RESUMO
Tissue rearrangement (TR) is a basic oncoplastic technique to reshape the breast after breast conserving therapy (BCT). Tissue rearrangement can be combined with three-dimensional bioabsorbable markers (3DBM) as an easily adaptable technique to provide volume replacement and focused radiation. Since 3DBM can take time for absorption and symptoms related to its use have not been fully assessed, we evaluate patient's overall satisfaction and well-being after TR with 3DBM is performed. We surveyed patients receiving BCT with adjuvant radiotherapy using BREAST-QTM BCT satisfaction and physical well-being surveys comparing patients receiving BCT alone to BCT with TR and/or 3DBM. Of 68 patients, 56 underwent BCT alone, 10 had BCT with TR + 3DBM, and 2 had BCT with TR. No significant difference was seen in physical well-being (P = .39), while overall satisfaction was significantly improved following TR + 3DBM (P = .0088). In summary, TR with use of 3DBM provides basic oncoplastic options to improve patient satisfaction without significantly changing symptoms.
Assuntos
Implantes Absorvíveis , Neoplasias da Mama , Humanos , Feminino , Mastectomia Segmentar , Mama , Satisfação do Paciente , Radioterapia Adjuvante , Neoplasias da Mama/radioterapia , Neoplasias da Mama/cirurgiaAssuntos
Neoplasias da Mama , Carcinoma Intraductal não Infiltrante , Carcinoma de Células Escamosas , Doença de Paget Mamária , Neoplasias Cutâneas , Neoplasias da Mama/diagnóstico , Neoplasias da Mama/patologia , Neoplasias da Mama/cirurgia , Carcinoma Intraductal não Infiltrante/patologia , Carcinoma de Células Escamosas/diagnóstico , Carcinoma de Células Escamosas/patologia , Carcinoma de Células Escamosas/cirurgia , Feminino , Humanos , Mamilos/patologia , Doença de Paget Mamária/diagnóstico , Doença de Paget Mamária/patologia , Doença de Paget Mamária/cirurgia , Neoplasias Cutâneas/diagnóstico , Neoplasias Cutâneas/patologia , Neoplasias Cutâneas/cirurgiaAssuntos
Síndromes Compartimentais/cirurgia , Transtornos Relacionados ao Uso de Opioides/complicações , Rabdomiólise/cirurgia , Injúria Renal Aguda/etiologia , Injúria Renal Aguda/terapia , Nádegas , Síndromes Compartimentais/etiologia , Desbridamento , Overdose de Drogas/complicações , Overdose de Drogas/terapia , Fasciotomia , Dependência de Heroína/complicações , Humanos , Masculino , Tratamento de Ferimentos com Pressão Negativa , Rabdomiólise/etiologia , Rabdomiólise/terapia , Irrigação Terapêutica , Coxa da Perna , Adulto JovemRESUMO
Adrenocortical carcinoma (ACC) is a rare malignancy that often carries a poor prognosis whereas adrenal incidentalomas are relatively common findings on imaging. Although most adrenal lesions are benign, 15% of patients with ACC are diagnosed based on workup for an adrenal incidentaloma. Continued surveillance or surgical resection may be recommended depending on size. The risk of a benign, non-functional adrenal lesion becoming malignant is low. Therefore, adrenal lesions typically undergo surveillance for no more than 2 years in patients with stable findings and no history of malignancy. This case describes a young adult female with a benign left adrenal adenoma who was found to have high grade ACC 7 years later. Based on interval size increase with indeterminate density, patient underwent surgical resection with adjuvant radiation and medical therapy.
