Comparison of mammography sensitivity after reduction mammoplasty targeting the glandular and fat tissue
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Dosyalar
Tarih
2015
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Meme küçültme cerrahisi geçiren kadınların meme kanseri teşhis ve taramasında mamografinin bazı sınırlılıkları vardır. Bu çalışmada postoperatif değişikliğe bağlı meme dokusunda gelişen yapısal bozuklukların mamografiye nasıl yansıdığını araştırmayı amaçladık.Gereç ve Yöntemler: Meme küçültme operasyonu geçiren ve genel cerrahi kliniği tarafından meme kanseri taraması amacıyla mamografi çekilmesi istenen hastaların dosyaları retrospektif olarak incelendi. Hastaların yaş, cerrahi işlem, postoperatif takip süresi, çıkarılan doku miktarı, histopatolojik ve mamografik bulguları değerlendirildi. Hastalar 3 grupta incelendi: 40 yaş üzerinde glandüler doku ağırlıklı redüksiyon mammoplasti uygulanan (1. grup), 40 yaş altında yağ dokusu ağırlıklı redüksiyon mammoplasti uygulanan (2. grup) ve 40 yaş üstünde meme hipertrofisi tanısı almış ve opere edilmeyen (3. grup) hastalardan oluşmaktadır.Bulgular: Hastaların ortalama takip süresi 6 yıldı. Çıkarılan ortalama doku miktarı 1. grupta 1120 gr (6802070), 2. grupta 1220 gr idi. Ameliyat yaş ortalaması 1. grupta 45 , 2. grupta 35 idi. Histopatolojik incelemede tüm gruplar benigndi. Birinci grup hastaların tamamı BIRADS 1-2, 2. grup hastaların 28'i BIRADS 1-2, 4'ü BIRADS 3 ve 8'i BIRADS 0 idi. Üçüncü grup hastaların 35'i BIRADS 1-2, 4'ü BIRADS 3 ve 1'i BIRADS 0'dı.Sonuç: Kırk yaş üzeri hastalarda glandüler doku ağırlıklı meme küçültme cerrahisi uygulanmasının mamografi duyarlılığını artırdığı kanısındayız
Objective: Mammography may have some limitations in the diagnosis and screening of breast cancer for women who have previously undergone breast reduction surgery. This study aimed to investigate how the structural defects in the breast tissue formed by postoperative changes are reflected on mammography.Material and Methods: The records of patients who had previously undergone breast reduction surgery and who were requested to undergo mammography for breast cancer screening by the general surgery clinic were retrospectively studied. The patients' ages, surgical procedures, postoperative follow-up periods, amount of removed material, and histopathological and mammographic results were studied. The patients were classified into 3 groups: those older than 40 years who underwent reduction mammoplasty targeting predominantly the glandular tissue (group 1), those younger than 40 years who underwent reduction mammoplasty targeting predominantly the fat tissue (group 2), and those older than 40 years who were diagnosed with breast hypertrophy and were not operated (group 3).Results: The mean follow-up period of the patients was 6 years. The mean value of resected tissue was 1120 g in group 1 and 1220 g in group 2. The mean age at the time of surgery was 45 years for group 1 and 35 years for group 2. All patients in group 1 were classified in Breast Imaging-Reporting and Data System (BI-RADS) category 1-2; 28 patients in group 2 were classified in BI-RADS 1-2, 4 were classified in BI-RADS 3, and 8 were classified in BI-RADS 0. In group 3, 35 patients were classified in BI-RADS 1-2, 4 were classified in BI-RADS 3, and 1 was classified in BI-RADS 0.Conclusion: We believe that breast reduction surgery targeting predominantly the glandular tissue in patients older than 40 years increases mammographic sensitivity
Objective: Mammography may have some limitations in the diagnosis and screening of breast cancer for women who have previously undergone breast reduction surgery. This study aimed to investigate how the structural defects in the breast tissue formed by postoperative changes are reflected on mammography.Material and Methods: The records of patients who had previously undergone breast reduction surgery and who were requested to undergo mammography for breast cancer screening by the general surgery clinic were retrospectively studied. The patients' ages, surgical procedures, postoperative follow-up periods, amount of removed material, and histopathological and mammographic results were studied. The patients were classified into 3 groups: those older than 40 years who underwent reduction mammoplasty targeting predominantly the glandular tissue (group 1), those younger than 40 years who underwent reduction mammoplasty targeting predominantly the fat tissue (group 2), and those older than 40 years who were diagnosed with breast hypertrophy and were not operated (group 3).Results: The mean follow-up period of the patients was 6 years. The mean value of resected tissue was 1120 g in group 1 and 1220 g in group 2. The mean age at the time of surgery was 45 years for group 1 and 35 years for group 2. All patients in group 1 were classified in Breast Imaging-Reporting and Data System (BI-RADS) category 1-2; 28 patients in group 2 were classified in BI-RADS 1-2, 4 were classified in BI-RADS 3, and 8 were classified in BI-RADS 0. In group 3, 35 patients were classified in BI-RADS 1-2, 4 were classified in BI-RADS 3, and 1 was classified in BI-RADS 0.Conclusion: We believe that breast reduction surgery targeting predominantly the glandular tissue in patients older than 40 years increases mammographic sensitivity
Açıklama
WOS:000370846200004
PubMed ID:26170752
PubMed ID:26170752
Anahtar Kelimeler
Cerrahi, Mammography, Reduction Surgery, Breast, Cancer
Kaynak
Ulusal Cerrahi Dergisi
WoS Q Değeri
Scopus Q Değeri
Q3
Cilt
31
Sayı
2
Künye
Çakır, M., Küçükkartallar, T., Tekin, A., Selimoğlu, N., Poyraz, N., Belviranlı, M. M., Kartal, A. (2015). Comparison of mammography sensitivity after reduction mammoplasty targeting the glandular and fat tissue. Turkish Journal of Surgery, 31, 2, 68-71.
