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2.
West Indian med. j ; 48(4): 173-8, Dec. 1999. ilus, tab
Artigo em Inglês | MedCarib | ID: med-1578

RESUMO

There is a broad spectrum of benign and pre-malignant breast disease that may be diagnosed on biopsy. Some of these conditions place affected women at significantly increased risk for breast cancer, particularly the atypical hyperplasias. All health care workers should be aware of recent developments in this important aspect of breast disease. The classification, criteria for diagnosis, associated risks for cancer development and various controversies related to these benign and borderline breast diseases are discussed.(AU)


Assuntos
Feminino , Humanos , Doença da Mama Fibrocística , Lesões Pré-Cancerosas , Hiperplasia/patologia , Neoplasias da Mama/epidemiologia , Neoplasias da Mama/patologia , Doenças Mamárias/classificação , Doenças Mamárias/patologia , Mama/patologia , Carcinoma in Situ/diagnóstico , Doença da Mama Fibrocística/classificação , Doença da Mama Fibrocística/patologia , Lesões Pré-Cancerosas/genética , Lesões Pré-Cancerosas/patologia , Fatores de Risco
3.
West Indian med. j ; 45(2): 67-9, June 1996.
Artigo em Inglês | MedCarib | ID: med-3658

RESUMO

The clinical, histological and immunohistochemical features of the first three cases of mammary hamartoma diagnosed at the University of the West Indies are reported. These tumours are innocuous and under-recognized although the mammographic features are characteristic. With increased utilization of this test in breast cancer detection in our region, it is likely that more of these legions will be identified. (AU)


Assuntos
Adulto , Relatos de Casos , Feminino , Humanos , Doenças Mamárias , Hamartoma/patologia , Neoplasias da Mama/patologia , Mamografia , Jamaica
4.
British journal of surgery ; 74(12): 1168-Dec. 1987. tab
Artigo em Inglês | MedCarib | ID: med-17116

RESUMO

The presence of a breast lump in any age group raises the fear of maligancy, and as a result it has been suggested that all solid discrete lesions in the breast should be excised. However, carcinoma is rare under 30 years of age in one report no malignancy occurred under age 27 years. If the risk of malignancy is neglgible, a conservative attitude may be considered in teenage patients with breast lumps. To decide if this approach is appropriate, we analysed all out breast biposies in the 13-19 age group (AU)


Assuntos
Humanos , Feminino , Adolescente , Doenças Mamárias/classificação , Doenças Mamárias/diagnóstico , Doença da Mama Fibrocística , Fibroadenoma , Região do Caribe , Trinidad e Tobago
5.
West Indian med. j ; 36(Suppl): 43, April, 1987.
Artigo em Inglês | MedCarib | ID: med-5986

RESUMO

The presence of a breast lump, in any age group, raises the possibility of malignancy and, as a result, it has been suggested that all solid descrete lesions in the breast be excised. Since breast masses are quite common in teenage West Indian women and breast carcinoma in this group is very rare, we thouht it necessary to examine this policy to early excision in our population. Of 2,642 consecutive breast biopsies (1976-1982), 658 (24.5 percent) were in teenage girls. All lumps were benign in this age group. Fibroadenoma was the commonest lesion (77.6 percent). For fibroadenoma, clinical diagnostic accuracy was 92 percent; in the 8 percent that were misdiagnosed, the histological findings were always benign. Fourteen per cent of patients with fibroadenoma either had previous excision or returned with recurrences during the study period. An initial conservative policy in our teenagers with clinically benign breast masses will result in minimising the number of operations by: (a) avoiding surgery in most patients with fibroadenosis; (b) performing a single operation in many patients with "recurrent: or multiple fibroadenomas, and (c) avoiding surgery where spontaneous regression of fibroadenomas occurs. Minimising the number of breast operations has clear economic benefits while, in a population prone to hypertrophic scarring and keloids, there are cosmetic advantages. A conservative policy is not likely to increase the risk of missing malignancies because clinical diagnostic accuracy is high in this age group and we have not encountered teenagers with breast carcinoma. Among West Indian teenagers, routine observation of clinically benign breast disease needs to be considered as the management of choice (AU)


Assuntos
Humanos , Feminino , Adolescente , Doenças Mamárias/diagnóstico , Neoplasias da Mama/diagnóstico , Índias Ocidentais/epidemiologia
7.
Postgrad Med J ; 61(721): 977-8, Nov. 1985.
Artigo em Inglês | MedCarib | ID: med-15893

RESUMO

Our analysis of 1051 breast biopsies in West Indian women under the age of 30 y revealed that 99 percent of the breast lumps were benign. Fibroadenoma was the commonest (67 percent) lesion and there was a steady increase in the frequency of fibrocystic disease with age. Carcinoma in this group is therefore rare. Thus most patients can be reassured with certainty of their benign disease and have biopsy at a convenient time.(AU)


Assuntos
Humanos , Criança , Adolescente , Adulto , Feminino , Doenças Mamárias/epidemiologia , Adenofibroma/epidemiologia , Fatores Etários , Neoplasias da Mama/epidemiologia , Doença da Mama Fibrocística/epidemiologia , Índias Ocidentais
8.
Trop Geogr Med ; 37(1): 86-8, Mar. 1985.
Artigo em Inglês | MedCarib | ID: med-15832

RESUMO

Sections of an adult filarial worm, probably Dirofilaria tenuis or related species were found within the breast tissue. This is the first human dirofilarial infection reported from Trinidad.(AU)


Assuntos
Humanos , Feminino , Doenças Mamárias/diagnóstico , Dirofilariose/diagnóstico , Mama/parasitologia , Mama/patologia , Doenças Mamárias/patologia , Dirofilariose/patologia
9.
Br J Surg ; 72(1): 17-8, Jan. 1985.
Artigo em Inglês | MedCarib | ID: med-15828

RESUMO

A review of 1726 breast lesions in West Indian women from Trinidad showed that the pattern of disease is significantly different from athat reported in whites but similar to reports from India and Africa. This difference is mainly due to the high frequency of fibro-adenoma in our adolescent women. Fibro-adenoma was the commonest lesion (39.3 per cent), followed by mammary dysplasia (32 per cent) and carcinoma (21 per cent). Although carcinoma comprised only 21 per cent of all breast lesions, nearly 40 per cent of true neoplasms were malignant. We believe all suspicious breast lumps in Black women need biopsy and further analysis of morphological components of benign breast lesions is neccessary to evaluate precursors to cancer of the breast.(AU)


Assuntos
Humanos , Adolescente , Adulto , Pessoa de Meia-Idade , Idoso , Feminino , Doenças Mamárias/epidemiologia , Fatores Etários , Trinidad e Tobago
12.
Can Med Assoc J ; 93(13): 711-4, Sept. 25, 1965.
Artigo em Inglês | MedCarib | ID: med-9918

RESUMO

A case of subcutaneous breast nodule caused by the filarial worm Wuchereia bancrofti is described. The patient, who had lived continuously in Montreal for the previous five years, was a native of British Guiana. The nodule, a granulomatous lesion, first noted by the patient two weeks before its removal, presumably developed following the death of an adult filarial worm in a breast lympathatic channel. The infection was characterized by the presence of typical microfilariae in night blood, and by eosinophilia (AU)


Assuntos
Humanos , Pessoa de Meia-Idade , Feminino , Doenças Mamárias/etiologia , Filariose , Guiana
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