Desmoid fibroma simulating malignant breast neoplasm: A case report and literature review.

INTRODUCTION: Desmoid fibroma (DF) is a disorder characterized by strong clonal proliferation of myofibroblasts and fibroblasts. We describe a case of DF that mimicked a breast tumor, along with a review of the literature on the clinical manifestation, diagnostic process, and course of therapy for this combative disease. CASE REPORT: A 34-year-old female patient with breast lump at the junction of the upper quadrants of the left breast. After the diagnosis of DF, it was decided to perform a sectorectomy of the left breast associated with post-quadrant reconstruction, with immunohistochemistry and findings compatible with DF. DISCUSSION: Clinically manifests as a solid mass that is often painless and occasionally adherent to the chest wall. A treatment strategy should be idealized for each patient. Thus, there is the possibility of performing radical surgery for resection and/or radiotherapy, and surgery may be followed by radiotherapy.

Telemedicine Application and Assessment During the COVID-19 Pandemic.

Telemedicine had a significant increase during the novel coronavirus (COVID-19) pandemic, which is still on course. In different parts of the world, healthcare units had to adapt their practice, and several assistance services were remotely delivered. The present study is a systematic review of studies that had applied telemedicine during the COVID-19 pandemic and had assessed its effects on the delivered care. We have covered a 1-year period in order to assess the initiatives developed during the pandemic time and that had already evaluated the effects of the telemedicine program that had been implemented. All the analyzed studies evidenced a positive effect of telemedicine in the treatment of different conditions, including chronic diseases, mental disorders and oncologic diseases. The real impact of the COVID-19 pandemic in the healthcare sector is still to be fully understood, and telemedicine implementation in different areas is one of its positive legacies.