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040 _aEG-GiCUC
_beng
_cEG-GiCUC
041 0 _aeng
049 _aDeposite
097 _aM.Sc
099 _aCai01.19.04.M.Sc.2019.Is.C
100 0 _aIsmail Ahmed Mokhtar Elkharbotly
245 1 0 _aCorrelation between radiological and surgical findings of surgically excised BI-RADS III and IV breast lesions /
_cIsmail Ahmed Mokhtar Elkharbotly ; Supervised Omar Zakaria Youssef , Tamer Mostafa Manie , Maha Hussein Helal
246 1 5 _aالترابط بين التقييم المبنى على نتيجة الأشعة التشخيصية و على نتيجة التدخل الجراحى لأورام الثدى المستأصلة جراحيا المطابقة للدرجتين الثالثة والرابعة على نظام الإبلاغ عن تصوير و بيانات الثدى
260 _aCairo :
_bIsmail Ahmed Mokhtar Elkharbotly ,
_c2019
300 _a80 P. :
_bcharts , facsimiles ;
_c25cm
502 _aThesis (M.Sc.) - Cairo University - National Cancer Institute - Department of Oncology (Surgical)
520 _aObjectives: To determine the pathological outcome (benign versus malignant) of surgical excision BI-RADS III and IV unbiopsied breast lesions. Materials and Methods: All data from hospital records between the 1st of January 2016 and the 31st of December 2017 at the National Cancer Institute, Cairo University, was examined retrospectively for patients with BI-RADS III or IV masses who have undergone surgical excision without conclusive tissue biopsy. These patients were stratified into three groups: benign, pre-malignant or malignant. The data was collected manually. Items collected include age, reported and excised size, BI-RADS classification, diagnosis and classification after pathology and the type of surgery. Results: A total of 93 cases were included, of which 39 were BI-RADS III and 54 were BI-RADS IV. Only one BI-RADS III case was malignant. Only one underwent mastectomy. The rest underwent different forms of breast conservative surgery. All cases deviated from the published recommendation for close follow-up. For BI-RADS IV cases the percentage malignancy was similar to published estimates. Six cases underwent mastectomy, five with axillary clearance, four of which were node-negative. Only 20 cases had undergone an attempt (failed or inconclusive) at prior biopsy. There was discrepancy between some reports that included a BI-RADS IV subtype, and others that did not. Conclusion: These cases represent a deviation from published recommendations. Wider use of biopsy, sentinel lymph node sampling, and vacuum-assisted techniques could reduce surgical load. Institutional standardization on subtyping can improve consistency
530 _aIssued also as CD
653 4 _aBIRADS
653 4 _aBreast lesion
653 4 _aMammography
700 0 _aMaha Hussein Helal ,
_eSupervisor
700 0 _aOmar Zakaria Youssef ,
_eSupervisor
700 0 _aTamer Mostafa Manie ,
_eSupervisor
856 _uhttp://172.23.153.220/th.pdf
905 _aNazla
_eRevisor
905 _aShimaa
_eCataloger
942 _2ddc
_cTH
999 _c76513
_d76513