examenes basicos en mastologia. parte ii
DESCRIPTION
CONFERENCIA PRESENTADA EN LAS JORNADAS MEDICAS SURCOLOMBIANAS. EL VIERNES 13 DE JUNIO DE 2008. EN EL AUDITORIO FACULTAD DE SALUD. EXAMENES BASICOS EN MASTOLOGIA. PARTE II DR. JUSTO GERMAN OLAYA R. MEDICO GENERAL - U. SURCOLOMBIANA CIRUJANO MASTOLOGO IEO-UB PROFESOR UNIVERSIDAD SURCOLOMBIANA.TRANSCRIPT
![Page 1: EXAMENES BASICOS EN MASTOLOGIA. PARTE II](https://reader034.vdocumento.com/reader034/viewer/2022051413/5592c1e81a28abca0f8b45b0/html5/thumbnails/1.jpg)
Evolución
Pasado
Presente
• Dx Clínico – Imagenologico• Intervencionismo
Futuro
![Page 2: EXAMENES BASICOS EN MASTOLOGIA. PARTE II](https://reader034.vdocumento.com/reader034/viewer/2022051413/5592c1e81a28abca0f8b45b0/html5/thumbnails/2.jpg)
Exámenes de diagnostico
• Clínica• Mamografía• Ecografía• Biopsia - Bacaf - Tru –cut - Incisional - excisional• Otros
![Page 3: EXAMENES BASICOS EN MASTOLOGIA. PARTE II](https://reader034.vdocumento.com/reader034/viewer/2022051413/5592c1e81a28abca0f8b45b0/html5/thumbnails/3.jpg)
![Page 4: EXAMENES BASICOS EN MASTOLOGIA. PARTE II](https://reader034.vdocumento.com/reader034/viewer/2022051413/5592c1e81a28abca0f8b45b0/html5/thumbnails/4.jpg)
![Page 5: EXAMENES BASICOS EN MASTOLOGIA. PARTE II](https://reader034.vdocumento.com/reader034/viewer/2022051413/5592c1e81a28abca0f8b45b0/html5/thumbnails/5.jpg)
![Page 6: EXAMENES BASICOS EN MASTOLOGIA. PARTE II](https://reader034.vdocumento.com/reader034/viewer/2022051413/5592c1e81a28abca0f8b45b0/html5/thumbnails/6.jpg)
![Page 7: EXAMENES BASICOS EN MASTOLOGIA. PARTE II](https://reader034.vdocumento.com/reader034/viewer/2022051413/5592c1e81a28abca0f8b45b0/html5/thumbnails/7.jpg)
![Page 8: EXAMENES BASICOS EN MASTOLOGIA. PARTE II](https://reader034.vdocumento.com/reader034/viewer/2022051413/5592c1e81a28abca0f8b45b0/html5/thumbnails/8.jpg)
![Page 9: EXAMENES BASICOS EN MASTOLOGIA. PARTE II](https://reader034.vdocumento.com/reader034/viewer/2022051413/5592c1e81a28abca0f8b45b0/html5/thumbnails/9.jpg)
![Page 10: EXAMENES BASICOS EN MASTOLOGIA. PARTE II](https://reader034.vdocumento.com/reader034/viewer/2022051413/5592c1e81a28abca0f8b45b0/html5/thumbnails/10.jpg)
Examen clínico de la mama por médico
• Sensibilidad del 54 %• Especificidad 94 %.• 1 vez por año.• Duración del examen: 6 minutos
(3 minutos por cada mama)
Bobo J, Lee NC, Thames SF. Findings From 752081 Clinical Breast Examinations Reported to National Screening Program From 1995 Trough 1998. J Natl Cancer Inst 2000; 92(12):971-6.Oestreicher N, White E, Lehman CD, Mandelson MT, Porter PL, Taplin SH. Predictors of sensitivity of clinical breast examination (CBE). Breast Cancer Res Treat 2002 Nov;76(1):73-81.
![Page 11: EXAMENES BASICOS EN MASTOLOGIA. PARTE II](https://reader034.vdocumento.com/reader034/viewer/2022051413/5592c1e81a28abca0f8b45b0/html5/thumbnails/11.jpg)
Exámenes Diagnostico
• Clínica• Mamografía• Ecografía• Biopsia - Bacaf - Tru –cut - Incisional - excisional• Otros
![Page 12: EXAMENES BASICOS EN MASTOLOGIA. PARTE II](https://reader034.vdocumento.com/reader034/viewer/2022051413/5592c1e81a28abca0f8b45b0/html5/thumbnails/12.jpg)
MAMOGRAFIA
PASADO PRESENTE
FUTURO 2008
![Page 13: EXAMENES BASICOS EN MASTOLOGIA. PARTE II](https://reader034.vdocumento.com/reader034/viewer/2022051413/5592c1e81a28abca0f8b45b0/html5/thumbnails/13.jpg)
0 Incompleto Nesecita aclaración (ecografía, ,Comparación)
1 Negativo Screening anual
2 Benigno Screening Anual
3 Probablemente Benigno Seguimiento corto- ecografía
4 sospechoso Biopsia
5 Altamente sospechoso Biopsia + Acción Apropiada
6 Maligno confirmado Acción Apropiada
Clasificación: BIRADS
the Breast Imaging Reporting and Data System
![Page 14: EXAMENES BASICOS EN MASTOLOGIA. PARTE II](https://reader034.vdocumento.com/reader034/viewer/2022051413/5592c1e81a28abca0f8b45b0/html5/thumbnails/14.jpg)
![Page 15: EXAMENES BASICOS EN MASTOLOGIA. PARTE II](https://reader034.vdocumento.com/reader034/viewer/2022051413/5592c1e81a28abca0f8b45b0/html5/thumbnails/15.jpg)
![Page 16: EXAMENES BASICOS EN MASTOLOGIA. PARTE II](https://reader034.vdocumento.com/reader034/viewer/2022051413/5592c1e81a28abca0f8b45b0/html5/thumbnails/16.jpg)
![Page 17: EXAMENES BASICOS EN MASTOLOGIA. PARTE II](https://reader034.vdocumento.com/reader034/viewer/2022051413/5592c1e81a28abca0f8b45b0/html5/thumbnails/17.jpg)
![Page 18: EXAMENES BASICOS EN MASTOLOGIA. PARTE II](https://reader034.vdocumento.com/reader034/viewer/2022051413/5592c1e81a28abca0f8b45b0/html5/thumbnails/18.jpg)
![Page 19: EXAMENES BASICOS EN MASTOLOGIA. PARTE II](https://reader034.vdocumento.com/reader034/viewer/2022051413/5592c1e81a28abca0f8b45b0/html5/thumbnails/19.jpg)
![Page 20: EXAMENES BASICOS EN MASTOLOGIA. PARTE II](https://reader034.vdocumento.com/reader034/viewer/2022051413/5592c1e81a28abca0f8b45b0/html5/thumbnails/20.jpg)
![Page 21: EXAMENES BASICOS EN MASTOLOGIA. PARTE II](https://reader034.vdocumento.com/reader034/viewer/2022051413/5592c1e81a28abca0f8b45b0/html5/thumbnails/21.jpg)
![Page 22: EXAMENES BASICOS EN MASTOLOGIA. PARTE II](https://reader034.vdocumento.com/reader034/viewer/2022051413/5592c1e81a28abca0f8b45b0/html5/thumbnails/22.jpg)
![Page 23: EXAMENES BASICOS EN MASTOLOGIA. PARTE II](https://reader034.vdocumento.com/reader034/viewer/2022051413/5592c1e81a28abca0f8b45b0/html5/thumbnails/23.jpg)
![Page 24: EXAMENES BASICOS EN MASTOLOGIA. PARTE II](https://reader034.vdocumento.com/reader034/viewer/2022051413/5592c1e81a28abca0f8b45b0/html5/thumbnails/24.jpg)
![Page 25: EXAMENES BASICOS EN MASTOLOGIA. PARTE II](https://reader034.vdocumento.com/reader034/viewer/2022051413/5592c1e81a28abca0f8b45b0/html5/thumbnails/25.jpg)
![Page 26: EXAMENES BASICOS EN MASTOLOGIA. PARTE II](https://reader034.vdocumento.com/reader034/viewer/2022051413/5592c1e81a28abca0f8b45b0/html5/thumbnails/26.jpg)
![Page 27: EXAMENES BASICOS EN MASTOLOGIA. PARTE II](https://reader034.vdocumento.com/reader034/viewer/2022051413/5592c1e81a28abca0f8b45b0/html5/thumbnails/27.jpg)
![Page 28: EXAMENES BASICOS EN MASTOLOGIA. PARTE II](https://reader034.vdocumento.com/reader034/viewer/2022051413/5592c1e81a28abca0f8b45b0/html5/thumbnails/28.jpg)
![Page 29: EXAMENES BASICOS EN MASTOLOGIA. PARTE II](https://reader034.vdocumento.com/reader034/viewer/2022051413/5592c1e81a28abca0f8b45b0/html5/thumbnails/29.jpg)
Importancia Real• Evolución de un Cancer
20012001
20032003
19991999
![Page 30: EXAMENES BASICOS EN MASTOLOGIA. PARTE II](https://reader034.vdocumento.com/reader034/viewer/2022051413/5592c1e81a28abca0f8b45b0/html5/thumbnails/30.jpg)
Mamografía