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  • Original Article

    Evaluation of the cosmetic result in patients submitted to resection of an axillary supernumerary breast

    Rev Bras Ginecol Obstet. 1999;21(8):453-456

    Summary

    Original Article

    Evaluation of the cosmetic result in patients submitted to resection of an axillary supernumerary breast

    Rev Bras Ginecol Obstet. 1999;21(8):453-456

    DOI 10.1590/S0100-72031999000800005

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    ABSTRACT Purpose: to evaluate the degree of satisfaction of patients submitted to resection of a supernumerary breast, in terms of esthetics, and the rate of complications. Patients and Methods: twenty-three women submitted to surgical treatment for removal of axillary breast tissue at the Breast Unit of the HC-UFG, between July 1994 and September 1997, were evaluated. Age ranged between 20 and 49 (mean 35 years). Patient complaints included local pain, discomfort and questions on personal esthetics. The patients' satisfaction was evaluated through an interview in which they reported to be very satisfied, satisfied, unsatisfied or regretting the surgery. The HC-UFG team also evaluated each of these patients, considering the cosmetic result as very good, good or poor. Results: according to the evaluation by the patients themselves, 61% were very satisfied and none regretted the surgery. The evaluation carried out by the medical team was stricter, as only 22% of the cases were rated as very good by the evaluators. In terms of complications, there was a 22% incidence of seroma and 13% of infection. Conclusion: the discrepancy among the patients' and doctors' ratings seems to demonstrate that the degree of satisfaction of the patients is higher than that one could initially suppose, a fact that motivates us to carry on offering this treatment modality to those who wish to have it, even considering the relative high rate of complications.

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    Evaluation of the cosmetic result in patients submitted to resection of an axillary supernumerary breast
  • Original Article

    Factors Related to Insufficient Material in Fine Needle Aspiration Cytology of Solid Breast Tumors

    Rev Bras Ginecol Obstet. 2001;23(10):635-639

    Summary

    Original Article

    Factors Related to Insufficient Material in Fine Needle Aspiration Cytology of Solid Breast Tumors

    Rev Bras Ginecol Obstet. 2001;23(10):635-639

    DOI 10.1590/S0100-72032001001000004

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    Purpose: to analyze the factors that may be related to insufficient material in fine needle aspiration cytology (FNAC). Patients and Methods: a total of 351 FNAC of patients with solid breast tumors were studied in a random way: 180 (51%) by Cameco's pistol holder and 171 (49%) by the auto-vacuum device. All smears were analyzed by only one cytopathologist, and they were described as malignant, suspicious, benign or insufficient for diagnosis. The significance of each variable was tested by the c² test. Results: among the 351 cases analyzed, we found 67 (19%) of insufficient material. The device used (pistol or auto-vacuum), the size of the tumor and the clinical stage of the lesions were not related to the frequency of sufficient and insufficient material. The age of the patient and the histological type of the tumor were related to the rate of insufficient material. Patients younger than 50 had a 12% rate of insufficient material, compared to 30 above 50 (p<0.03). The patients with fibroadenosis had a rate of 30%, those with ductal carcinoma, 20%, and those with fibroadenoma 12% (p<0.02). Conclusion: the present study showed a relatively high rate of insufficient material (19%), which was influenced by the age of the patient and the histological type of the biopsied breast lesion.

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