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EXAMENESEXAMENES
MAMOGRAFIA
Reducción de mortalidad por cáncer de mama
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¿Que importancia tiene la ¿Que importancia tiene la mamografía y cuando se debe mamografía y cuando se debe
realizar?realizar? Disminución de 25 a
30% de la mortalidad por cáncer mamario,
Desde 40 años En el caso de las
mujeres que presentan factores de riesgo, deacuerdo a criterio médico
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INCIDENCIA CEFALO CAUDAL
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INCIDENCIA OBLICUA MEDIO LATERAL
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DESCRIPCION VPP BI-RADS
MAMA NORMAL BR1
HALLAZGOS BENIGNOS BR2
HALLAZGOS PROBABLEMENTE BENIGNOS <2% BR3
HALLAZGOS CON SOSPECHA DE MALIGNIDAD 3 al 94% BR4 A-B-C
HALLAZGOS CON ALTA SOSPECHA DE MALIGNIDAD 95% BR5
MALIGNIDAD DIAGNOSTICADA POR BIOPSIA 100% BR6
ESTUDIO INSUFICIENTE BR0
BID RADSBID RADSBreast Imaging Reporting and Data SystemBreast Imaging Reporting and Data System
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Nódulos (valora: la densidad, la forma, el contorno , el tamaño , ubicación )
BI-RADS 5
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nódu
los
form
a
redonda oval lobulada irregular estelar
már
gene
s
definido parc. definido indefinidoparcialmente encubierto Micro-lobulado espiculado
dens
idad
alta media baja mixta
ubic
ació
n
MD MI
MIMD
tam
año
0,3 cm 5,5 cm
tam
año
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CALCIFICACIONES Y MICROCALCIFICACIONES
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MICROCALCIFICACIONES
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ASIMETRIAS
DISTORSIONES
Distorsión que persiste comprensión
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ASIMETRIA
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BID RADSBID RADSBreast Imaging Reporting Breast Imaging Reporting
and Data System and Data System
BI-RADS 0: Evaluación adicional
BI-RADS 1: Negativa
BI-RADS 2: Benigna
BI-RADS 3: Probablemente benigna
BI-RADS 4: Anormalidad sospechosa
BI-RADS 5: Altamente sugestiva de malignidad
BI-RADS 6: Malignidad conocida
Lesiones espiculadas
Microcalcificaciones amorfas
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Lesiones espiculadas
Distorsión que persiste comprensión
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Parenquima Mamario
Grasa retroconal
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ECOGRAFIA
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Quiste simple Quiste complejo
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Lesión probablemente benignoLesión probablemente maligno
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Biopsia guiada por ecografía.
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Galactografia
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DIAGNOSTICO DIAGNOSTICO
Asintomático Los principales signos y síntomas son: Bulto en la mama Sangrado o flujo en el pezón Cambio en la forma o contorno de la mama. Hundimiento o aplastamiento de la piel. Retracción o descamación del pezón. La mama se ve enrojecida e inflamada
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Diagnostico Diagnostico
Diagnostico Confirmación Histológica
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ESTADIOS CLINICOS ESTADIOS CLINICOS
Las tasas de supervivencia a cinco años son :
Estadio 0 : 98% Estadio I : 88% Estadio II : 66% Estadio III : 36% Estadio IV : 7%
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TRATAMIENTO :TRATAMIENTO :
Cirugía : Cirugía de conservación / Mastectomia
QuimioterapiaRadioterapia Hormonoterapia Inmunoterapia
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Breast Cancer Male
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Cáncer de mama en jóvenes
Cáncer de mama en ancianos
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CARACTERÍSTICAS ECOGRÁFICAS TÍPICAS DEL CÁNCER DE MAMA :• Bordes irregulares• Orientación de su eje mayor perpendicular a la piel• Hipoecogenicidad• Sombra acústica posterior• Anillo ecogénico• Vascularización
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SISTEMA DE CATEGORIZACIÓN Y RECOMENDACIONESBI-RADS 0: Evaluación adicionalBI-RADS 1: NegativaBI-RADS 2: BenignaBI-RADS 3: Probablemente benignaBI-RADS 4: Anormalidad sospechosaBI-RADS 5: Altamente sugestiva de malignidadBI-RADS 6: Malignidad conocida
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Sº Radiología CHA 45
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Ecografía Doppler color de nódulo de mama, con vascularización central(Ca de mama).
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Adenopatía, con pérdida de la zona hiliar hiperecogénica,engrosamiento cortical > 2mm, presencia deflujo periférico y central al Power Doppler
ADENOPATIA AXILAR
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CANCER INFILTRANTE CON GANGLIO POSITIVO
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CANCER INSITU