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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.


Cazuri clinice

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


Cazuri clinice

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.


Cazuri clinice

LMLO intraductala, adenoza sclerozanta


Cazuri clinice

LCC intraductala, adenoza sclerozanta


Cazuri clinice

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