{"id":9512,"date":"2019-10-30T13:02:16","date_gmt":"2019-10-30T13:02:16","guid":{"rendered":"https:\/\/jurmed.ro\/medici\/?p=9512"},"modified":"2019-10-30T13:02:16","modified_gmt":"2019-10-30T13:02:16","slug":"biopsia-leziunilor-infraclinice-mamare-sub-ghidaj-imagistic","status":"publish","type":"post","link":"https:\/\/jurmed.ro\/medici\/biopsia-leziunilor-infraclinice-mamare-sub-ghidaj-imagistic\/","title":{"rendered":"Biopsia leziunilor infraclinice mamare sub ghidaj imagistic"},"content":{"rendered":"<p><a href=\"https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2019\/10\/Dr.-Emil-POPA.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-9513 alignleft\" src=\"https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2019\/10\/Dr.-Emil-POPA-300x209.jpg\" alt=\"\" width=\"300\" height=\"209\" srcset=\"https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2019\/10\/Dr.-Emil-POPA-300x209.jpg 300w, https:\/\/jurmed.ro\/medici\/wp-content\/uploads\/sites\/2\/2019\/10\/Dr.-Emil-POPA.jpg 709w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><\/a><em>Autor:<\/em><\/p>\n<p><strong><em>Dr. Emil Popa<\/em><\/strong><\/p>\n<p><strong><em>medic primar chirurg, competen\u0163\u0103 chirurgie oncologic\u0103, ecografie\u00a0\u00a0<\/em><\/strong><\/p>\n<p><strong><em>Centrul Medical Provita<\/em><\/strong><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: justify\"><strong>\u00ce<\/strong>n ultimii ani ne \u00eent\u00e2lnim cu un num\u0103r din ce \u00een ce mai mare de paciente care au depistate forma\u0163iuni tumorale mamare infraclinice cu caractere incerte de malignitate, paciente care necesit\u0103 precizarea diagnosticului \u015fi stabilirea schemei de tratament.<\/p>\n<p style=\"text-align: justify\">\u00cen ultimii ani ne \u00eent\u00e2lnim cu un num\u0103r din ce \u00een ce mai mare de paciente care au depistate forma\u0163iuni tumorale mamare infraclinice cu caractere incerte de malignitate, paciente care necesit\u0103 precizarea diagnosticului \u0219i stabilirea schemei de tratament. Sunt considerate forma\u0163iuni tumorale mamare infraclinice leziunile care nu au expresie clinc\u0103: pacientele nu le g\u0103sesc, prin autopalpare \u0219i, cel mai adesea, nici medicii examinatori nu reu\u0219esc s\u0103 identifice leziunile la examenul clinic, dar acestea sunt bine v\u0103zute prin explor\u0103ri imagistice. Este vorba fie despre forma\u0163iuni tumorale constituite, fie despre microcalcific\u0103ri. Num\u0103rul pacientelor depistate cu astfel de leziuni este din ce \u00een ce mai mare \u00een pezent datorita, pe de o parte, cre\u0219terii calit\u0103\u0163ii examenelor imagistice (ecografie mamar\u0103, mamografie, RMN), iar pe de alt\u0103 parte, ca urmare a cre\u0219terii adresabilit\u0103\u0163ii pacientelor c\u0103tre explor\u0103rile imagistice prin programe de screening sau a \u00eembun\u0103t\u0103\u0163irii educa\u0163iei sanitare. Metodele imagistice actuale sunt tot mai performante, ecografia mamar\u0103 folosit\u0103 ca metod\u0103 de screening reu\u0219e\u0219te, prin utilizarea unei frecven\u0163e mari de lucru (peste 7,5-12mHz<sup>1<\/sup>), cu posibilitate de examinare \u00een mod Doppler color sau cu contrast, sau \u00een mod sonoelastografic, s\u0103 identifice leziuni subcentimetrice (chiar sub 5 mm) ori s\u0103 eviden\u0163ieze microcalcific\u0103ri maligne<sup>2<\/sup>. Examinarea mamografic\u0103 a prezentat o dezvoltare important\u0103 \u00een ultimii ani prin apari\u0163ia, pe scar\u0103 din ce \u00een ce mai larg\u0103, a mamografiei digitale \u0219i a mamografiei cu tomosintez\u0103<sup>3<\/sup>, explor\u0103ri ce au permis depistarea microcalcific\u0103rilor maligne \u0219i a leziunilor de mici dimensiuni<sup>4<\/sup>. Apari\u0163ia de aparate RMN performate a condus \u00een plus la cre\u0219terea num\u0103rului de tumori mamare infraclinice depistate.\u00a0 Dezvoltarea echipamentelor imagistice este \u00eenso\u0163it\u0103 \u0219i sus\u0163inut\u0103 \u0219i de specializarea medicilor \u00een depistarea \u0219i diagnosticarea acestor tumori. Totu\u0219i, cu toate progresele metodelor imagistice \u0219i \u00eembun\u0103\u0163irea sensibilit\u0103\u0163ii \u0219i a specificit\u0103\u0163ii acestor examene, ele sunt limitate la depistarea \u0219i descrierea caracterelor imagistice \u0219i a localiz\u0103rii, f\u0103r\u0103 a putea s\u0103 precizeze tipul de boal\u0103. Ele pot sugera elemente de malignitate dar, pentru diagnosticul de certitudine, este nevoie \u00eentotdeauna de un examen biopsic, fie c\u0103 este vorba despre o biopsie instrumental\u0103, fie despre o biopsie pe cale chirurgical\u0103, biopsie din forma\u0163iunea tumoral\u0103, microcalcific\u0103ri, c\u00e2t \u0219i din eventualele determin\u0103ri locoregionale ganglionare sau la distan\u0163\u0103.<\/p>\n<p style=\"text-align: justify\">Situa\u0163ia tumorilor infraclinice este una particular\u0103 prin faptul c\u0103 aceste tumori se identific\u0103 pe filmele radiologice \u0219i pe ecranele ecografelor dar ele nu se palpeaz\u0103 nici clinic \u0219i, \u00een unele cazuri, nici intraoperator. A\u0219adar, este din ce \u00een ce mai solicitat\u0103 asisten\u0163a imagistic\u0103 pentru realizarea de punc\u0163ii biopsii sub ghidaj ecografic, mamografic sau RMN \u0219i, de asemenea, este nevoie de asisten\u0163\u0103 imagistic\u0103 \u00een excizia de forma\u0163iuni tumorale infraclinice prin localizarea lor cu fire de ghidaj ce pot fi montate sub ultrasonografie sau mamografie stereotaxic\u0103.\u00a0 Cele mai multe dintre tumorile mamare benigne sau maligne care se v\u0103d mamografic se v\u0103d cel mai adesea \u0219i ecografic, astfel c\u0103 folosirea ecografelor \u00een orientarea punc\u0163iilor mamare \u2013 punc\u0163ii fine aspirative pentru examen citologic sau punc\u0163ii biopsii pentru examen histopatologic \u0219i imunohistochimic \u2013 precum \u0219i \u00een ghidarea mont\u0103rii de harpoane \u2013 fire de ghidaj \u2013 pentru reperarea forma\u0163iunilor intraoperator este o atitudine de rutin\u0103 \u00een multe clinici.<\/p>\n<p style=\"text-align: justify\">Probleme deosebite apar \u00een cazurile care sunt depistate mamografic microcalcific\u0103ri suspecte de malignitate, acestea neav\u00e2nd, cel mai adesea, corespondent clar ecografic. O alt\u0103 problem\u0103 dificil\u0103 de management al tumorilor mamare se pune pentru cazurile cu forma\u0163iuni tumorale care se v\u0103d doar mamografic. Astfel de situa\u0163ii sunt, de exemplu, cazurile de cancer de san multiple, cu a doua leziune la distan\u0163\u0103, dup\u0103 tratament oncologic. O situa\u0163ie particular\u0103 este cea a recidivelor pe s\u00e2n operat conservator care, secundar tratamentelor chirurgicale sau oncologice, fac ca aceste tumori s\u0103 nu poat\u0103 fi caracterizate cu certitudine ecografic.\u00a0 Pentru toate aceste situa\u0163ii este nevoie de folosirea pentru ghidajul biopsiei de mamografia digital\u0103 cu sterotaxie, metod\u0103 care permite vizualizarea tumorii.<\/p>\n<p style=\"text-align: justify\">Folosirea metodelor imagistice \u00een biopsierea forma\u0163iunilor mamare infraclinice conduce la precizarea corect\u0103 a diagnosticului, la o bun\u0103 stadializare a bolii, la ob\u0163inerea precoce de specimene anatomopatologice pentru teste imunohistochimice \u0219i genetice, la posibilitatea aplic\u0103rii de tratamente chirurgicale conservatoare, la posibilitatea aplic\u0103rii tehnicii ganglionului santinel\u0103 \u0219i sc\u0103derea num\u0103rului de limfadenectomii axilare complete pentru stadializare, la reducerea num\u0103rului de interven\u0163ii mutilante, implicit la sc\u0103derea duratei de spitalizare \u0219i \u00een special la \u00eembun\u0103t\u0103\u0163irea calit\u0103\u0163ii vie\u0163ii pacientelor \u0219i reducerea num\u0103rului de complica\u0163ii imediate \u0219i la distan\u0163\u0103. \u00cen Centrul Medical Provita se pot face, de rutin\u0103, pentru tumori mamare infraclinice, biopsii mamare ghidate ecografic \u2013 fie punc\u0163ii biopsii, fie punc\u0163ii fine aspirative c\u00e2t \u0219i montare de fire harpon de ghidaj pentru a ajuta echipa chirurgical\u0103 \u00een g\u0103sirea intraoperatorie a tumorii. De asemenea se folose\u0219te mamografia digital\u0103 cu stereotaxie pentru punc\u0163ii biopsie din forma\u0163iuni tumorale infraclinice sau din microcalcific\u0103ri suspecte \u0219i pentru montarea de harpoane \u00een vederea biopsiei chirurgicale.<\/p>\n<p style=\"text-align: justify\"><strong>(Endnotes)<\/strong><\/p>\n<ol>\n<li style=\"text-align: justify\">FRANK ST\u00d6BLEN1, SOLVEIG LANDT2, RAMI ISHAQ3, \u2026 &#8211; High-frequency Breast Ultrasound for the Detection of Microcalcifications and Associated Masses in BI-RADS 4a Patients &#8211; ANTICANCER RESEARCH 31: 2575-2582 (2011)<\/li>\n<li style=\"text-align: justify\">Huay-Ben Pan &#8211; The Role of Breast Ultrasound in Early Cancer Detection \u2013 Journal of Medical Ultrasound (2016) 24, 138-141<\/li>\n<li style=\"text-align: justify\">Brian M. Haas,\u00a0Vivek Kalra,\u00a0Jaime Geisel,\u00a0\u2026 &#8211; Comparison of Tomosynthesis Plus Digital Mammography and Digital Mammography Alone for Breast Cancer Screening &#8211; Radiology: Volume 269: Number 3\u2014December 2013 n radiology.rsna.or<\/li>\n<li style=\"text-align: justify\">L\u00e1szl\u00f3 Tab\u00e1r,\u00a0Bedrich Vitak,\u00a0Tony Hsiu-Hsi Chen,\u00a0\u2026 &#8211; Swedish Two-County Trial: Impact of Mammographic Screening on Breast Cancer Mortality during 3 Decades &#8211; Radiology: Volume 260: Number 3\u2014September 2011, 658-663<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Autor: Dr. Emil Popa medic primar chirurg, competen\u0163\u0103 chirurgie oncologic\u0103, ecografie\u00a0\u00a0 Centrul Medical Provita &nbsp; &nbsp; \u00cen ultimii ani ne \u00eent\u00e2lnim cu un num\u0103r din ce \u00een ce mai mare [&hellip;]<\/p>\n","protected":false},"author":9,"featured_media":9513,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[33,168],"tags":[],"class_list":["post-9512","post","type-post","status-publish","format-standard","has-post-thumbnail","category-articole","category-oncologie"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.0 - 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