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CAZURI CLINICE. Experienta Clinicii Gynecoland. 1) Paciente gemene U. C. si U. M. 46 ani AHC – mama: carcinom mamar APF – Menarha: 13 ani, N = 0, A = 2 APP – nesemnificative. Pacienta U. M. Clinic: CC dr ora 5 – formatiune de aprox 1 cm cu

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Cazuri clinice

CAZURI CLINICE

Experienta Clinicii Gynecoland


1 paciente gemene u c si u m

1) Pacientegemene U. C. si U. M.

46 ani

AHC – mama: carcinom mamar

APF – Menarha: 13 ani, N = 0, A = 2

APP – nesemnificative


Pacienta u m

Pacienta U. M.

Clinic: CC dr ora 5 – formatiune de aprox 1 cm cu

caracteristici palpatorii benigne

Mamografie digitala – BIRADS 1.

Sonoelastografia mamara - BIRADS 4.



Pacienta u c

Pacienta intraductala, adenoza sclerozanta U. C.

Clinic: CSE stang – formatiune de aprox 0,5 cm ;

san drept fara modificari palpatorii

Mamografie digitala – fara modificari semnificative.

Ecografia si elastografia mamara


Adenoza sclerozanta bilaterala

Adenoza sclerozanta bilaterala intraductala, adenoza sclerozanta


2 pacienta r g

2) intraductala, adenoza sclerozantaPacienta R.G.

40 ani

AHC – mama: carcinom mamar

APF – Menarha: 12 ani, N = 1, A = 0

Alaptat 3 luni.

APP – nesemnificative


Pacienta r g

Pacienta intraductala, adenoza sclerozanta R.G.

Clinic: fara formatiuni palpabile.

Mamografic - focar microcalcificari suspecte pe o arie de 7 mm CSI

Sonoelastografie mamara – formatiune BIRADS 4.


LCC intraductala, adenoza sclerozanta

LMLO


3 pacienta d i

3) intraductala, adenoza sclerozantaPacienta D.I.

37 ani

AHC – nesemnificative

APF – Menarha: 13 ani, N = 1, A = 1

Alaptat: 7 luni.

APP – nesemnificative


3 pacienta d i1

3) intraductala, adenoza sclerozantaPacienta D.I.

Clinic: san stang - tegument areolar ingrosat , dur, paramamelonar extern, care inglobeza partial si mamelonul

Mamografie – normala (efectuata in alta unitate )

Sonoelastografia


4 pacienta p d

4) intraductala, adenoza sclerozantaPacienta P.D.

43 ani

AHC – nesemnificative

APF – Menarha: 11 ani, N = 1, A = 1

Alaptat: 5 luni.

APP – nesemnificative


Pacienta p d

Pacienta intraductala, adenoza sclerozanta P.D.

Clinic: fara modificari

Mamografie – CSI dr op stelata BIRADS 4.

Sonoelastografia


LCC intraductala, adenoza sclerozanta


5 pacienta c n

5) intraductala, adenoza sclerozantaPacienta C.N.

38 ani

AHC – nesemnificative

APF – Menarha: 12 ani, N = 1, A = 0

Alaptat: 8 luni.

APP - nesemnificative


Pacienta c n

Pacienta intraductala, adenoza sclerozanta C.N.

Clinic: formatiune CSE stang in prelungirea axilara de aprox 3/2 cm, ferma, suprafata regulata, mobila, nedureroasa, tegument supraiacent normal.

Ecografic


6 pacienta d v

6) intraductala, adenoza sclerozantaPacienta D.V.

42 ani

AHC – bunica si matusa materna – carcinom mamar

APF – Menarha: 13 ani, N = 2, A = 3

Alaptat: 7, respectiv 8 luni.

APP - nesemnificative


Pacienta d v

Pacienta intraductala, adenoza sclerozanta D.V.

Clinic: formatiune CSE drept de aprox 1 cm, ferma, suprafata regulata, mobila, nedureroasa, tegument supraiacent normal; fara formatiuni palpabile la nivelul CC drept.

Sonoelastografia mamara


Ex histopatologic

Ex intraductala, adenoza sclerozantaHistopatologic

San drept CC: hiperplazie ductala tipica, adenoza sclerozanta

San drept CSE: hiperplazie ductala atipica


7 pacienta s e

7) intraductala, adenoza sclerozantaPacienta S.E.

50 ani

AHC – nesemnificative

APF – Menarha: 12 ani, N = 2, A = 4

Alaptat: 5, respectiv 4 luni.

APP – tumorectomie mamara bilaterala 1991,1992 (fibroadenoame); pacienta cunoscuta cu multiple formatiuni tumorale mamare bilaterale catalogate probabil benigne (susp fibroadenoame) fiind evaluata sporadic


Pacienta s e

Pacienta intraductala, adenoza sclerozanta S.E.

Clinic: multiple formatiuni bilaterale cu caracteristici benigne; san stang periareolar ora 5 placard dur de aproximativ 1,5 cm, cu mobilitate redusa, nedurerors, tegument normal.


LMLO intraductala, adenoza sclerozanta


LCC intraductala, adenoza sclerozanta


Clinic si ecografic multiple formatiuni in CC stang – asimetrie de densitate mamografica

LCC


8 pacienta s g

8) asimetrie de densitate mamograficaPacienta S.G.

32 ani

AHC – nesemnificative

APF – menarha: 12 ani, N = 0, A = 0

APP – nesemnificative

Clinic: formatiune CSE dr, 2/1 cm, dura, usor neregulata, cu mobilitate redusa, fara sensibilitate, tegument normal