Carcinoma in situ de la mama: actualización

  • Gildardo Antonio Gallego Noreña Universidad de Antioquia
Palabras clave: carcinoma in situ, carcinoma intraductal no infiltrante, neoplasias de la mama, enfermedad de Paget mamaria, mamografía.

Resumen

Los carcinomas in situ de la mama son el primer estado de cáncer de mama morfológicamente reconocible y pueden evolucionar a un carcinoma de mama invasivo, aunque se desconoce la tasa precisa de progresión. Debido a que el carcinoma ductal in situ es un predictor de carcinoma ductal invasivo en el futuro, es importante la participación de la paciente en la toma de decisiones sobre el tratamiento; actualmente, existen indicaciones precisas para realizar tratamiento conservador o radical, pero cada caso se debe analizar en forma independiente. Por su parte, el carcinoma lobulillar in situ es solo un marcador de riesgo de carcinoma invasivo, muchas de las pacientes no requieren tratamiento y se pueden dejar bajo observación. En este módulo se presentan los avances sobre el carcinoma in situ de mama en sus dos variedades, ductal y lobulillar, en lo relacionado con las manifestaciones clínicas, las alteraciones genéticas, el diagnóstico, el pronóstico, el tratamiento y el seguimiento. De igual forma, se hará una actualización de la enfermedad de Paget.

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Biografía del autor/a

Gildardo Antonio Gallego Noreña , Universidad de Antioquia

Médico Ginecólogo Oncólogo Mastólogo. Profesor emérito de la Facultad de Medicina de la Universidad de Antioquia. Medellín, Colombia.

Citas

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Cómo citar
1.
Gallego Noreña GA. Carcinoma in situ de la mama: actualización. Med. Lab. [Internet]. 1 de marzo de 2013 [citado 28 de marzo de 2020];19(3-4):127-60. Disponible en: https://medicinaylaboratorio.com/index.php/myl/article/view/220
Publicado
2013-03-01
Sección
Oncología