The diagnostic methods used in breastpathology

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THE DIAGNOSTIC METHODS USED IN BREASTPATHOLOGY
andrea camila acosta vergara
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andrea camila acosta vergara
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The diagnostic methods used in breastpathology
  1. Early diagnosis of cancer breast is fundamentally based on a Program for its realization with the use of techniques of diagnosis such as: examination clinical breast self-examination mammogram (AEM) and mammography.
    1. Utility
      1. Breast self-examination is the method through which women learn correctly to examine once a month your breasts, from the age of 20. Today is known that 90% of women who attend breast pathology consultations, have detected their injury themselves.
        1. Techniques
          1. Mammography Mammography is the most important imaging test in the study of the breast pathology and is the only one currently accepted for breast cancer screening. Mommy. Mammography in a symptomatic patient Mammography in screening for breast cancer Mommy
            1. Digital mammography
              1. In digital mammography the mammographer is the same. It The only thing that changes is the support. The display system / film is replaced by a detector. The result is a more stable image with a better resolution of contrast, better signal-to-noise ratio and lower radiation dose.
              2. Contrast digital mammogram
                1. Tomosynthesis
                  1. It is a modification of digital mammography in which the x-ray tube travels in an arc of rotation specifically, obtaining information from the breast that later it is reconstructed (using algorithms similar to those used in tomography computerized) in multiple fine sections of high resolution, allowing to obtain once the study of conventional or 2D mammography and / or the study of Tomosynthesis or 3D (Combined system: 2D + 3D).
      2. Ultrasound
        1. It is a complementary method to mammography, it serves as a guide to interventional procedures and in regional lymph node cancer staging Mommy.
          1. Contrast ultrasound of the breast
            1. Magnetic resonance
              1. Spectroscopy
          2. Interventional techniques
            1. Fine needle aspiration (FNA) puncture. Core needle biopsy puncture (BAG). Vacuum-assisted biopsy (AVB). Location presurgical nonpalpable lesions Galactography
              1. Other techniques
                1. PET - CT Hybrid diagnostic technology that provides simultaneously anatomical and functional information. The biggest advantage over PET (positron emission tomography) alone is the reduction in scan time, the better location of lesions, greater diagnostic security (reduction of false positives) and a more adequate assessment of response to treatments
            2. Indications for mammography in asymptomatic cases
              1. In general, not less than 30 years of age. Considering the individual risk of the patient, up to 4 mammograms can be performed. From the age of 40 they can be practiced every 2 years and annually from the age of 50. Voluminous breasts they must be studied through mammograms.
                1. Indications for mammography in patients with latent symptoms
                  1. Any isolated palpable lesion independent of the subsequent biopsy. Mastalgia unrelated to the menstrual cycle, retracted nipple, and contour changes or structure of the breast.
                  2. Indications for mammography in nonpalpable lesions
                    1. To locate the injury and also in the surgical piece.
                    2. Indications for ultrasound
                      1. It is the initial technique of choice in the assessment of breast pathology in women under 35 years of age or under 30 with a family history.
                        1. Indications for MRI
                          1. Preoperative staging in already diagnosed carcinomas. Breast MRI has been demonstrated superior to other methods in the assessment of tumor size, assessment of multifocality and multicentricity, existence of extensive intraductal component, involvement of neighboring structures such as nipple-areola complex or chest wall, and breast involvement contralateral.
                    3. What are the symptoms of breast disease
                      1. • Breast pain (mastalgia). • Secretion of nipple. • Change in size, shape or contour of the breasts. • Inverted, wrinkled nipple or flaky. • Breasts with dimples, puckers or
                      2. What Causes Benign Breast Disease?
                        1. Common causes of breast lumps no cancerous include: • Changes in breast tissue (fibrocystic changes in breasts). • Breast infection (mastitis) • Scar tissue from an injury to the breast. • Hormonal fluctuations, especially during menstruation, pregnancy or menopause. • Use of medications, such as hormonal contraceptives (birth control pills) and replacement therapy hormonal. • Drinks with caffeine.
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