Prevention of Diagnostic Iatrogenies as a Way to de-Escalate the Surgery of Breast Cancer
Abstract
Based on a clinical example, the importance of timely diagnosis of breast cancer in a patient with a negative mammograms, but with minimal changes in the organ tissue according to ultrasound data is shown. The pathological focus was located on the border of the inner quadrants of the breast at the edge of the parasternal line, which is rare. Oncology vigilance and violation of the scanning methodology did not allow specialists of the outpatient-polyclinic level of general profile to identify the existing changes in the breast tissue (diagnostic iatrogeny). Repeated examination of the patient in a specialized medical institution revealed breast cancer 0,5 × 0,4 × 0,3 cm in size, which made it possible to further de-escalate the surgical stage of treatment and preserve both the social activity of the woman and obtain good cosmetic results.
About the Authors
T. V. Pavlova
City Clinical Hospital named after V. M. Buyanov, Moscow Healthcare Department
Russian Federation
Russian Federation
A. Yu. Vasil’Ev
Moscow State Medical University of Medicine and Dentistry named after A. I. Evdokimov, Ministry of Healthcare of Russia
Russian Federation
Russian Federation
E. V. Shivilov
Moscow Clinical Research Practical Center named after A. S. Loginov, Department of Healthcare Moscow
Russian Federation
Russian Federation
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Review
For citations:
Pavlova T.V., Vasil’Ev A.Yu., Shivilov E.V. Prevention of Diagnostic Iatrogenies as a Way to de-Escalate the Surgery of Breast Cancer. Radiology - Practice. 2020;(6):31-38. (In Russ.)
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