诊断影像在乳腺病理中的应用

O. Castejón, Milet Mendoza
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摘要

目的:描述2017年3月至5月委内瑞拉阿拉瓜州马拉凯市拉弗洛雷斯塔诊断单元乳腺x线和超声检查结果。方法:描述性横断面研究,于2017年3月至5月进行,样本由115名符合纳入标准的患者组成。结果:单纯性囊肿占84.43%,复杂性囊肿占0.87%。79例患者中最常见的病变是良性实性结节(68.67%),最不常见的病变是血管钙化(1.74%)。外上象限的病变发生率较高,右、左乳腺分别为11.33%和10.44%,内象限的病变发生率较低,分别为1.40%和2.91%。在研究中的两个变量(乳房x光检查和超声检查)对应的100%中,很明显,BIRADS II的频率最高,为45.22%,其次是BIRADS III的42.61%,而BIRADS V和VI的频率最低。结论乳腺病变的预防性,应通过影像学检查进行评估,以确定病变的病因,乳房x线摄影是诊断能力最好的方法,而乳腺超声为我们提供了互补的因素,使我们能够区分实性或囊性肿块。
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Uso de las imágenes diagnósticas en patología mamaria
: Objective: To describe mammographic and ultrasound findings in the mammary gland, during the period from March to May 2017, in the diagnostic unit of La Floresta, Maracay, Aragua state, Venezuela. Methods: Descriptive, cross-sectional study, carried out from March to May 2017 with a sample made up of 115 patients who met the inclusion criteria. Results: The most frequent pathology reported by mammography and ultrasound corresponded to simple cysts (84,43 %) and 0,87 % to complicated cysts. The most prevalent lesion was benign solid nodule in 79 patients (68,67 %), the least frequent being vascular calcifications (1,74 %). A greater presence of lesions in the upper external quadrant is established, reporting 11,33 % and 10,44 % for the right and left breast, respectively, and less presence in the union of the internal quadrants with 1,40 % and 2,91 %. Of the 100 % that correspond to the two variables under study (mammography and ultrasound), it is evident that the highest frequent is BIRADS II with 45,22 %, followed by 42,61 % for BIRADS III and the least frequent BIRADS V and VI. Conclusion: It is concluded that breast lesions of preventive manner, should be evaluated through imaging studies to determine the etiology of lesions, mammography being the method with the best diagnostic capacity, however, breast ultrasound provides us with complementary elements that allow us to Differentiate a solid or cystic mass.
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