Poster électronique

Diversité des lésions papillaires du sein : place de la microbiopsie
N. Aidi, S. Kechaou Kammoun, O. Ghdes, H. Boubaker, M. Chaabane - Tunis - Tunisie
Congrès 2011
Résumé
Objectifs
Connaître les particularités histologiques des lésions papillaires du sein. Décrire leurs différents aspects radiologiques. Identifier à partir de l'examen radiologique réalisé les indications de la microbiopsie percutanée. Connaître ses limites comparativement à l'exérèse chirurgicale.
Matériels et méthodes
Un groupe de 21 patientes sélectionnées d'une façon rétrospective sur une base de données histologiques à partir des microbiopsies percutanées réalisées.
Résultats
Chez 6 de nos patientes, les lésions étaient silencieuses découvertes lors d'un dépistage systématique. Ailleurs, on a trouvé une masse ou un nodule palpable (n=8), un écoulement unilatéral sanguinolent (n=2), un sein inflammatoire (n=2). Vingt patientes ont bénéficié d'une mammographie avec échographie mammaire et une a eu uniquement une échographie. Les lésions ont été classées soit en ACR 4 soit 5. Ces patientes ont toutes eu une microbiopsie percutanée sous guidage échographique montrant 11 lésions atypiques et malignes et 10 lésions bénignes.
Conclusion
Les lésions papillaires présentent une panoplie diagnostique aussi bien radiologique qu'anatomopathologique nécessitant une coopération multidisciplinaire. Une attention particulière est à porter aux lésions bénignes dont le tissu environnant pourrait présenter des lésions atypiques ou carcinomateuses .
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2017-08-30 01.13 :
Lisa Calabrese

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2017-04-12 10.32 :
Ann Perez

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2017-04-11 19.20 :
Scott Jones

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