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Ductal carcinoma in situ within a fibroadenoma:A case report and review of literature

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World Journal of Radiology 2024年第3期16卷 58-68页

作者： Yazmin Olivares-Antúnez Yesika Janett Dávila-Zablah JoséRaúl Vázquez-Ávila Gabriela Sofía Gómez-Macías María Teresa Mireles-Aguilar Margarita Lilia Garza-Montemayor department of Diagnostic Breast Imaging Center Hospital Zambrano HellionTecnológico de MonterreyNuevo León 66260Mexico department of patology Service Hospital San JoséTecnológico de MonterreyNuevo León 64710Mexico department of Faculty of Medicine Hospital Universitario de la UANLNuevo León 64710Mexico. department of Breast Surgery Center Hospital Zambrano HellionTecnológico de MonterreyNuevo León 66260Mexico

BACKGROUND Fibroadenoma(FA)is the most common tumor found in young women,although it can occur in any age *** carcinoma in situ(DCIS)that is confined in a FA is rare;it is most frequently reported as an incidental *** SUMMARY We report a case of DCIS within a FA in a 46-year-old female without cancerrelated personal and family *** patient was diagnosed with a breast conglomerate of nodules and was followed for 1 *** the current control image study,we found suspicious microcalcification,as a new finding,within one of the ***,a core biopsy of the tumor,which appeared hypoechoic,oval,and circumscribed,was *** pathological diagnosis was ductal carcinoma in situ within a fibroepithelial *** patient underwent breastconserving surgery and received radiotherapy as well as endocrine therapy(tamoxifen).CONCLUSION We recommend a multidisciplinary approach for adequate treatment and followup.

关键词： Carcinoma in situ Fibroadenoma Mammography Ultrasound Magnetic resonance imaging Radiology Case report

New Wireless Handheld Ultrasound-Guided Vacuum-Assisted Breast Biopsy (VABB) Devices: An Important Innovation in Breast Diagnosis

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Open Journal of Radiology 2013年第4期3卷 174-179页

作者： Silvia Bagnera Sebastiano Patania Luisella Milanesio Giovanni Gatti Renzo Orlassino Breast Screening Unit (Regional Reference Center) Regional Hospital “City of Health and Science of Turin” Turin Italy department of Diagnostic Imaging and RT—Breast Unit Local Health Unit (ASLTO4) Turin Italy department of patology Local Health Unit (ASLTO4) Turin Italy

Vacuum-assisted breast biopsy (VABB) plays a fundamental role in the preoperative assessment of breast lesions pro- viding large histology samples that are useful to define diagnoses and biological parameters to guide treatment planning. This technique has been used in our institute since 2000 and two new wireless handheld ultrasound-guided VABB de- vices have been introduced since May 2012. In this report we analyze our experience with these revolutionary devices which are able to provide the option of single-insertion contiguous tissue samples respectively with a 13/14-gauge aperture. Our initial experience on 75 lesions shows that these devices are safe, fast, procedurally advantageous for operators and well accepted by patients. Finally VABB procedures can markedly reduce the need for surgical biopsy.

关键词： Breast Biopsy Vacuum-Assisted Breast Biopsy Ultrasound-Guided Histology Biopsy

Concordance in the Interpretation of Cervical Cytology for the Early Diagnosis of Cervical Cancer

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Open Journal of Obstetrics and Gynecology 2016年第12期6卷 714-724页

作者： Sandra Olimpia Gutiérrez-Enríquez Luis Chávez-Hernández Yolanda Terán-Figueroa Darío Gaytán-Hernández Cuauhtémoc Oros-Ovalle Verónica Gallegos-García Aracely Diáz-Oviedo Claudia Elena González-Acevedo Nursing and Nutrition Faculty of Autonomic San Luis Potosí University San Luis Potosí México Mexican Institute of Social Security San Luis Potosí México patology department Hospital Central Dr. IgnacioMorones Prieto San Luis Potosí México

Objective: To identify the diagnostic concordance in the interpretation of cervical smears. Material and Methods: Cross-sectional study from October 2011 to January 2013. 50 samples were read by every 4 cyto-technologists who are the total staffs that read and interpret cytological specimens from a public health institution of the city of San Luis Potosí, México. The cytological diagnosis was confirmed by a certified pathologist. Checklist was developed to determine the quality of the interpretation composed of three sections: adequate sample, inadequate sample and cytological diagnosis. The diagnostic report was made by Bethesda System 2001 classification. Diagnostic concordance was measured through the Kappa coefficient. To establish the differences in cytological diagnosis between each cyto-technologist, chi square test was applied. Results: The concordance is acceptable in the classification of samples as inadequate (k = 0.66). The negative diagnosis was a significant concordance between each cytotechnologist and pathologist;however, no case had very good concordance. In the epithelial abnormalities, only the cytotechnologist 2 had significant concordance with the pathologist, however, its concordance is low. In the case of glandular abnormalities, only cytotechnologist 1 had no significant concordance with the pathologist. The percentage of true negatives was 30%, true positives 20%, false negatives 50% and false positives 0 %. There are significant differences between the readings of cyto-technologist 1 and 2 (p < 0.008), between 1 to 4 (p < 0.001), between 2 and 3 (p < 0.05), and finally between 3 and 4 (p < 0.003). Conclusions: The concordance between cyto-technologists and pathologists is below the required minimum level set by national and international standards.

关键词： Papanicolaou Test Cervical Cancer Quality Control Cytology

General aspects of the treatment of alcoholic hepatitis

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World Journal of Hepatology 2011年第5期3卷 126-130页

作者： Michael J Babineaux Bhupinderjit S Anand department of Internal Medicine University of Texas Medical BranchGalvestonTX 77555United States department of Gastroenterology and He-patology Michael Debakey VA Medical CenterBaylor College of MedicineHoustonTX 77555United States

General measures for treating patients with alcoholic hepatitis(AH) are similar irrespective of the disease *** abstinence is the cornerstone of treatment and can be achieved with appropriate social support,Alcoholics Anonymous and sometimes pharmacological *** withdrawal should be anticipated and treatment initiated to prevent this *** for complications of cirrhosis should be as for any other patient with *** patients are particularly prone to infections and *** should be identified and treated appropriately using broad spectrum antibiotics and nutritional support respectively.

关键词： Alcoholic hepatitis Alcohol abstinence Alcohol withdrawal Nutritional support Complications of cirrhosis Malnutrition Treatment

Training of health personnel to improve knowledge and skills in taking Pap: Effect of an educational intervention to prevent cervical cancer

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Health 2013年第7期5卷 60-64页

作者： Gutiérrez-Enríquez Sandra Olimpia Frías-Navarro Víctor Omar Oros-Ovalle Cuauhtémoc Ortiz-Valdez Julio Alejandro Gaytán-Hernández Darío Terán-Figueroa Yolanda Colposcopy department from Child and Women’s Hospital Health Services from San Luis Potosí San Luis Potosí México Guanajuato University Guanajuato México Nursing Faculty San Luis Potosí University San Luis Potosí México patology Deparment Dr. Ignacio Morones Prieto Central Hospital San Luís Potosí México

Objective: To evaluate the effectiveness of an educational intervention to improve knowledge and skills in taking Pap smear conducted by health staff implementing the program on Early Detection of Cervical Cancer. Methods: A quasiexperimental, longitudinal and prospective study, held from October 25 2010 to April 11, 2011 at a hospital in San Luis Potosi, Mexico. To select groups applied a non-probabilistic convenience sampling that was composed of 28 people, 15 for the study group and 13 to the control group. The study group received training that was divided into three phases in which assessed the knowledge and skills taking the smear, the control group received conventional training offered by your workplace. Papanicolaou quality was measured before and after the intervention. The reference used international classification system Bethesda 2001. For data analysis we used the Student t test. Results: The study group increased knowledge (t = 8.768, p = 0.000) in the management of official standards, in the anatomy of the lower female genital tract and in the form of testing. Technical skills (t = 8.639, p = 0.000) also increased in the study group after the intervention. The control group showed no significant changes. The quality report of the samples in the study group increased from 60% to 86.7% and in the control group decreased from 92.3% to 84.6%. Conclusions: The training is effective in improving the knowledge and skills in taking Pap. Health staff who received the training improved their performance and showed more interest in providing high quality service to women.

关键词： Cervical Cancer Educational Intervention Pap Knowledge and Skills in Taking Pap