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 RiscoAssuntos
Relatos de Casos , Humanos , Feminino , Gravidez , Lactente , Pessoa de Meia-Idade , Estudos de Casos e Controles , Doenças Vaginais , Ciclo Menstrual , Transtornos da Lactação , Esfregaço Vaginal , Metronidazol , Doença da Mama Fibrocística , Prolactina , Prolactinoma , Bromocriptina , GalactorreiaRESUMO
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 TobagoRESUMO
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)
