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BIOPSIA DE LESIONES MAMARIASSOSPECHOSAS
Dr. ENRIQUE CUEVAS
MEDICO RADIOLOGO-MASTÓLOGOALTA ESP. IMAG. EN CAB. CUELLO
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EVALUACIÓN DE LASMASAS SÓLIDAS
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SERAM 2012 / S-1025Estadiaje ganglionar axilar en el cáncer de mama: el papel
de la PAAF.
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MICROCALCIFICACIONES QUENO SE BIOPSIAN
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CONTRAINDICACIONES Y
PRECAUCIONES
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EVALUACIÓN DE LAS
MASAS QUSTICAS
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UN QUISTE ES UNA MASA IQUI!A. E"ISTEN # TIP$S !E QUISTES:
SIMPE %$MPI%A!$ %$MPE&$
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PA'A SE' %ATA$(A!$ %$M$ TA) SENE%ESITA %UMPI' A MEN$S # %'ITE'I$S:
*. M+'(ENES %I'%UNS%'IT$S,. SE' ANE%-I%$#. P'ESENTA' 'EF$'AMIENT$ S-NI%$
QUISTE SIMPLE
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!NCCN - !"#r$%& "' ()* N%(+"$%& C",r*)*$+* C%$*r N*("r
T)* S"$"3r%)+ F+$4+$3 %$4 D+*r+$3 C&+$+%& I,&+%(+"$ "' S+, C",&+%(*46 %$4 C",&*7 Br*%( C8( &o/n (. 012) M! **3#43,4*
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A AUSEN%IA !E E%$S INTE'N$S 7 AP'ESEN%IA !E 'EF$'AMIENT$ A%8STI%$!EFINE SU %$NTENI!$ %$M$ 9QUI!$.
UNA MASA QUE %UMPE EST$S %'ITE'I$SE%$('+FI%$S ES 5ENI(NA 7 N$ 'EQUIE'EE6AUA%I$NES P$STE'I$'ES) !E5E'+%ATE($'IA'SE 5I'A!S ,.
QUISTE COMPLICADO
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$S 0AA($S QUE %A'A%TE'IAN A UNQUISTE %$MPI%A!$ S$N I!NTI%$S A $S!E UN QUISTE SIMPE) SA6$ QUE ST$SN$ S$N ANE%-I%$S.
%$NTIENEN E%$S INTE'N$S !E 5A&$ NI6EQUE 'EP'ESENTAN FU9!$ P'$TEIN+%E$)%'ISTAES !E %$ESTE'$) SAN('E U$T'$ MATE'IA.
QUISTE COMPLICADO
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!NCCN - !"#r$%& "' ()* N%(+"$%& C",r*)*$+* C%$*r N*("r
T)* S"$"3r%)+ F+$4+$3 %$4 D+*r+$3 C&+$+%& I,&+%(+"$ "' S+, C",&+%(*46 %$4 C",&*7 Br*%( C8( &o/n (. 012) M! **3#43,4*
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A %UESTI-N ES SA5E' SI $S E%$S'EFE&AN !ET'ITUS !ENT'$ !E UNAMAT'I 9QUI!A $ IN!I%AN UNA MASAS-I!A.
SI SE !EMUEST'A QUE ES UN QUISTE!E5E'+ SE' T'ATA!$ %$M$ UN QUISTESIMPE ; 5I'A!S ,<.
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SI N$ SE !EMUEST'A 'EF$'AMIENT$) AMASA ES S-I!A 7 !E5EM$S API%A'!$PPE'.
EN AUSEN%IA !E SE=A !$PPE' EMANE&$ !EPEN!E'+ !E $S !AT$S%9NI%$S 7 !E A %$''EA%I-N %$N$T'$S 0AA($S IMA(EN$-(I%$S.
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SI A MASA ES %9NI%A $MAM$('+FI%AMENTE !E APA'%I%I-N'E%IENTE $ SINT$M+TI%A SE !E5E'+5I$PSIA'.
SI A 5I$PSIA FAA) !E5E'+ 'E5I$PSIA'SE0ASTA $5TE5E' UN 'ESUTA!$!EFINITI6$.
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PUE!E %$NSI!E'A'SE A 5I$PSIA %$N $T'$MT$!$ SI A ASPI'A%I-N ES !IA(N-STI%APE'$ 0EM+TI%A.
SI A MASA ES !ES%U5IE'TA !E MANE'AIN%I!ENTA 7 N$ MUEST'A 0AA($S%9NI%$S $ MAST$('+FI%$S S$SPE%0$S$SSE PUE!E SE(UI' EN UN INTE'6A$ %$'T$
!E TIEMP$ ; > MESES< 7 %ATA$(A'$ %$M$5I'A!S # P$'QUE E 'IES($ !E MAI(NI!A!ES 5A&$.
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EN PA%IENTES !E AT$ 'IES($) $ EN$T'AS SITUA%I$NES %$MPE&AS) A 'MNPUE!E P'$6EE' INF$'MA%I-N A!I%I$NA8TI) !E5I!$ A QUE A MA7$'9A !E AS
MASAS MAI(NAS 'EFUE'AN 7 $SQUISTES %$MPI%A!$S N$.
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!NCCN - !"#r$%& "' ()* N%(+"$%& C",r*)*$+* C%$*r N*("r
T)* S"$"3r%)+ F+$4+$3 %$4 D+*r+$3 C&+$+%& I,&+%(+"$ "' S+, C",&+%(*46 %$4 C",&*7 Br*%( C8( &o/n (. 012) M! **3#43,4*
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NUME'$SAS ENTI!A!ES PAT$-(I%AS
5ENI(NAS 7 MAI(NAS PUE!EN %AUSA'QUISTES %$MPE&$S !E A MAMA $ ESTA'AS$%IA!AS A E$S P$' $ QUE USUAMENTESE IN!I%A A 5I$PSIA.
SU P$'%ENTA&E !E MAI(NI!A! $S%IA ENT'EE ,# A #*?
SE %ATE($'IAN %$M$ 5I'A!S @ 7 SE5I$PSIAN.
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$S 0AA($S 5ENI(N$S M+S %$MUNESIN%U7EN:
%AM5I$S FI5'$QU9STI%$S
PAPI$MA INT'A!U%TA $ INT'AQU9STI%$SIN ATIPIA 7
FI5'$A!EN$MA
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$S 0AA($S AT9PI%$S IN%U7EN:
0IPE'PASIA !U%TA AT9PI%A PAPI$MA AT9PI%$ 0IPE'PASIA $5UA' AT9PI%$ 7 %A'%IN$MA $5UA' IN SITU
R%4+"3r%)+ V"&#,* 29 : S*+%& I#*S5; O("<*r 2009
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$S 0AA($S MAI(N$S IN%U7EN:
%A'%IN$MA !U%TA IN SITU%A'%IN$MA !U%TA INFIT'ANTE 7%A'%IN$MA $5UA' INFIT'ANTE
R%4+"3r%)+ V"&#,* 29 : S*+%& I#*S5; O("<*r 2009
CLASIFICACIÓN
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USAN!$ %'ITE'I$S A!APTA!$S !E 5erg et al)$S QUISTES %$MPE&$S !E A MAMA SEPUE!EN %ATE($'IA' EN @ %ASES EN 5ASEA SUS 0AA($S E%$('+FI%$S:
MASAS TIPO 1 : TIENEN UNA PA'E! ('UESA)SEPT$S INTE'N$S ('UES$S $ AM5$S.
MASAS TIPO 2: %$NTIENEN UNA $ M+SMASAS INT'AQUI9STI%AS
CLASIFICACIÓN
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MASAS TIPO ? : S$N QUISTES MI"T$S 7 TIENEN %$MP$NENTES S-I!$S 7 S$N AMEN$S 4? QU9STI%$S
MASAS TIPO : S$NP'E!$MINANTEMENTE S-I!$S ;A MEN$S4?< %$N F$%$S QU9STI%$S E"%NT'I%$S
MU!ER DE 5 AOS CON MASA
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!PALPABLE
QUISTE %$N PA'E! I(E'AMENTE ('UESA; TIP$ *<
5AAF: 9QUI!$ SIN SAN('E
IMA(EN !E SE(UIMIENT$
5I$PSIA %$N A(U&A ('UESA *@(:METAPASIA AP-%'INA QU9STI%A
5 MU!ER AOS SIN MASAS
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!PALPABLES
MASA QU9STI%A %$MPE&A TIP$ * %$N UN SEPT$ ('UES$
5I$PSIA %$N A(U&A ('UESA: METAPASIA AP-%'INA %$N F$'MA%I-N QU9STI%A
MASA QU9STI%A TIP$ * %$N PA'E! ('UESA 7 UN
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SEPT$ ('UES$
5I$PSIA %$N A(U&A ('UESA: %A'%IN$MA !U%TA INFIT'ANTE
MASA PALPABLE MU!ER ?? AOS
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MASA PALPABLE MU!ER ?? AOS
MASA QU9STI%A %$MPE&A PA'E! ('UESA;TIP$ *<
5AAF IQUI!$ 0EM+TI%$
%ontinBa
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5I$PSIA %$N A(U&A ('UESA
%A'%IN$MA !U%TA INFIT'ANTE
D =$S
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MU&E' @D A=$S
MASA QU9STI%A %$MPE&A TIP$ *
A(U&A ('UESA: FI5'$A!EN$MA
MASA QUISTI%A %$MPE&A%$N FU&$ !$PPE' !ENT'$ !E %$MP$NENTE S-I!$
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QUISTE TIP$ , . 5I$PSIA P$' A(U&A ('UESA:0IPE'PASIA PAPIA' AP-%'INA
MU&E' !E * A=$S
5I$PSIA %$N A(U&A ('UESA: PAPI$MA
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MASA QUISTI%A %$MPE&A TIP$ , %$N FU&$!$PPE' !ENT'$ !E %$MP$NENTE S-I!$
MU!ER DE 5AOS
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MASA QU9STI%A %$MPE&A TIP$ , QUE MUEST'AUNA MASA S-I!A SUSPEN!I!A !E UN TA$.
TIP$ !E 5I$PSIA 'E%$MEN!A!AGQUIRRGICA> PAPILOMA INTRAQUSTICO
MU&E' !E @ A=$S %$N 0AA($SMAM$('+FI%$S !E MASA 7 %A%IFI%A%I$NES.
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ASA QU9STI%A %$MPE&A TIP$ ,5I$PSIA %$N A(U&A ('UESA **(: ESPE%9MEN.PAPI$MA INFA'TA!$ %$N A%IFI%A%I$NES
5I$PSIA E"%ISI$NA: %A'%IN$MA $UA' IN SITU IN%I!ENTA
PAPILOMA INTRAQUSTICO
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PAPILOMA INTRAQUSTICO
MASA QU9STI%A %$MPE&A TIP$ , 5I$PSIA %$N A(U&A ('UESA **( %$NASPI'A%I-N A 6A%9$
MU!ER DE 2? AOS DE EDAD. MASA
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PALPABLE EN MAMA IQUIERDA
QUISTE TIP$ #APA'IEN%IA T9PI%AMENTE 5ENI(NA
N$ SE 'EAI- 5I$PSIA
MU&E' >, A=$S
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MASA QU9STI%A %$MPE&A TIP$ #
5I$PSIA %$N A(U&A ('UESA: PAPI$MAINT'A!U%TA SIN ATIPIA %$N METAPASIA
AP-%'INA 7 MI%'$%A%IFI%A%I$NES
R%4+"3r%)+ V"&#,* 29 J S*+%& I#* JO("<*r 2009
MU!ER DE ; AOS CON MASA
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PALPABLE
MASA QU9STI%A %$MPE&A TIP$ #
%A'%IN$MA !U%TA IN SITU
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SI A ESI-N ES P'E!$MINANTEMENTES-I!A SE NE%ESITA 5I$PSIA %$N A(U&A('UESA.
SI A ESI-N ES P'E!$MINANTEMENTEQU9STI%A 'EQUE'I'+ E"%ISI-N PE'%UT+NEA$ QUI'8'(I%A P$'QUE A ESI-N PUE!E!ISPE'SA'SE 7 6$6E'SE INAPA'ENTE
!ESPUS !E UNA PUN%I-N INI%IA'ESUTAN!$ UNA MUEST'A IN%$MPETA.
COMPLICACIONES
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SAN('A!$ ESI-N A -'(AN$S 6E%IN$S INFE%%I-N
6A$'A' 'IES($35ENEFI%I$
COMPLICACIONES
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