breast swelling

乳房肿胀
  • 文章类型: Journal Article
    隆胸被认为是安全的,但乳腺植入物相关鳞状细胞癌(BIA-SCC)的罕见病例已有报道.本研究旨在系统回顾已发表的BIA-SCC病例,提供有价值的临床数据。审查包括14篇文章和18例BIA-SCC。观察到报告的BIA-SCC病例呈上升趋势,上世纪90年代有4例,2010年以来有14例。受影响患者的平均年龄为56岁,症状通常在隆胸后21年左右出现。用于整容手术的有机硅植入物最常与BIA-SCC相关。在所有情况下都需要去除植入物,有些病人需要做乳房切除手术.治疗方法多种多样,选择性使用化疗和/或放疗。估计6个月死亡率为11.1%,而12个月死亡率为23.8%。由于样本量有限,估计的6个月死亡率应谨慎解释。它似乎低于美国整形外科学会报告的比率,没有明确的原因,这种差异。这项研究强调了加强监测和信息共享对改善BIA-SCC检测和管理的重要性。医疗保健提供者在隆胸患者的长期随访期间应保持警惕。
    Breast augmentation is considered safe, but rare cases of breast implant-associated squamous cell carcinoma (BIA-SCC) have been reported. This study aimed to systematically review published cases of BIA-SCC, providing valuable clinical data. The review included 14 articles and 18 cases of BIA-SCC. An increasing trend in reported BIA-SCC cases was observed, with four cases in the 1990s and 14 cases since 2010. The mean age of affected patients was 56 years, and symptoms typically appeared around 21 years after breast augmentation. Silicone implants used in cosmetic procedures were most commonly associated with BIA-SCC. Implant removal was necessary in all cases, and some patients required a mastectomy. Treatment approaches varied, with the selective use of chemotherapy and/or radiotherapy. The estimated 6-month mortality rate was 11.1%, while the 12-month mortality rate was 23.8%. The estimated 6-month mortality rate should be cautiously interpreted due to the limited sample size. It appears lower than the rate reported by the American Society of Plastic Surgeons, without clear reasons for this discrepancy. This study highlights the importance of enhanced monitoring and information sharing to improve detection and management of BIA-SCC. Healthcare providers should maintain vigilance during the long-term follow-up of breast augmentation patients.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Pubmed)

  • 文章类型: Journal Article
    背景:炎性乳腺癌(IBC)是一种临床诊断。这里,我们检查了临床体征的“经典”三联征的关联,受累乳房肿胀,乳头变化,和弥漫性皮肤变化,总生存期(OS)。
    方法:来自前瞻性IBC登记的患者的乳房医学照片由两名独立评审员评分为经典(以上三联征),不经典,很难分配。卡方检验,费希尔的精确检验,和Wilcoxon秩和检验用于评估患者组之间的差异。使用Kaplan-Meier估计和对数秩检验和Cox比例风险回归来评估OS。
    结果:我们分析了245例中位年龄54(范围26-81)的IBC患者,M0与M1状态(157和88例患者,分别)。经典三合会与吸烟密切相关,绝经后状态,和转移性疾病(分别为p=0.002、0.013和0.035)。非经典且难以分配的十年精算操作系统没有显着差异,并分组进行进一步分析。经典症状三联症患者的十年OS为29.7%,非经典症状为57.2%(p<0.0001)。校正临床分期(p<0.0001)和TNBC状态(<0.0001)的多变量Cox回归模型显示经典表现评分与较差的OS时间显著相关(HR2.6,95%CI1.7-3.9,p<0.0001)。
    结论:在诊断为IBC的患者中,经典IBC体征的三联征独立地预测OS。需要进一步的工作来了解与临床体征相关的生物学,并进一步扩展对IBC中体格检查结果的理解。
    BACKGROUND: Inflammatory breast cancer (IBC) is a clinical diagnosis. Here, we examined the association of a \"classic\" triad of clinical signs, swollen involved breast, nipple change, and diffuse skin change, with overall survival (OS).
    METHODS: Breast medical photographs from patients enrolled on a prospective IBC registry were scored by two independent reviewers as classic (triad above), not classic, and difficult to assign. Chi-squared test, Fisher\'s exact test, and Wilcoxon rank-sum test were used to assess differences between patient groups. Kaplan-Meier estimates and the log-rank test and Cox proportional hazard regression were used to assess the OS.
    RESULTS: We analyzed 245 IBC patients with median age 54 (range 26-81), M0 versus M1 status (157 and 88 patients, respectively). The classic triad was significantly associated with smoking, post-menopausal status, and metastatic disease at presentation (p = 0.002, 0.013, and 0.035, respectively). Ten-year actuarial OS for not classic and difficult to assign were not significantly different and were grouped for further analyses. Ten-year OS was 29.7% among patients with the classic sign triad versus 57.2% for non-classic (p < 0.0001). The multivariate Cox regression model adjusting for clinical staging (p < 0.0001) and TNBC status (<0.0001) demonstrated classic presentation score significantly associated with poorer OS time (HR 2.6, 95% CI 1.7-3.9, p < 0.0001).
    CONCLUSIONS: A triad of classic IBC signs independently predicted OS in patients diagnosed with IBC. Further work is warranted to understand the biology related to clinical signs and further extend the understanding of physical examination findings in IBC.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Sci-hub)

       PDF(Pubmed)

  • 文章类型: Journal Article
    We present a case of left breast abscess in a young male patient who presented with acute onset swelling left breast. Imaging studies helped in accurate diagnosis and the case was managed by subareolar incision and drainage. Subareolar breast abscess is an uncommon entity in male and should be kept as a differential diagnosis for male breast swellings.
    导出

    更多引用

    收藏

    翻译标题摘要

    我要上传

       PDF(Sci-hub)

公众号