Biopsias percutáneas en lesiones mamarias e importancia de la ecografía como adjunto a la mamografía

El cáncer de mama es el tumor invasivo más frecuente en mujeres, con más de un millón de casos y cerca de 600.000 muertes al año en todo el mundo (1), con tasas de incidencia más altas en países industrializados, como Estados Unidos, Australia y países de Europa Occidental, que pueden estar relacion...

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Autores:
Rojas Rueda, Sandra Patricia
Araújo Reyes, Ana Teresa
Jaramillo Botero, Natalia
Mantilla Suárez, Juan Carlos
Tipo de recurso:
Fecha de publicación:
2008
Institución:
Universidad Autónoma de Bucaramanga - UNAB
Repositorio:
Repositorio UNAB
Idioma:
spa
OAI Identifier:
oai:repository.unab.edu.co:20.500.12749/12134
Acceso en línea:
http://hdl.handle.net/20.500.12749/12134
Palabra clave:
Medical sciences
Health sciences
Radiology
Diagnostic imaging
Percutaneous biopsies
Breast lesions
Ultrasound
Mammography
Breast cancer
Breast pathology
Breast neoplasms
Ciencias médicas
Radiología
Diagnóstico por imágenes
Cáncer de mama
Patología mamaria
Neoplasias de mama
Ciencias de la salud
Biopsias percutáneas
Lesiones mamarias
Ecografía
Mamografía
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openAccess
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http://creativecommons.org/licenses/by-nc-nd/2.5/co/
id UNAB2_8d4619cd2c73b48e88c1da68a08cfce5
oai_identifier_str oai:repository.unab.edu.co:20.500.12749/12134
network_acronym_str UNAB2
network_name_str Repositorio UNAB
repository_id_str
dc.title.spa.fl_str_mv Biopsias percutáneas en lesiones mamarias e importancia de la ecografía como adjunto a la mamografía
dc.title.translated.spa.fl_str_mv Percutaneous biopsies in breast lesions and the importance of ultrasound as an adjunct to mammography
title Biopsias percutáneas en lesiones mamarias e importancia de la ecografía como adjunto a la mamografía
spellingShingle Biopsias percutáneas en lesiones mamarias e importancia de la ecografía como adjunto a la mamografía
Medical sciences
Health sciences
Radiology
Diagnostic imaging
Percutaneous biopsies
Breast lesions
Ultrasound
Mammography
Breast cancer
Breast pathology
Breast neoplasms
Ciencias médicas
Radiología
Diagnóstico por imágenes
Cáncer de mama
Patología mamaria
Neoplasias de mama
Ciencias de la salud
Biopsias percutáneas
Lesiones mamarias
Ecografía
Mamografía
title_short Biopsias percutáneas en lesiones mamarias e importancia de la ecografía como adjunto a la mamografía
title_full Biopsias percutáneas en lesiones mamarias e importancia de la ecografía como adjunto a la mamografía
title_fullStr Biopsias percutáneas en lesiones mamarias e importancia de la ecografía como adjunto a la mamografía
title_full_unstemmed Biopsias percutáneas en lesiones mamarias e importancia de la ecografía como adjunto a la mamografía
title_sort Biopsias percutáneas en lesiones mamarias e importancia de la ecografía como adjunto a la mamografía
dc.creator.fl_str_mv Rojas Rueda, Sandra Patricia
Araújo Reyes, Ana Teresa
Jaramillo Botero, Natalia
Mantilla Suárez, Juan Carlos
dc.contributor.advisor.spa.fl_str_mv Rey Serrano, Juan José
dc.contributor.author.spa.fl_str_mv Rojas Rueda, Sandra Patricia
Araújo Reyes, Ana Teresa
Jaramillo Botero, Natalia
Mantilla Suárez, Juan Carlos
dc.contributor.cvlac.*.fl_str_mv Rey Serrano, Juan José [0000265306]
dc.contributor.googlescholar.*.fl_str_mv Rey Serrano, Juan José [es&oi=ao]
dc.contributor.orcid.spa.fl_str_mv Rey Serrano, Juan José [0000-0002-6946-2444]
dc.contributor.scopus.spa.fl_str_mv Rey Serrano, Juan José [54793298100]
dc.contributor.researchgroup.spa.fl_str_mv Observatorio de Salud Pública de Santander
Grupo de Investigaciones Clínicas
dc.subject.keywords.eng.fl_str_mv Medical sciences
Health sciences
Radiology
Diagnostic imaging
Percutaneous biopsies
Breast lesions
Ultrasound
Mammography
Breast cancer
Breast pathology
Breast neoplasms
topic Medical sciences
Health sciences
Radiology
Diagnostic imaging
Percutaneous biopsies
Breast lesions
Ultrasound
Mammography
Breast cancer
Breast pathology
Breast neoplasms
Ciencias médicas
Radiología
Diagnóstico por imágenes
Cáncer de mama
Patología mamaria
Neoplasias de mama
Ciencias de la salud
Biopsias percutáneas
Lesiones mamarias
Ecografía
Mamografía
dc.subject.lemb.spa.fl_str_mv Ciencias médicas
Radiología
Diagnóstico por imágenes
Cáncer de mama
Patología mamaria
Neoplasias de mama
dc.subject.proposal.spa.fl_str_mv Ciencias de la salud
Biopsias percutáneas
Lesiones mamarias
Ecografía
Mamografía
description El cáncer de mama es el tumor invasivo más frecuente en mujeres, con más de un millón de casos y cerca de 600.000 muertes al año en todo el mundo (1), con tasas de incidencia más altas en países industrializados, como Estados Unidos, Australia y países de Europa Occidental, que pueden estar relacionadas con mudanzas en los patrones reproductivos así como un mayor uso de la mamografía (2, 3, 4 y 5). La tasa de incidencia no es igual para todos los grupos raciales y étnicos reflejando los diversos grados de desarrollo socioeconómico y características culturales (6). Las tasas promedio anuales de incidencia ajustadas para la edad desde 1996 hasta el 2000 fueron 140,8 casos/100000 entre mujeres blancas, 121,7 entre afroamericanas, 97,2 entre Asiático-americanas/isleñas del pacífico, 89,8 en hispánicas y 58 en indios americanos/nativos de Alaska (6). En América latina según la unión internacional para el control de cáncer, Uruguay, Argentina y Chile tienen la tasa más alta de incidencia y mortalidad por cáncer de mama, mientras que en Perú y México el cáncer cervicouterino sigue ocupando el primer lugar. A nivel mundial se observa una tendencia al aumento del cáncer de mama mientras que el cervicouterino disminuye, sin embargo en Colombia la incidencia de cáncer con una tasa ajustada para la edad fue del 36.8 por cien mil para el cuello uterino y del 30 por cien mil para la mama.
publishDate 2008
dc.date.issued.none.fl_str_mv 2008
dc.date.accessioned.none.fl_str_mv 2021-02-05T13:48:35Z
dc.date.available.none.fl_str_mv 2021-02-05T13:48:35Z
dc.type.driver.none.fl_str_mv info:eu-repo/semantics/masterThesis
dc.type.local.spa.fl_str_mv Tesis
dc.type.redcol.none.fl_str_mv http://purl.org/redcol/resource_type/TM
dc.identifier.uri.none.fl_str_mv http://hdl.handle.net/20.500.12749/12134
dc.identifier.instname.spa.fl_str_mv instname:Universidad Autónoma de Bucaramanga - UNAB
dc.identifier.reponame.spa.fl_str_mv reponame:Repositorio Institucional UNAB
dc.identifier.repourl.spa.fl_str_mv repourl:https://repository.unab.edu.co
url http://hdl.handle.net/20.500.12749/12134
identifier_str_mv instname:Universidad Autónoma de Bucaramanga - UNAB
reponame:Repositorio Institucional UNAB
repourl:https://repository.unab.edu.co
dc.language.iso.spa.fl_str_mv spa
language spa
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spelling Rey Serrano, Juan José6a85095a-de37-42cf-8d36-37aa3a972409-1Rojas Rueda, Sandra Patriciacea4257a-dc34-4986-b8f3-f955c6deedb8-1Araújo Reyes, Ana Teresa611c2904-e5d2-4e62-828f-fd6833cc9a07-1Jaramillo Botero, Natalia93097063-1af1-4122-a246-650d8b4f41d8-1Mantilla Suárez, Juan Carlos1f6385d5-b3dd-4f9d-aa17-842bf37faf97-1Rey Serrano, Juan José [0000265306]Rey Serrano, Juan José [es&oi=ao]Rey Serrano, Juan José [0000-0002-6946-2444]Rey Serrano, Juan José [54793298100]Observatorio de Salud Pública de SantanderGrupo de Investigaciones Clínicas2021-02-05T13:48:35Z2021-02-05T13:48:35Z2008http://hdl.handle.net/20.500.12749/12134instname:Universidad Autónoma de Bucaramanga - UNABreponame:Repositorio Institucional UNABrepourl:https://repository.unab.edu.coEl cáncer de mama es el tumor invasivo más frecuente en mujeres, con más de un millón de casos y cerca de 600.000 muertes al año en todo el mundo (1), con tasas de incidencia más altas en países industrializados, como Estados Unidos, Australia y países de Europa Occidental, que pueden estar relacionadas con mudanzas en los patrones reproductivos así como un mayor uso de la mamografía (2, 3, 4 y 5). La tasa de incidencia no es igual para todos los grupos raciales y étnicos reflejando los diversos grados de desarrollo socioeconómico y características culturales (6). Las tasas promedio anuales de incidencia ajustadas para la edad desde 1996 hasta el 2000 fueron 140,8 casos/100000 entre mujeres blancas, 121,7 entre afroamericanas, 97,2 entre Asiático-americanas/isleñas del pacífico, 89,8 en hispánicas y 58 en indios americanos/nativos de Alaska (6). En América latina según la unión internacional para el control de cáncer, Uruguay, Argentina y Chile tienen la tasa más alta de incidencia y mortalidad por cáncer de mama, mientras que en Perú y México el cáncer cervicouterino sigue ocupando el primer lugar. A nivel mundial se observa una tendencia al aumento del cáncer de mama mientras que el cervicouterino disminuye, sin embargo en Colombia la incidencia de cáncer con una tasa ajustada para la edad fue del 36.8 por cien mil para el cuello uterino y del 30 por cien mil para la mama.1. PLANTEAMIENTO DEL PROBLEMA 12 2. JUSTIFICACION 14 3. MARCO TEORICO 15 3.1 TAMIZAJE PARA DETECCIÓN TEMPRANA DE CÁNCER DE MAMA 15 3.2 MÉTODOS DIAGNÓSTICOS EN CÁNCER DE MAMA 17 3.2.1 Mamografía. 17 3.2.2 Ecografía mamaria 22 3.2.3 Birads Combinado Final 37 3.3 METODOS DE OBTENCIÓN DE MUESTRAS PARA ESTUDIO HISTOPATOLÓGICO 38 3.3.1 Biopsia por aspiración con aguja fina 39 3.3.2 Biopsia con aguja gruesa guiada por ecografía 39 3.3.3 Biopsia con aguja gruesa guiada por estereotaxia 40 3.3.4 Radiografía de los cilindros de microbiopsia 41 3.3.5 Biopsia escisional previa marcación con arpón 41 3.3.6 Radiografía de pieza quirúrgica posterior a marcaje con aguja y correlación histopatológica 42 3.3.7 Revisión de la mamografía e histologia de las muestras con aguja gruesa 42 3.4 AUDITORIA BIRADS 43 3.4.1 Sensibilidad y especificidad. 47 3.4.2 Mamografías falsas negativas 47 3.4.3 Valor predictivo positivo 48 3.4.4 Valor predictivo negativo 49 3.4.5 Revisión de los resultados 49 3.4.6 Valor predictivo positivo de la biopsia de mama 50 3.4.7 Causas de mamografía falsas negativas 50 3.5 CLASIFICACIÓN HISTOLÓGICA DE PATOLOGÍA MAMARIA: 51 3.5.1 Lesiones benignas de la mama. 51 3.5.2 Lesiones malignas 54 3.6 FACTORES DE RIESGO 60 3.6.1 Factores de riesgo establecidos 60 3.6.2 Factores de riesgo no establecidos o en investigación 63 4. OBJETIVOS 67 4.1 OBJETIVO GENERAL 67 4.2 OBJETIVOS ESPECÍFICOS 67 5. METODOLOGIA 68 5.1 TIPO DE ESTUDIO 68 5.2 POBLACION 68 5.3 VARIABLES 68 5.4 RECOLECCION DE DATOS 69 5.5 CRITERIOS DE INCLUSION 69 5.6 CRITERIOS DE EXCLUSION 70 5.7 TECNICA DE RECOLECCION 70 5.8 PLAN DE ANALISIS 72 6. RESULTADOS 73 6.1 ANALISIS UNIVARIADO 73 6.2 ANALISIS BIVARIADO 80 7. DISCUSION 106 8. CONCLUSIONES 110 REFERENCIAS BIBLIOGRAFICAS 111EspecializaciónBreast cancer is the most common invasive tumor in women, with more than a million cases and nearly 600,000 deaths a year worldwide (1), with higher incidence rates in industrialized countries, such as the United States, Australia and Western European countries, which may be related to changes in reproductive patterns as well as increased use of mammography (2, 3, 4 and 5). The incidence rate is not the same for all racial and ethnic groups, reflecting varying degrees of socioeconomic development and cultural characteristics (6). Average annual incidence rates adjusted for age from 1996 to 2000 were 140.8 cases / 100,000 among white women, 121.7 among African-Americans, 97.2 among Asian-American / Pacific Islander, 89.8 among Hispanic and 58 in American Indians / Alaska Natives (6). In Latin America, according to the International Union for Cancer Control, Uruguay, Argentina and Chile have the highest incidence and mortality rates from breast cancer, while in Peru and Mexico cervical cancer continues to rank first. Worldwide, there is a trend towards an increase in breast cancer while cervical cancer decreases, however in Colombia the incidence of cancer with an age-adjusted rate was 36.8 per hundred thousand for the cervix and 30 per hundred thousand for mom.Modalidad Presencialapplication/pdfspahttp://creativecommons.org/licenses/by-nc-nd/2.5/co/Abierto (Texto Completo)info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Atribución-NoComercial-SinDerivadas 2.5 ColombiaBiopsias percutáneas en lesiones mamarias e importancia de la ecografía como adjunto a la mamografíaPercutaneous biopsies in breast lesions and the importance of ultrasound as an adjunct to mammographyEspecialistas en Radiología e Imágenes DiagnósticasUniversidad Autónoma de Bucaramanga UNABFacultad Ciencias de la SaludEspecialización en Radiología e Imágenes Diagnósticasinfo:eu-repo/semantics/masterThesisTesishttp://purl.org/redcol/resource_type/TMMedical sciencesHealth sciencesRadiologyDiagnostic imagingPercutaneous biopsiesBreast lesionsUltrasoundMammographyBreast cancerBreast pathologyBreast neoplasmsCiencias médicasRadiologíaDiagnóstico por imágenesCáncer de mamaPatología mamariaNeoplasias de mamaCiencias de la saludBiopsias percutáneasLesiones mamariasEcografíaMamografía1. 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