Wszystkie pola: Ductal - Katalog OPAC zbiorów

Skocz do pozycji: 1.

Tytuł:: Overtreatment in surgery – does it concern also the patients with ductal breast carcinoma in situ
Autorzy:: Nowikiewicz, Tomasz
Zegarski, Wojciech
Głowacka-Mrotek, Iwona
Powiązania:: https://bibliotekanauki.pl/articles/1392549.pdf
Data publikacji:: 2018
Wydawca:: Index Copernicus International
Tematy:: overtreatment
overdiagnosis
surgical treatment
breast cancer
ductal carcinoma in situ
Opis:: Overtreatment means treatment that goes beyond current standards, and patients with any disease can be overtreated. Overtreatment is also given to patients with cancer, including those who need surgery. Overtreatment is closely related to the problem of overdiagnosis. In patients with cancer, unnecessary surgery may cause complications and generates unnecessary costs. The size of the problem of unnecessary surgery in patients with cancer can best be shown among patients with the most common cancers, which dedicated screening programs. Breast cancer patients, particularly those with pre-invasive types of the tumor, who typically have ductal carcinoma in situ (80%), are likely to undergo unnecessary surgery. We describe the most common clinical problems caused by overtreating patients with ductal carcinoma in situ.
Źródło:: Polish Journal of Surgery; 2018, 90, 1; 47-51
0032-373X
2299-2847
Pojawia się w:: Polish Journal of Surgery
Dostawca treści:: Biblioteka Nauki

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Tytuł:: Clinical Significance of Van Nuys Prognostic Index As A Qualification Criterion to Sentinel Lymph Node Biopsy in Patients Diagnosed with Ductal Carcinoma in Situ
Autorzy:: Nowikiewicz, Tomasz
Wiśniewska, Magdalena
Wiśniewski, Michał
Zegarski, Wojciech
Powiązania:: https://bibliotekanauki.pl/articles/1395856.pdf
Data publikacji:: 2015-02-03
Wydawca:: Index Copernicus International
Tematy:: breast cancer
ductal carcinoma in situ
sentinel lymph node biosy
Van Nuys Prognostic Index
surgical treatment
Opis:: Diagnose of ductal carcinoma in situ (DCIS) requires, at least in a part of cases, assessment of auxiliary lymph nodes. The aim of the study was to analyze clinical value of Van Nuys Prognostic Index (VNPI) as the important criterion for qualification of DCIS patients to sentinel lymph node biopsy (SLNB). Material and methods. Analysis included patients diagnosed with DCIS and qualified to SLNB, operated in years 2004-2013. We performed a statistical analysis to assess correlation between VNPI value and positive pathological verification of excised sentinel lymph node (SLN). The influence of other clinical factors on presence of metastases in SLN was also determined. Results. 3,6% of DCIS patients were diagnosed with metastases in SLN. Metastases were diagnosed in 6.7% patients with VNPI > 10 points vs 3.4% in patients with VNPI < 10 points. In 75% of patients with metastatic SLN the value of VNPI was at least 10 points. In premenopausal patients metastases in SLN were diagnosed in 8.1% of cases vs 1.4% in postmenopausal patients. In patients diagnosed with cancer of the other breast metastases in SLN were found in 6.3% of cases vs 3.2% in one-sided cancer. Patients with multifocal cancer were over twice as often diagnosed with metastases in SLN (5% vs 2%). There was no correlation found between VNPI value and positive pathological verification of SLN. No differences between prevalence of SLN metastases depending on selected clinical features were found. Conclusions. Recommendation of VNPI as the criterion of qualification to SLNB starting with 10 points could be more favourable in patients with DCIS. Deciding on SLNB in DCIS patients, we should also take into consideration other clinical features.
Źródło:: Polish Journal of Surgery; 2014, 86, 10; 479-485
0032-373X
2299-2847
Pojawia się w:: Polish Journal of Surgery
Dostawca treści:: Biblioteka Nauki

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Skocz do pozycji: 3.

Tytuł:: Rzadki przypadek inwazyjnego raka przewodowego sutka dodatkowego dołu pachowego - opis przypadku
A rare case of an invasive ductal carcinoma of accessory breast located in an armpit - a case report
Autorzy:: Gawłowicz, M. B.
Waniczek, D. A.
Rudzki, M. K.
Buda, K. K.
Rdes, J.
Arendt, J.
Powiązania:: https://bibliotekanauki.pl/articles/271504.pdf
Data publikacji:: 2011
Wydawca:: Górnośląska Wyższa Szkoła Pedagogiczna im. Kardynała Augusta Hlonda
Tematy:: sutek dodatkowy
klasyfikacja
rak sutka
leczenie
accessory breast (polymastia)
classification
breast cancer
treatment
Opis:: Autorzy przedstawili rzadki przypadek inwazyjnego raka przewodowego sutka występującego w sutku dodatkowym, zlokalizowanym w dole pachowym. Zwrócono uwagę na trudności diagnostyczne związane z nietypową lokalizacją, co doprowadziło w opisywanym przypadku do opóźnienia w postawieniu ostatecznego rozpoznania i podjęcia prawidłowego leczenia. Szybsze rozpoznanie byłoby możliwe, gdyby wiedza o występowaniu sutków dodatkowych była bardziej powszechna, zarówno wśród specjalistów, jak i lekarzy podstawowej opieki zdrowotnej.
The authors presented a rare case of an invasive ductal carcinoma of accessory breast located in an armpit. Therapeutic difficulties due to untypical placement were pointed out, which resulted in the delay in final diagnosis and proper treatment. More recent diagnosis would have been possible if the knowledge of polymastia had been more common among consultant surgeons and general practitioners.
Źródło:: Journal of Ecology and Health; 2011, R. 15, nr 4, 4; 188-191
2082-2634
Pojawia się w:: Journal of Ecology and Health
Dostawca treści:: Biblioteka Nauki

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