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[PMID]:29390405
[Au] Autor:Shin YD; Choi YJ; Kim DH; Park SS; Choi H; Kim DJ; Park S; Yun HY; Song YJ
[Ad] Endereço:Department of Anesthesiology.
[Ti] Título:Comparison of outcomes of surgeon-performed intraoperative ultrasonography-guided wire localization and preoperative wire localization in nonpalpable breast cancer patients undergoing breast-conserving surgery: A retrospective cohort study.
[So] Source:Medicine (Baltimore);96(50):e9340, 2017 Dec.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This study aimed to determine the efficacy of intraoperative ultrasonography-guided wire localization guided breast-conserving surgery (BCS) for nonpalpable breast cancer and compare it to conventional preoperative wire localization (PWL) guided surgery.We retrospectively analyzed the medical charts of 214 consecutive nonpalpable breast cancer patients who underwent BCS using intraoperative ultrasonography-guided wire localization by a surgeon (IUWLS) and PWL, between April 2013 and March 2017. Positive surgical margins, reexcision rates, and resection volumes were investigated.Of the total cohort, 124 patients underwent BCS with IUWLS and 90 patients with PWL. The following did not differ between the IUWLS and PWL groups: positive margin status, re-excision rate, conversion rate, permanent positive margin status, reoperation rate, median optimal resection volume (ORV), median total resection volume (TRV), and median closest tumor-free margin. Rather, median (range) widest tumor-free margin was significantly smaller in the IUWLS group (9 mm [5-12]) than in the PWL group (14 mm [9-20]; P = .003]). Median (range) calculated resection ratio (CRR) was significantly lower in the IUWLS group (1.67 [0.87-9.38]) than in the PWL group (4.83 [1.63-21.04]; P = .02).In nonpalpable breast cancer patients undergoing BCS, IUWLS showed positive resection margins and reexcision rates equivalent to those of the conventional PWL method. Additionally, excision volume and widest tumor-free margin were smaller with IUWLS, confirming that healthy breast tissue is less likely to be resected with this method. Our results suggest that IUWLS offers an excellent alternative to PWL, while avoiding PWL-induced patient discomfort.
[Mh] Termos MeSH primário: Neoplasias da Mama/diagnóstico por imagem
Neoplasias da Mama/cirurgia
Mastectomia Segmentar
Ultrassonografia Mamária/métodos
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Feminino
Seres Humanos
Cuidados Intraoperatórios
Margens de Excisão
Meia-Idade
Cuidados Pré-Operatórios
Reoperação
Estudos Retrospectivos
Resultado do Tratamento
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180203
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009340


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[PMID]:29215311
[Au] Autor:Becker AS; Mueller M; Stoffel E; Marcon M; Ghafoor S; Boss A
[Ad] Endereço:1 Institute of Diagnostic and Interventional Radiology, University Hospital of Zurich , Zurich , Switzerland.
[Ti] Título:Classification of breast cancer in ultrasound imaging using a generic deep learning analysis software: a pilot study.
[So] Source:Br J Radiol;91(1083):20170576, 2018 Feb.
[Is] ISSN:1748-880X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To train a generic deep learning software (DLS) to classify breast cancer on ultrasound images and to compare its performance to human readers with variable breast imaging experience. METHODS: In this retrospective study, all breast ultrasound examinations from January 1, 2014 to December 31, 2014 at our institution were reviewed. Patients with post-surgical scars, initially indeterminate, or malignant lesions with histological diagnoses or 2-year follow-up were included. The DLS was trained with 70% of the images, and the remaining 30% were used to validate the performance. Three readers with variable expertise also evaluated the validation set (radiologist, resident, medical student). Diagnostic accuracy was assessed with a receiver operating characteristic analysis. RESULTS: 82 patients with malignant and 550 with benign lesions were included. Time needed for training was 7 min (DLS). Evaluation time for the test data set were 3.7 s (DLS) and 28, 22 and 25 min for human readers (decreasing experience). Receiver operating characteristic analysis revealed non-significant differences (p-values 0.45-0.47) in the area under the curve of 0.84 (DLS), 0.88 (experienced and intermediate readers) and 0.79 (inexperienced reader). CONCLUSION: DLS may aid diagnosing cancer on breast ultrasound images with an accuracy comparable to radiologists, and learns better and faster than a human reader with no prior experience. Further clinical trials with dedicated algorithms are warranted. Advances in knowledge: DLS can be trained classify cancer on breast ultrasound images high accuracy even with comparably few training cases. The fast evaluation speed makes real-time image analysis feasible.
[Mh] Termos MeSH primário: Neoplasias da Mama/diagnóstico por imagem
Neoplasias da Mama/patologia
Competência Clínica
Interpretação de Imagem Assistida por Computador/métodos
Aprendizado de Máquina
Ultrassonografia Mamária/métodos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Algoritmos
Feminino
Seres Humanos
Meia-Idade
Variações Dependentes do Observador
Estudos Retrospectivos
Software
Suíça
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180226
[Lr] Data última revisão:
180226
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171208
[St] Status:MEDLINE
[do] DOI:10.1259/bjr.20170576


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[PMID]:28448836
[Au] Autor:Kozegar E; Soryani M; Behnam H; Salamati M; Tan T
[Ad] Endereço:School of Computer Engineering, Iran University of Science and Technology, Tehran, Iran.
[Ti] Título:Breast cancer detection in automated 3D breast ultrasound using iso-contours and cascaded RUSBoosts.
[So] Source:Ultrasonics;79:68-80, 2017 08.
[Is] ISSN:1874-9968
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:Automated 3D breast ultrasound (ABUS) is a new popular modality as an adjunct to mammography for detecting cancers in women with dense breasts. In this paper, a multi-stage computer aided detection system is proposed to detect cancers in ABUS images. In the first step, an efficient despeckling method called OBNLM is applied on the images to reduce speckle noise. Afterwards, a new algorithm based on isocontours is applied to detect initial candidates as the boundary of masses is hypo echoic. To reduce false generated isocontours, features such as hypoechoicity, roundness, area and contour strength are used. Consequently, the resulted candidates are further processed by a cascade classifier whose base classifiers are Random Under-Sampling Boosting (RUSBoost) that are introduced to deal with imbalanced datasets. Each base classifier is trained on a group of features like Gabor, LBP, GLCM and other features. Performance of the proposed system was evaluated using 104 volumes from 74 patients, including 112 malignant lesions. According to Free Response Operating Characteristic (FROC) analysis, the proposed system achieved the region-based sensitivity and case-based sensitivity of 68% and 76% at one false positive per image.
[Mh] Termos MeSH primário: Neoplasias da Mama/diagnóstico por imagem
Interpretação de Imagem Assistida por Computador/métodos
Imagem Tridimensional/métodos
Reconhecimento Automatizado de Padrão/métodos
Ultrassonografia Mamária/métodos
[Mh] Termos MeSH secundário: Algoritmos
Diagnóstico Diferencial
Feminino
Seres Humanos
Sensibilidade e Especificidade
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180118
[Lr] Data última revisão:
180118
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170428
[St] Status:MEDLINE


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[PMID]:29261724
[Au] Autor:Dabi Y; Darrigues L; Pons K; Mabille M; Abd Alsamad I; Mitri R; Skalli D; Haddad B; Touboul C
[Ad] Endereço:Faculté de médecine de Créteil UPEC-Paris XII, Service de Gynécologie-Obstétrique et Médecine de la Reproduction, Centre Hospitalier Intercommunal de Créteil, Créteil-France.
[Ti] Título:Incidence of inflammatory breast cancer in patients with clinical inflammatory breast symptoms.
[So] Source:PLoS One;12(12):e0189385, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: To describe a large cohort of women with non-puerperal inflammatory breast and to identify characteristics of inflammatory breast cancer. METHODS: All patients consulting for inflammatory breast syndrome in the breast unit of our tertiary University hospital between September 2013 and December 2015 were prospectively included. We excluded women who were pregnant or in the postpartum period. Patients underwent systematic clinical examination and imaging (breast ultrasonography and mammography). A biopsy was performed if the clinician suspected a malignant lesion of the breast. Clinicopathologic and radiologic data were registered. Statistics were performed using R (3.0.2 version) software. RESULTS: Among the 76 patients screened and included, 38 (50%) had a malignant lesion at final diagnosis, 21 (27.6%) were diagnosed with infectious disease and 17 (22.4%) with inflammatory disease of the breast. When compared to patients with benign disease, patients with a malignant lesion were significantly older (p = 0.022, CI95% 1.78-14.7), had a significantly bigger palpable mass (p<0.001, CI 95% 22.8-58.9), were more likely to have skin thickening (p = 0.05) and had more suspicious lymph nodes at clinical examination (p<0.001, CI 95% 2.72-65.3). Precise limits on ultrasonography were significantly associated with benign lesions. The presence of a mass (p = 0.04), micro calcifications (p = 0.04) or of focal asymmetry (p<0.001, CI95% 1.3-618) on mammography was significantly associated with malignant disease. CONCLUSION: Inflammatory breast cancer was common in our cohort of women consulting for inflammatory breast syndrome. Identifying these patients with high-risk malignancy is crucial in the management of an inflammatory breast.
[Mh] Termos MeSH primário: Neoplasias Inflamatórias Mamárias/epidemiologia
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Incidência
Neoplasias Inflamatórias Mamárias/diagnóstico por imagem
Neoplasias Inflamatórias Mamárias/patologia
Imagem por Ressonância Magnética
Mamografia
Meia-Idade
Ultrassonografia Mamária/métodos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180116
[Lr] Data última revisão:
180116
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171221
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0189385


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[PMID]:29240317
[Au] Autor:Meretoja T; Ihalainen H; Leidenius M
[Ti] Título:Inflammations of the mammary gland.
[So] Source:Duodecim;133(9):855-61, 2017.
[Is] ISSN:0012-7183
[Cp] País de publicação:Finland
[La] Idioma:eng
[Ab] Resumo:Breast inflammation, i.e. mastitis is an entity with a variable etiology and severity, typically affecting women of fertile age. In most cases, anamnesis reveals the etiology of the disease, bacterial puerperal mastitis associated with breastfeeding being the most common. Periductal mastitis is a breast inflammation typically associated with smoking in women of 40 to 50 years of age, localized to the region of the areola. Granulomatous mastitis and other rare breast inflammations usually require specialized care. Regardless of etiology, treatment of acute inflammation depends on the clinical picture and, with the exception of puerperal mastitis, emergency ultrasound imaging is often necessary in order to detect an abscess and drain it. In all cases of mastitis, the possibility of underlying malignancy as well as inflammatory breast cancer should be kept in mind. If specialized care is required, breast inflammation is treated in a breast, general or plastic surgery unit.
[Mh] Termos MeSH primário: Mastite/diagnóstico
Mastite/etiologia
Mastite/terapia
[Mh] Termos MeSH secundário: Adulto
Diagnóstico Diferencial
Feminino
Seres Humanos
Meia-Idade
Fatores de Risco
Ultrassonografia Mamária
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180115
[Lr] Data última revisão:
180115
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171215
[St] Status:MEDLINE


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[PMID]:28471621
[Au] Autor:Halshtok Neiman O; Erlich Z; Friedman E; Rundstein A; Shalmon A; Servadio Y; Sklair Levy M
[Ad] Endereço:Department of Diagnostic Imaging, Institute of Human Genetics, Sheba Medical Center, Tel Hashomer, affiliated with Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
[Ti] Título:Automated Breast Volumetric Sonography Compared with Magnetic Resonance Imaging in Jewish BRCA 1/2 Mutation Carriers.
[So] Source:Isr Med Assoc J;18(10):609-612, 2016 Oct.
[Is] ISSN:1565-1088
[Cp] País de publicação:Israel
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Automated breast volumetric sonography (ABVS) is a new technology with various possible applications. OBJECTIVES: To compare ABVS and breast magnetic resonance imaging (MRI) in the surveillance of women with BRCA1/2 gene mutation carriers. METHODS: We conducted a prospective study in Jewish female BRCA1/2 mutation carriers who underwent breast MRI and ABVS. The results of both exams performed 6 months apart or less, and relevant clinical data, were reviewed. The BIRADS results were divided into three subgroups according to subsequent expected management: BIRADS 1-2 (normal study), BIRADS 3 (probably benign finding), and BIRADS 4 and 5 (suspicious findings). BIRADS 0 and 6 scores were excluded from the study. Distribution of ABVS and MRI BIRADS scores were compared using McNemar's test, and concordance was calculated using the Cohen kappa test. RESULTS: Overall, 68 women, 40 BRCA1 and 28 BRCA2 mutation carriers, age range 26-69 (mean 44.55 ± 12.1 years), underwent 79 paired ABVS and MRI examinations. McNemar's test calculations showed no significant difference between MRI and ABVS BIRADS score distribution. Cohen's kappa test resulted in k = 0.158, an agreement that can be described as only "slight agreement" between both modalities. Of 14 discordant cases there was one cancer, revealed by MRI and not by ABVS performed 6 months prior to MRI. CONCLUSIONS: ABVS showed slight agreement with MRI in BRCA1/2 mutation carriers. These preliminary results on a small group of healthy high risk patients suggest that the diagnostic abilities of ABVS are inferior to MRI. Further studies encompassing larger groups are needed.
[Mh] Termos MeSH primário: Proteína BRCA1/genética
Proteína BRCA2/genética
Neoplasias da Mama/diagnóstico por imagem
Imagem por Ressonância Magnética/métodos
Ultrassonografia Mamária/métodos
[Mh] Termos MeSH secundário: Adulto
Idoso
Automação
Neoplasias da Mama/genética
Feminino
Predisposição Genética para Doença
Seres Humanos
Judeus
Meia-Idade
Mutação
Estudos Prospectivos
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Nm] Nome de substância:
0 (BRCA1 Protein); 0 (BRCA1 protein, human); 0 (BRCA2 Protein); 0 (BRCA2 protein, human)
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171128
[Lr] Data última revisão:
171128
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170505
[St] Status:MEDLINE


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[PMID]:28991557
[Au] Autor:Niell BL; Freer PE; Weinfurtner RJ; Arleo EK; Drukteinis JS
[Ad] Endereço:Division of Breast Imaging, Department of Diagnostic Imaging, H. Lee Moffitt Cancer Center and Research Institute, 12902 USF Magnolia Drive, Tampa, FL 33612-9416, USA. Electronic address: bethany.niell@moffitt.org.
[Ti] Título:Screening for Breast Cancer.
[So] Source:Radiol Clin North Am;55(6):1145-1162, 2017 Nov.
[Is] ISSN:1557-8275
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The goal of screening is to detect breast cancers when still curable to decrease breast cancer-specific mortality. Breast cancer screening in the United States is routinely performed with mammography, supplemental digital breast tomosynthesis, ultrasound, and/or MR imaging. This article aims to review the most commonly used breast imaging modalities for screening, discuss how often and when to begin screening with specific imaging modalities, and examine the pros and cons of screening. By the article's end, the reader will be better equipped to have informed discussions with patients and medical professionals regarding the benefits and disadvantages of breast cancer screening.
[Mh] Termos MeSH primário: Neoplasias da Mama/diagnóstico por imagem
Detecção Precoce de Câncer/métodos
Imagem por Ressonância Magnética/métodos
Mamografia/métodos
Programas de Rastreamento/métodos
[Mh] Termos MeSH secundário: Mama/diagnóstico por imagem
Feminino
Seres Humanos
Ultrassonografia Mamária/métodos
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171010
[St] Status:MEDLINE


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[PMID]:28982848
[Au] Autor:Gigli S; Amabile MI; DI Pastena F; DE Luca A; Gulia C; Manganaro L; Monti M; Ballesio L
[Ad] Endereço:Department of Radiology, Anatomo-pathology and Oncology, Sapienza University of Rome, Rome, Italy.
[Ti] Título:Lipofilling Outcomes Mimicking Breast Cancer Recurrence: Case Report and Update of the Literature.
[So] Source:Anticancer Res;37(10):5395-5398, 2017 10.
[Is] ISSN:1791-7530
[Cp] País de publicação:Greece
[La] Idioma:eng
[Ab] Resumo:Breast lipofilling uses autologous fat grafting to correct breast defects after radical or conservative surgery. After early concerns regarding its application in reconstruction after breast cancer (BC), in 2009 the American Society of Plastic Surgeons formed a task force to assess the indications, safety and efficacy of autologous fat grafting. We report the case of a woman who came to our attention for a painful swelling of the left breast. She had undergone breast-conserving therapy for BC, followed by lipofilling. The breast ultrasound (US) examination showed diffuse structural alteration and multiple hypoechoic areas with acoustic shadowing, mainly localized in the subcutaneous tissue. After pharmacological treatment and short-term follow-up US examination, considering the persistence of the clinical symptoms and structural alterations, we performed contrast-enhanced magnetic resonance imaging, that showed multiple enhancing areas in the left breast. Suspecting local tumor recurrence, we carried out US-guided breast core-biopsy, whose histological examination documented liponecrosis. This observation raised a series of diagnostic and therapeutic issues highlighting the diagnostic pitfalls that the radiologist may encounter during the evaluation of patients who have undergone BC surgery and breast reconstruction through lipofilling.
[Mh] Termos MeSH primário: Tecido Adiposo/transplante
Neoplasias da Mama/cirurgia
Carcinoma Ductal de Mama/cirurgia
Edema/etiologia
Inflamação/etiologia
Mamoplastia/efeitos adversos
Mastectomia Segmentar
Recidiva Local de Neoplasia
[Mh] Termos MeSH secundário: Tecido Adiposo/patologia
Biópsia com Agulha de Grande Calibre
Neoplasias da Mama/diagnóstico por imagem
Neoplasias da Mama/patologia
Carcinoma Ductal de Mama/diagnóstico por imagem
Carcinoma Ductal de Mama/patologia
Diagnóstico Diferencial
Erros de Diagnóstico
Edema/diagnóstico por imagem
Edema/patologia
Feminino
Seres Humanos
Inflamação/diagnóstico por imagem
Inflamação/patologia
Imagem por Ressonância Magnética
Mamoplastia/métodos
Mastectomia Segmentar/efeitos adversos
Meia-Idade
Necrose
Valor Preditivo dos Testes
Reprodutibilidade dos Testes
Transplante Autólogo
Resultado do Tratamento
Ultrassonografia Mamária
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171016
[Lr] Data última revisão:
171016
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171007
[St] Status:MEDLINE


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[PMID]:28906361
[Au] Autor:Zhan J; Diao XH; Pang Y; Wang Y; Chen L; Chen Y
[Ad] Endereço:Department of Ultrasound Huadong Hospital, Fudan University, Shanghai, P.R. China.
[Ti] Título:Is there an extraclinical value of automated breast volume scanner compared with hand-held ultrasound?: A pilot study.
[So] Source:Medicine (Baltimore);96(37):e7765, 2017 Sep.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The aim of this study was to investigate the extraclinical value of automated breast volume scanning (ABVS) in the diagnosis of breast tumor compare to hand-handle ultrasound (HHUS).One hundred twenty-four patients with breast tumor were performed HHUS and ABVS before operation. The research focused on whether there were newly found tumors or new findings on the coronal planes by using ABVS compared with HHUS. Then, the classification adjustments of breast imaging reporting and data system (BI-RADS) were made according to new findings on the coronal planes by using ABVS.There are totally 166 breast tumors found in 124 patients by HHUS, while 8 more were observed by ABVS, 4 of which were malignant and the rest were benign. The sensitivity and specificity of ABVS coronal plane findings were 37.0% and 92.5%, respectively. The area under receiver operating characteristic curve was 0.89 before the corrected classification versus 0.93 after the corrected classification, there were no significant differences (P > .05).There was no significant extraclinical value in differentiating diagnosis of malignant tumors and benign breast tumors by ABVS comparing to HHUS. However, those minimal lesions missed diagnosis could be found by ABVS with continuously automatic scanning.
[Mh] Termos MeSH primário: Neoplasias da Mama/diagnóstico por imagem
Interpretação de Imagem Assistida por Computador
Reconhecimento Automatizado de Padrão
Ultrassonografia Mamária
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Área Sob a Curva
Neoplasias da Mama/cirurgia
Diagnóstico Diferencial
Feminino
Seres Humanos
Masculino
Mastectomia
Meia-Idade
Tamanho do Órgão
Projetos Piloto
Curva ROC
Adulto Jovem
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:171004
[Lr] Data última revisão:
171004
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170915
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000007765


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[PMID]:28881248
[Au] Autor:Daroles J; Borget I; Suciu V; Mazouni C; Delaloge S; Balleyguier C
[Ad] Endereço:Department of Radiology, Gustave Roussy, Villejuif, France.
[Ti] Título:Value of a short-term imaging follow-up after a benign result in a one-stop breast unit: Is it still useful?
[So] Source:Eur J Cancer;85:23-30, 2017 Nov.
[Is] ISSN:1879-0852
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: A short-term radiologic follow-up after a benign breast biopsy or fine needle aspiration (FNA) is recommended in many guidelines. However, the current trend is to reduce imaging investigations, radiation dose and costs. The objectives of this study were to evaluate the cancer detection rate at short-term follow-up and to estimate its cost. METHODS: We retrospectively assessed all consecutive patients referred to our 'one-stop' breast unit between 2004 and 2012, with a benign histological or cytological result and at least one short-term follow-up within 3-12 months after the initial diagnosis. We evaluated the number of cancers detected, as well as the mean cost to detect each cancer and per patient. RESULTS: About 1366 patients were eligible for this study. Ten patients were diagnosed with cancers (0.73%) at short-term follow-up; six of 10 were low-grade tumours or ductal carcinoma in situ. The cost for detecting one cancer was 19,043€, with mean cost per patient of 139€. CONCLUSION: The cancer detection rate at short-term follow-up after benign biopsy or FNA was low and was similar to that of most national screening programs. The cost of cancer detection appeared high, considering that most cancers were indolent. This suggests that radiologic follow-up could reasonably be carried out at a later point in time.
[Mh] Termos MeSH primário: Neoplasias da Mama/diagnóstico por imagem
Neoplasias da Mama/economia
Carcinoma Intraductal não Infiltrante/diagnóstico por imagem
Carcinoma Intraductal não Infiltrante/economia
Prestação Integrada de Cuidados de Saúde/economia
Detecção Precoce de Câncer/economia
Custos de Cuidados de Saúde
Mamografia/economia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Biópsia
Neoplasias da Mama/patologia
Carcinoma Intraductal não Infiltrante/patologia
Análise Custo-Benefício
Detecção Precoce de Câncer/métodos
Feminino
Seres Humanos
Imagem por Ressonância Magnética/economia
Mamografia/métodos
Meia-Idade
Gradação de Tumores
Valor Preditivo dos Testes
Prognóstico
Avaliação de Programas e Projetos de Saúde
Estudos Retrospectivos
Fatores de Tempo
Ultrassonografia Mamária/economia
Adulto Jovem
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171023
[Lr] Data última revisão:
171023
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170908
[St] Status:MEDLINE



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BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde