RESUMO
BACKGROUND: Recently the stereotaxic core biopsy has been proposed as an alternative method for the initial evaluation of non palpable breast lesions. The authors verify the accuracy of core biopsy in diagnosis and discuss the applicability of tests used for nominal variables, like sensibility and specificity, to evaluate grading of quality such as benign, borderline and malignant. MATERIAL AND METHODS: Among 700 stereotaxic core biopsies of the breast the authors selected the first 567 cases, examined from May, 1993 to May, 1996 to check the accuracy of the histopathologic diagnosis. These cases were followed-up for a minimum of six months and a maximum of thirty months. For the evaluation, the diagnosis by core biopsies was compared with the findings of the surgical resection specimens for the malignant and atypical hyperplasia cases, and mammographic/clinical examinations for the cases not submitted to surgery. RESULTS: The sensibility and specificity were respectively 90.72% e 98.36% and the Spearman correlation test was 0.92. CONCLUSIONS: The stereotaxic core biopsy is an accurate method for the evaluation of breast non-palpable lesions. These results are similar to others in the literature.
Assuntos
Biópsia por Agulha/métodos , Doenças Mamárias/patologia , Mama/patologia , Neoplasias da Mama/patologia , Feminino , Seguimentos , Humanos , Sensibilidade e Especificidade , Técnicas EstereotáxicasRESUMO
Pathologic study of an abdominal mass removed from a 16-month-old girl revealed a marked granulomatous and fibroblastic reaction surrounding eggs and adults of Ascaris lumbricoides. As often occurs in such cases, there was an increased eosinophilia in the lesion and in the peripheral leukocytes. Both the clinical and gross aspects of the lesion simulated a benign neoplasm; this similarity justifies the designation "pseudotumorous form of ascariasis".