite with Your Pure Heart” to our Patient who Will Undergo Kidney Transplantation 我们对即将接受肾移植手术的患者说:"与您纯洁的心灵团聚吧
Pub Date : 2024-04-05 DOI: 10.4274/cmj.galenos.2024.13008
Shafa Shahbazova, Rashad Shahvaladov
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引用次数: 0
Temporomandibular Joint Internal Derangement: A Case Report and Literature Review 颞下颌关节内脱位:病例报告和文献综述
Pub Date : 2024-04-05 DOI: 10.4274/cmj.galenos.2024.79188
Jamila Ali-Zada, Anar Kerim
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引用次数: 0
Myocardial Infarction with Non-obstructive Coronary Arteries - MINOCA in Young Patients 年轻患者非阻塞性冠状动脉心肌梗死 - MINOCA
Pub Date : 2024-04-05 DOI: 10.4274/cmj.galenos.2024.92485
Gulana Aghayeva, Narmin Islamova, Anakhanim Safarli
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引用次数: 0
Imatinib-resistance without BCR/ABL Point Mutation in Chronic Myeloid Leukemia 慢性髓性白血病中未发生 BCR/ABL 点突变的伊马替尼耐药性
Pub Date : 2024-04-05 DOI: 10.4274/cmj.galenos.2024.36855
Aytan Shirinova
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引用次数: 0
Early-onset Neonatal Septicemia Caused by Staphylococcus lentus: A Rare Case Report with Literature Review 葡萄球菌引起的新生儿早发型败血症:罕见病例报告及文献综述
Pub Date : 2023-12-05 DOI: 10.4274/cmj.galenos.2023.29392
Narmin Rustamqizi, Sevinj Mukhtarova, Serhan Elbayiyev
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引用次数: 0
Very Rare Complication of Foreign Body Ingestion in a Two Year Old Girl: A Case Report 两岁女童异物误食的罕见并发症:病例报告
Pub Date : 2023-12-05 DOI: 10.4274/cmj.galenos.2023.41961
A. Tagiyev, Umud Musayev
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引用次数: 0
Incidental Sigmoid Volvulus after a Ground-level Fall: An Unusual Case Report 高空坠落后偶发乙状结肠溃疡:罕见病例报告
Pub Date : 2023-12-05 DOI: 10.4274/cmj.galenos.2023.87587
Ziya Karimov, Elchin Shirinov, Gunay Huseynova, Mirhüseyn Mammadov, Meltem Songür Kodik
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引用次数: 0
Conus Medullaris Metastasis in a Patient with Triple-positive Breast Cancer 一名三阳性乳腺癌患者的髓脐转移
Pub Date : 2023-12-05 DOI: 10.4274/cmj.galenos.2023.53825
A. Akyildiz, H. Yıldırım, Rashad Ismayilov, Ahmet Ilkay Isikay, N. Kertmen
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引用次数: 0
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Caucasian Medical Journal
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