Infomed

Clínica Radiológica. Paciente con retracción del pezón

  • user warning: Can't create/write to file '/tmp/#sql_610_0.MYI' (Errcode: 30) query: SELECT t.*,v.weight AS v_weight_unused FROM term_node r INNER JOIN term_data t ON r.tid = t.tid INNER JOIN vocabulary v ON t.vid = v.vid WHERE r.vid = 3380 ORDER BY v.weight, t.weight, t.name in /srv/webinfomed/uvs/modules/taxonomy/taxonomy.module on line 640.
  • user warning: File './uvsfajardo/cache_menu.MYD' not found (Errcode: 30) query: SELECT data, created, headers, expire, serialized FROM cache_menu WHERE cid = 'links:navigation:page-cid:node/3355:1' in /srv/webinfomed/uvs/includes/cache.inc on line 27.
  • user warning: File './uvsfajardo/cache_menu.MYD' not found (Errcode: 30) query: UPDATE cache_menu SET data = 'links:navigation:tree-data:00e974f54cb8a97b6804c763dd3356ec', created = 1660595149, expire = 0, headers = '', serialized = 0 WHERE cid = 'links:navigation:page-cid:node/3355:1' in /srv/webinfomed/uvs/includes/cache.inc on line 112.
  • user warning: File './uvsfajardo/cache_filter.MYD' not found (Errcode: 30) query: SELECT data, created, headers, expire, serialized FROM cache_filter WHERE cid = '2:c5a0c701f65711b09f0481a205b780fb' in /srv/webinfomed/uvs/includes/cache.inc on line 27.
  • user warning: File './uvsfajardo/cache_filter.MYD' not found (Errcode: 30) query: UPDATE cache_filter SET data = ' <h2><span style=\"color: rgb(255, 255, 255);\"><span style=\"background-color: rgb(128, 128, 128);\">Autores</span></span></h2>\n<p><!--[if gte mso 9]><xml>\n<w:WordDocument>\n<w:View>Normal</w:View>\n<w:Zoom>0</w:Zoom>\n<w:TrackMoves />\n<w:TrackFormatting />\n<w:HyphenationZone>21</w:HyphenationZone>\n<w:PunctuationKerning />\n<w:ValidateAgainstSchemas />\n<w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid>\n<w:IgnoreMixedContent>false</w:IgnoreMixedContent>\n<w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText>\n<w:DoNotPromoteQF />\n<w:LidThemeOther>ES</w:LidThemeOther>\n<w:LidThemeAsian>X-NONE</w:LidThemeAsian>\n<w:LidThemeComplexScript>X-NONE</w:LidThemeComplexScript>\n<w:Compatibility>\n<w:BreakWrappedTables />\n<w:SnapToGridInCell />\n<w:WrapTextWithPunct />\n<w:UseAsianBreakRules />\n<w:DontGrowAutofit />\n<w:SplitPgBreakAndParaMark 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SemiHidden=\"false\"\nUnhideWhenUsed=\"false\" Name=\"Medium Shading 1 Accent 6\" />\n<w:LsdException Locked=\"false\" Priority=\"64\" SemiHidden=\"false\"\nUnhideWhenUsed=\"false\" Name=\"Medium Shading 2 Accent 6\" />\n<w:LsdException Locked=\"false\" Priority=\"65\" SemiHidden=\"false\"\nUnhideWhenUsed=\"false\" Name=\"Medium List 1 Accent 6\" />\n<w:LsdException Locked=\"false\" Priority=\"66\" SemiHidden=\"false\"\nUnhideWhenUsed=\"false\" Name=\"Medium List 2 Accent 6\" />\n<w:LsdException Locked=\"false\" Priority=\"67\" SemiHidden=\"false\"\nUnhideWhenUsed=\"false\" Name=\"Medium Grid 1 Accent 6\" />\n<w:LsdException Locked=\"false\" Priority=\"68\" SemiHidden=\"false\"\nUnhideWhenUsed=\"false\" Name=\"Medium Grid 2 Accent 6\" />\n<w:LsdException Locked=\"false\" Priority=\"69\" SemiHidden=\"false\"\nUnhideWhenUsed=\"false\" Name=\"Medium Grid 3 Accent 6\" />\n<w:LsdException Locked=\"false\" Priority=\"70\" SemiHidden=\"false\"\nUnhideWhenUsed=\"false\" Name=\"Dark List Accent 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5.4pt;\nmso-para-margin-top:0cm;\nmso-para-margin-right:0cm;\nmso-para-margin-bottom:10.0pt;\nmso-para-margin-left:0cm;\nline-height:115%;\nmso-pagination:widow-orphan;\nfont-size:11.0pt;\nfont-family:\"Calibri\",\"sans-serif\";\nmso-ascii-font-family:Calibri;\nmso-ascii-theme-font:minor-latin;\nmso-fareast-font-family:\"Times New Roman\";\nmso-fareast-theme-font:minor-fareast;\nmso-hansi-font-family:Calibri;\nmso-hansi-theme-font:minor-latin;\nmso-bidi-font-family:\"Times New Roman\";\nmso-bidi-theme-font:minor-bidi;}\n</style>\n<![endif]--><!--[if gte mso 10]>\n<style>\n/* Style Definitions */\ntable.MsoNormalTable\n{mso-style-name:\"Tabla normal\";\nmso-tstyle-rowband-size:0;\nmso-tstyle-colband-size:0;\nmso-style-noshow:yes;\nmso-style-priority:99;\nmso-style-qformat:yes;\nmso-style-parent:\"\";\nmso-padding-alt:0cm 5.4pt 0cm 5.4pt;\nmso-para-margin-top:0cm;\nmso-para-margin-right:0cm;\nmso-para-margin-bottom:10.0pt;\nmso-para-margin-left:0cm;\nline-height:115%;\nmso-pagination:widow-orphan;\nfont-size:11.0pt;\nfont-family:\"Calibri\",\"sans-serif\";\nmso-ascii-font-family:Calibri;\nmso-ascii-theme-font:minor-latin;\nmso-fareast-font-family:\"Times New Roman\";\nmso-fareast-theme-font:minor-fareast;\nmso-hansi-font-family:Calibri;\nmso-hansi-theme-font:minor-latin;\nmso-bidi-font-family:\"Times New Roman\";\nmso-bidi-theme-font:minor-bidi;}\n</style>\n<![endif]--></p>\n<p class=\"MsoNormal\"><span lang=\"ES-CO\" style=\"mso-ansi-language:ES-CO\">Dra. Paula A. Arias Cadena, Dr. Jose David Luzuriaga, Dra. Coraly Vargas Carrizo<br />\n<i>Residentes de Imagenolog&iacute;a</i></span><b><span lang=\"ES-CO\" style=\"mso-ansi-language:ES-CO\"><i><br style=\"mso-special-character:line-break\" /><br />\n</i></span></b>&nbsp;</p>\n<h2><span style=\"background-color: rgb(128, 128, 128);\"><span style=\"color: rgb(255, 255, 255);\">Motivo de Consulta</span></span></h2>\n<p>\nRetracci&oacute;n del pez&oacute;n</p>\n<p>Historia de la enfermedad actual:</p>\n<p>\nPaciente femenina de 52 a&ntilde;os con antecedentes patol&oacute;gicos personales de retraso mental, epilepsia e hipertensi&oacute;n arterial para lo cual lleva tratamiento estable, refiere su familiar que en el 2014 inicia con cuadro cl&iacute;nico consistente en dolor en la mama izquierda y que al ser revisada por su familiar noto aumento de volumen de la mama y retracci&oacute;n del pez&oacute;n, por lo que requiri&oacute; manejo quir&uacute;rgico, no precisa exactamente el tipo de cirug&iacute;a.<br />\n&nbsp;</p>\n<h2><span style=\"background-color: rgb(128, 128, 128);\"><span style=\"color: rgb(255, 255, 255);\">Antecedentes patol&oacute;gicos personales</span></span></h2>\n<p>&nbsp;</p>\n<p>Retraso mental, epilepsia, hipertensi&oacute;n arterial.</p>\n<p>Alergias: &nbsp; No refiere</p>\n<p>Operaciones:&nbsp; Colecistectom&iacute;a, Cirug&iacute;a de mama izquierda, </p>\n<p>&nbsp;</p>\n<h2><span style=\"color: rgb(255, 255, 255);\"><span style=\"background-color: rgb(128, 128, 128);\">Antecedentes Patol&oacute;gicos Familiares</span></span></h2>\n<p>Madre hipertensa, cardiopat&iacute;a isqu&eacute;mica, diab&eacute;tica</p>\n<p>&nbsp;</p>\n<h2><span style=\"color: rgb(255, 255, 255);\"><span style=\"background-color: rgb(128, 128, 128);\">Examen F&iacute;sico </span></span></h2>\n<p>\nSe evidencia: Mama derecha sin alteraciones. Mama izquierda con cicatriz a nivel de cuadrante superior externo, no n&oacute;dulos palpables, no telorraquia, no telorrea.</p>\n<p>Conducta: Se decide solicitar ayudas diagn&oacute;sticas: Mamografia.&nbsp;</p>\n<p>&nbsp;</p>\n<h2><span style=\"background-color: rgb(128, 128, 128);\"><span style=\"color: rgb(255, 255, 255);\">Im&aacute;genes de la Mamograf&iacute;a</span></span></h2>\n<p>&nbsp;</p>\n<table cellspacing=\"1\" cellpadding=\"1\" width=\"100%\">\n<tbody>\n<tr>\n<td class=\"rtecenter\"><img width=\"300\" height=\"239\" src=\"http://uvsfajardo.sld.cu/sites/uvsfajardo.sld.cu/files/2da_clinica_de_octubre_imagen_i.jpg\" alt=\"\" /></td>\n</tr>\n<tr>\n<td class=\"rtecenter\"><em><span style=\"font-size: small;\">Imagen I</span></em></td>\n</tr>\n<tr>\n<td class=\"rtecenter\"><img width=\"300\" height=\"161\" src=\"http://uvsfajardo.sld.cu/sites/uvsfajardo.sld.cu/files/2da_clinica_de_octubre_imagen_ii_imagen4.jpg\" alt=\"\" /></td>\n</tr>\n<tr>\n<td class=\"rtecenter\"><em><span style=\"font-size: small;\">Imagen II</span></em></td>\n</tr>\n<tr>\n<td class=\"rtecenter\"><img width=\"300\" height=\"204\" src=\"http://uvsfajardo.sld.cu/sites/uvsfajardo.sld.cu/files/imagen3_clinica_2da_clinica_octubre_.jpg\" alt=\"\" /></td>\n</tr>\n<tr>\n<td class=\"rtecenter\"><em><span style=\"font-size: small;\">Imagen III</span></em></td>\n</tr>\n</tbody>\n</table>\n<p>&nbsp;</p>\n<h2><span style=\"color: rgb(255, 255, 255);\"><span style=\"background-color: rgb(128, 128, 128);\">Discusi&oacute;n</span></span></h2>\n<p>Identifique las proyecciones mamogr&aacute;ficas.</p>\n<p>&nbsp;&iquest; Existen hallazgos patol&oacute;gicos ?</p>\n<p>&nbsp;&iquest; Requiere estudios de extensi&oacute;n ?</p>\n<p>&nbsp;&iquest; Mencione sus posibles diagn&oacute;sticos ?<br />\n&nbsp;</p>\n<p>&nbsp;</p>\n ', created = 1660595149, expire = 1660681549, headers = '', serialized = 0 WHERE cid = '2:c5a0c701f65711b09f0481a205b780fb' in /srv/webinfomed/uvs/includes/cache.inc on line 112.
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Autores

Dra. Paula A. Arias Cadena, Dr. Jose David Luzuriaga, Dra. Coraly Vargas Carrizo
Residentes de Imagenología


 

Motivo de Consulta

Retracción del pezón

Historia de la enfermedad actual:

Paciente femenina de 52 años con antecedentes patológicos personales de retraso mental, epilepsia e hipertensión arterial para lo cual lleva tratamiento estable, refiere su familiar que en el 2014 inicia con cuadro clínico consistente en dolor en la mama izquierda y que al ser revisada por su familiar noto aumento de volumen de la mama y retracción del pezón, por lo que requirió manejo quirúrgico, no precisa exactamente el tipo de cirugía.
 

Antecedentes patológicos personales

 

Retraso mental, epilepsia, hipertensión arterial.

Alergias:   No refiere

Operaciones:  Colecistectomía, Cirugía de mama izquierda,

 

Antecedentes Patológicos Familiares

Madre hipertensa, cardiopatía isquémica, diabética

 

Examen Físico

Se evidencia: Mama derecha sin alteraciones. Mama izquierda con cicatriz a nivel de cuadrante superior externo, no nódulos palpables, no telorraquia, no telorrea.

Conducta: Se decide solicitar ayudas diagnósticas: Mamografia. 

 

Imágenes de la Mamografía

 

Imagen I
Imagen II
Imagen III

 

Discusión

Identifique las proyecciones mamográficas.

 ¿ Existen hallazgos patológicos ?

 ¿ Requiere estudios de extensión ?

 ¿ Mencione sus posibles diagnósticos ?