Cáncer de mama en pacientes de 70 años y más, hallazgos radiológicos y su correlación histopatológica

Abstract

Purpose: To assess the mammo-sonographic findings of breast cancer and its histopathological correlation in patients aged 70 years or older. Background: The evolution of breast cancer in patients older than 70 years is less aggressive due to slow growth, low histological grade, greater positivity for hormone receptors and poor lymph node involvement, adding that mammography has a higher positive predictive value. Design and Methods: Descriptive, retrospective, observational and cross-sectional study of the mammography and ultrasound reports made at the National Medical Center November 20. Results: Of 203 patients, 50 had breast cancer, 35 new cases and 15 with previous diagnosis. All women with an average of 76.4 years. The nodule was the most frequent radiological finding with positive hormone receptors, of these the ductal carcinoma was the most common. The invading carcinomas being the majority. Conclusions: The majority of the patients had suspicious malignant nodules with hormonal receptors, mainly estrogen type, but the diagnoses were made in advanced clinical stages by invading and locally advanced carcinomas, with the nodule being the most frequent presentation. It is necessary to make changes in the guidelines and norms for the diagnosis of breast cancer by extending the age range of the screening mammography. (English) [ABSTRACT FROM AUTHOR]