Evaluer l’observance des patients dans le cadre de l’étude de faisabilité du dépistage de cancer pulmonaire (Dépiscan) en étudiant le taux de non-retour pour les contrôles à un an et les causes de ces non-retours. En considérant les 118 patients inclus dans l’étude DépiSCAN à Tours jusqu’en décembre 2004, on a évalué le taux de non-retour pour le contrôle à un an (avec un recul de quatre mois minimum). Les médecins généralistes ayant inclus ces patients dans le protocole ont été interrogés pour évaluer les causes de ces non-retours. Il a été constaté un taux de non-retour de 18,6 % pour le contrôle à un an (22 patients). Dix-neuf patients (86 %) n’ont pas effectué leur contrôle par négligence ou manque de motivation. Parmi ces 19 patients, quatre avaient des nodules ayant nécessité des contrôles rapprochés à 3 et 6 mois, un avait une tumeur diagnostiquée comme bénigne histologiquement et cinq avaient des lésions radiologiquement bénignes. Ces 19 patients continuaient à être suivis par leur généraliste pendant cette période. Les résultats de cette étude souligne qu’une mauvaise observance avec un taux de non-retour de 18,6 % doit être considérée lors de la mise en place d’une étude randomisée à plus grande échelle.

Local lesions occurring after conservative surgery for breast neoplasms require diagnostic means capable of detecting and assessing the recurrence of such cancers. In the present color-coded Doppler was used in 20 women who had under gone conservative surgery (mean 4 years before) to screen all suspect lesions. Among the 14 malignant lesions assessed histologically, one or more arterial vessels were detected inside or beside the lesion in 13. Among the 6 benign lesions, only of one arterial vessel was detected, in all cases far from the lesion (12.5 to 3.3 mm). No significant difference was observed for systolic velocities and resistance index. These results indicate high accuracy of color coded Doppler examination associated with echotomography and mammography for positive diagnosis of recurrent lesions in post-conservative follow-up of breast cancer.

Local lesions occurring after conservative surgery for breast neoplasms require diagnostic means capable of detecting and assessing the recurrence of such cancers. In the present color-coded Doppler was used in 20 women who had under gone conservative surgery (mean 4 years before) to screen all suspect lesions. Among the 14 malignant lesions assessed histologically, one or more arterial vessels were detected inside or beside the lesion in 13. Among the 6 benign lesions, only of one arterial vessel was detected, in all cases far from the lesion (12.5 to 3.3 mm). No significant difference was observed for systolic velocities and resistance index. These results indicate high accuracy of color coded Doppler examination associated with echotomography and mammography for positive diagnosis of recurrent lesions in post-conservative follow-up of breast cancer.

The purpose of our work was to describe the clinical and mammographic patterns of breast cancer in women aged 35 years old or less. From 1980 to 1985, 92 women 35 years old or younger were treated in our institution for breast cancer. Their mammograms were reviewed to determine the breast density and to describe the mammographic lesion. The clinical examination found a palpable breast mass (n = 84), nipple discharge (n = 2), axillary lymph node involvement (n = 3), metastasis (n = 1) or was normal (n = 2). The mammograms exhibited dense (n = 59), mixed dense/fatty (n = 29) or fatty (n = 4) parenchymal breast. The mammograms showed opacity with well-defined (n = 13) or ill-defined borders (n = 34), spiculated opacity (n = 11), architectural distortion (n = 9), isolated clusters of microcalcifications (n = 13) or were normal (n = 18). The diagnosis of breast cancer in young womensis difficult, because mammographic accuracy is less reliable and benign disease is far more prevalent.

Pilomatrixoma mimicking male breast carcinoma on mammography.R Gilles, J M Guinebretière, X Gallay and D VanelAudio Available | Share