{"id":10566,"date":"2020-12-24T21:23:25","date_gmt":"2020-12-25T02:23:25","guid":{"rendered":"https:\/\/cornflowerblue-rail-980953.hostingersite.com\/?p=10566"},"modified":"2020-12-24T22:10:25","modified_gmt":"2020-12-25T03:10:25","slug":"whats-new-in-breast-imaging-turkish-december-2020","status":"publish","type":"post","link":"https:\/\/staging-hub.acoredu.com\/tr\/whats-new-in-breast-imaging-turkish-december-2020\/","title":{"rendered":"What’s new in Breast Imaging (Turkish) – December 2020"},"content":{"rendered":"
Mamografik olarak dens memeye sahip kad\u0131nlarda ek tan\u0131sal g\u00f6r\u00fcnt\u00fcleme olarak memeye spesifik gama g\u00f6r\u00fcnt\u00fcleme veya ultrasonografi.<\/span> <\/strong><\/h5>\n

Zhang, Z., Wang, W., Wang, X., Yu, X., Zhu, Y., Zhan, H., . . . Huang, J. (2020).<\/p>\n

European Radiology,<\/em> 30<\/em>(11), 6062-6071. doi:10.1007\/s00330-020-06950-2<\/p>\n

https:\/\/pubmed.ncbi.nlm.nih.gov\/32524221\/<\/a><\/p>\n

Bu \u00e7al\u0131\u015fmada yazarlar, dens memeleri olan hastalarda mamografi (MMG) ve ultrason (US) ile MMG ve memeye spesifik gama g\u00f6r\u00fcnt\u00fcleme (MSGG) y\u00f6ntemlerinin meme kanseri saptamada tan\u0131sal performanslar\u0131n\u0131 kar\u015f\u0131la\u015ft\u0131rmaya \u00e7al\u0131\u015ft\u0131lar. Nisan 2013 ve Nisan 2016 aras\u0131nda mamografi ve ek US veya MSGG yap\u0131lan 364 kad\u0131n geriye d\u00f6n\u00fck olarak incelendi. Ek US ve MSGG aras\u0131nda duyarl\u0131l\u0131k a\u00e7\u0131s\u0131ndan fark yoktu. Bununla birlikte, MSGG, US ile kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131\u011f\u0131nda daha spesifik ve do\u011fruydu. Yazarlar, MSGG\u2019nin dens memeli hastalarda meme kanseri te\u015fhisinde ek g\u00f6r\u00fcnt\u00fcleme y\u00f6ntemi olarak faydal\u0131 olabilece\u011fi sonucuna varm\u0131\u015flard\u0131r.<\/p>\n

\u00a0<\/strong><\/p>\n

Meme g\u00f6r\u00fcnt\u00fcleme raporlama skorlar\u0131 ile ili\u015fkili okuyucu nitelikleri ve mamogram \u00f6zellikleri.<\/span> <\/strong><\/h5>\n

Trieu, P. D., Lewis, S. J., Li, T., Ho, K., Tapia, K. A., & Brennan, P. C. (2020).<\/p>\n

The British Journal of Radiology,<\/em> 93<\/em>(1114), 20200363. doi:10.1259\/bjr.20200363<\/p>\n

https:\/\/pubmed.ncbi.nlm.nih.gov\/32730088\/<\/a><\/p>\n

Bu \u00e7al\u0131\u015fmada yazarlar, BI-RADS s\u0131n\u0131flamas\u0131 ile meme kanseri te\u015fhisinde radyologlar\u0131n niteliklerini ve okuma do\u011frulu\u011funu belirlemeye \u00e7al\u0131\u015ft\u0131lar. Avustralyal\u0131 radyologlar\u0131n her biri toplam 300 tarama mamogram\u0131n\u0131 okudu ve meme lezyonlar\u0131na BI-RADS kategorileri tan\u0131mland\u0131 (vakalar\u0131n \u2153’\u00fc patoloji ile kan\u0131tlanm\u0131\u015f maligniteydi). Malign mamogramlar\u0131n %38\u2019ine BI-RADS 3 tan\u0131mlan\u0131rken, %32,2\u2019si BI-RADS 4 olarak tan\u0131mland\u0131. BI-RADS 1 ve 2 lezyonlar\u0131 i\u00e7in yanl\u0131\u015f negatif oranlar\u0131 kad\u0131n okuyucularda, Breast Screen okuyucular\u0131nda (Avustralya\u2019da ulusal meme kanseri tarama program\u0131) ve meme g\u00f6r\u00fcnt\u00fcleme yandal\u0131n\u0131 tamamlam\u0131\u015f okuyucularda daha d\u00fc\u015f\u00fckt\u00fc. BI-RADS 3 kategorisiyle ilgili en yayg\u0131n \u00f6zellikler asimetrik yo\u011funluk ve belirgin kitleydi. Stellat lezyon ve spik\u00fcle k\u00fctle en s\u0131k BI-RADS 5 kategorisiyle ili\u015fkilendirilmi\u015ftir. Yazarlar, yandal tamamlamak, \u00f6zel bir meme g\u00f6r\u00fcnt\u00fcleme merkezinde okumak ve cinsiyet dahil belirli fakt\u00f6rlerin BI-RADS kategori tan\u0131mlamas\u0131n\u0131 ve tan\u0131sal do\u011frulu\u011fu etkiledi\u011fi sonucuna varm\u0131\u015flard\u0131r.<\/p>\n

 <\/p>\n

40 ya\u015f\u0131n \u00fczerindeki kad\u0131nlarda provoke edilmemi\u015f ven\u00f6z tromboembolizm: Mamografi ve abdominopelvic BT ile gizli malignite taramas\u0131 yararl\u0131 m\u0131d\u0131r?<\/span> <\/strong><\/h5>\n

Healy, N., Daley, F., & Sinnatamby, R. (2020).<\/p>\n

Clinical Radiology,<\/em> 75<\/em>(10), 757-762. doi:10.1016\/j.crad.2020.05.022<\/p>\n

https:\/\/www.clinicalradiologyonline.net\/article\/S0009-9260(20)30220-8\/fulltext<\/a><\/p>\n

Bu \u00e7al\u0131\u015fmada yazarlar, primer meme malignitesini saptamak i\u00e7in sonradan mamogram yap\u0131lan provoke edilmemi\u015f ven\u00f6z tromboembolizm (VTE) hastalar\u0131nda sonu\u00e7lar\u0131 belirlemeye \u00e7al\u0131\u015ft\u0131lar. Provoke edilmemi\u015f VTE sonras\u0131 mamograma ba\u015fvuran 139 hasta Ocak 2016 ve Eyl\u00fcl 2019 aras\u0131nda geriye d\u00f6n\u00fck olarak incelendi. Hastalar\u0131n %10\u2019u ek g\u00f6r\u00fcnt\u00fcleme i\u00e7in geri \u00e7a\u011f\u0131r\u0131ld\u0131 ve 2 do\u011frulanm\u0131\u015f malignite vakas\u0131 vard\u0131 (%1,4). Yazarlar, mamografide kanser tespit oran\u0131n\u0131n provoke edilmemi\u015f VTE\u2019si olan kad\u0131nlarda d\u00fc\u015f\u00fck oldu\u011fu sonucuna varm\u0131\u015flard\u0131r. Ek olarak, yanl\u0131\u015f pozitif mamografik bulgular yararl\u0131 tan\u0131sal verim olmaks\u0131z\u0131n hasta anksiyetesine neden olabilir.<\/p>\n

 <\/p>\n

Lob\u00fcler Neoplazinin Meme \u00c7ekirdek \u0130\u011fne Biyopsi Tan\u0131s\u0131ndan Sonra Maligniteye Y\u00fckselme Riski: Sistematik Bir \u0130nceleme ve Meta-Analiz.<\/span> <\/strong><\/h5>\n

Shehata, M. N., Rahbar, H., Flanagan, M. R., Kilgore, M. R., Lee, C. I., Ryser, M. D., & Lowry, K. P. (2020).<\/p>\n

Journal of the American College of Radiology,<\/em> 17<\/em>(10), 1207-1219. doi:10.1016\/j.jacr.2020.07.036<\/p>\n

https:\/\/pubmed.ncbi.nlm.nih.gov\/32861602\/<\/a><\/p>\n

Bu \u00e7al\u0131\u015fmada yazarlar, atipik lob\u00fcler hiperplazi (ALH) ve klasik lob\u00fcler karsinoma in situ (LKIS) dahil olmak \u00fczere biyopsi ile kan\u0131tlanm\u0131\u015f klasik lob\u00fcler neoplazili (LN) hastalarda maligniteye y\u00fckselme riskini \u00f6l\u00e7mek i\u00e7in sistematik bir inceleme ve meta-analiz yapt\u0131lar. Bu sistematik incelemeye 65 \u00e7al\u0131\u015fma dahil edildi (16\u2019s\u0131 meta-analize dahil edildi), ve varyant LKIS ve g\u00f6r\u00fcnt\u00fc-diskordans lezyonlar hari\u00e7 tutuldu. T\u00fcm LN, ALH ve LKIS\u2019deki herhangi bir maligniteye y\u00fckselme i\u00e7in havuzlanm\u0131\u015f riskler s\u0131ras\u0131yla %3,1, %2,5 ve %5,8 idi. Yazarlar, biyopsi ile kan\u0131tlanm\u0131\u015f LN\u2019si olan hastalarda maligniteye y\u00fckselme riskinin, \u00f6zellikle ALH\u2019de nispeten d\u00fc\u015f\u00fck oldu\u011fu sonucuna varm\u0131\u015flard\u0131r. Bu bulgular, hastalar\u0131n geleneksel cerrahi eksizyon yerine g\u00f6r\u00fcnt\u00fcleme taramas\u0131na girmesine olanak verebilir.<\/p>\n

 <\/p>\n

Ek Taramaya \u0130htiya\u00e7 Duyan Meme Kanseri Riski Y\u00fcksek Kad\u0131nlar\u0131n Tespiti<\/strong><\/span><\/h5>\n

Eriksson, M., Czene, K., Strand, F., Zackrisson, S., Lindholm, P., L\u00e5ng, K., . . . Hall, P. (2020).<\/p>\n

Radiology,<\/em> 297<\/em>(2), 327-333. doi:10.1148\/radiol.2020201620<\/p>\n

https:\/\/pubs.rsna.org\/doi\/10.1148\/radiol.2020201620<\/a><\/p>\n

Bu \u00e7al\u0131\u015fmada, yazarlar meme kanseri te\u015fhisi konma olas\u0131l\u0131\u011f\u0131 daha y\u00fcksek kad\u0131nlar\u0131 bir sonraki tarama randevular\u0131n\u0131n \u00f6ncesinde veya randevular\u0131 s\u0131ras\u0131nda belirlemek i\u00e7in bir risk modeli olu\u015fturdular. Bu \u00e7al\u0131\u015fma, 2011-2017 y\u0131llar\u0131 aras\u0131nda yakla\u015f\u0131k 71.000 kad\u0131ndan olu\u015fan prospektif bir tarama kohortundan veri toplam\u0131\u015ft\u0131r. Yazarlar, ya\u015f, sa\u011f ve sol g\u00f6\u011f\u00fcsler aras\u0131ndaki farkl\u0131l\u0131klar, kire\u00e7lenmeler, kitleler ve yo\u011funluk dahil olmak \u00fczere bilgisayar destekli tespitten elde edilen mamografik verileri kullanarak g\u00f6r\u00fcnt\u00fc tabanl\u0131 bir risk modeli geli\u015ftirdiler. Ya\u015fam tarz\u0131 ve genetik tamamlay\u0131c\u0131 risk modelleri de menopoz durumu ve aile \u00f6yk\u00fcs\u00fc gibi fakt\u00f6rlerden yararlan\u0131larak olu\u015fturuldu. Yazarlar, g\u00f6r\u00fcnt\u00fcye dayal\u0131 risk modelinin, negatif bir tarama mamogram\u0131ndan sonraki 2 y\u0131l i\u00e7indeki bir meme kanseri te\u015fhisini tahmin etmek i\u00e7in 0,73\u2019l\u00fck bir AUC’ye sahip oldu\u011funu belirlediler. Bu \u00e7al\u0131\u015fma, meme kanserinin erken te\u015fhisi i\u00e7in ek taramadan fayda sa\u011flayacak y\u00fcksek riskli bir pop\u00fclasyona \u0131\u015f\u0131k tutmaktad\u0131r.<\/p>\n

 <\/p>\n

\u0130leri Ya\u015fta Olan Anneler Dahil Emziren Kad\u0131nlarda Palpe Edilebilen Meme Kitlelerinin De\u011ferlendirilmesinde Birincil G\u00f6r\u00fcnt\u00fcleme Y\u00f6ntemi Olarak Ultrasonografi<\/strong><\/span><\/h5>\n

Chung, M., Hayward, J. H., Woodard, G. A., Knobel, A., Greenwood, H. I., Ray, K. M., . . . Lee, A. Y. (2020).<\/p>\n

Radiology,<\/em> 297<\/em>(2), 316-324. doi:10.1148\/radiol.2020201036<\/p>\n

https:\/\/pubs.rsna.org\/doi\/full\/10.1148\/radiol.2020201036<\/a><\/p>\n

Bu \u00e7al\u0131\u015fmada yazarlar, 30 ya\u015f\u0131n \u00fczerindeki hastalar da dahil olmak \u00fczere, emziren kad\u0131nlarda palpe edilebilen bir meme kitlesinin de\u011ferlendirilmesi i\u00e7in birincil se\u00e7enek g\u00f6r\u00fcnt\u00fcleme y\u00f6ntemi olmas\u0131 hedeflenen meme ultrasonunun tan\u0131sal yararl\u0131l\u0131\u011f\u0131n\u0131 ara\u015ft\u0131rmaya \u00e7al\u0131\u015ft\u0131lar. Veriler, 2000 ile 2017 y\u0131llar\u0131 aras\u0131nda 167 kad\u0131ndan retrospektif bir \u015fekilde topland\u0131. Hedeflenen meme ultrasonu, bu hasta pop\u00fclasyonundaki maligniteyi saptamak i\u00e7in %100 duyarl\u0131 ve %70 spesifikti. Radyologlar\u0131n takdirine ba\u011fl\u0131 olarak hastalar\u0131n y\u00fczde elli dokuzuna mamografi yap\u0131ld\u0131. \u0130\u015fleme mamografinin eklenmesi yanl\u0131\u015f pozitif sonu\u00e7 oran\u0131n\u0131 art\u0131rm\u0131\u015f olsa da ek meme kanseri te\u015fhisi ortaya koymad\u0131. Yazarlar, hedeflenmi\u015f meme ultrasonunun, 30 ya\u015f\u0131n \u00fczerindeki hastalar da dahil olmak \u00fczere, meme kitlesi palpe edilebilen emziren kad\u0131nlarda meme kanserinin saptanmas\u0131 i\u00e7in etkili bir g\u00f6r\u00fcnt\u00fcleme y\u00f6ntemi oldu\u011fu sonucuna varm\u0131\u015flard\u0131r.<\/p>\n

\u00a0<\/strong><\/p>\n

Fokal odaklar\u0131n Meme MRG\u2019si: Maligniteyle \u0130li\u015fkili \u00d6zellikler<\/strong><\/span><\/h5>\n

Myers, K. S., Oluyemi, E. T., Mullen, L. A., Ambinder, E. B., Kamel, I. R., & Harvey, S. C. (2020).<\/p>\n

American Journal of Roentgenology,<\/em> 215<\/em>(4), 1012-1019. doi:10.2214\/ajr.19.22423<\/p>\n

https:\/\/www.ajronline.org\/doi\/abs\/10.2214\/AJR.19.22423<\/a><\/p>\n

Bu \u00e7al\u0131\u015fmada yazarlar, meme MRG’de saptanan odaklar\u0131 olan hastalar\u0131n sonu\u00e7lar\u0131n\u0131n de\u011ferlendirmesi \u00fczerine ve malignite ile ili\u015fkili g\u00f6r\u00fcnt\u00fcleme \u00f6zelliklerini belirlemeye \u00e7al\u0131\u015ft\u0131lar. 2004’ten 2018’e kadar meme MRG’de 200 uygun oda\u011fa sahip y\u00fcz yetmi\u015f dokuz hasta (atanm\u0131\u015f BI-RADS 3 veya 4) retrospektif olarak de\u011ferlendirildi. BI-RADS 3 ve 4 odaklar\u0131 i\u00e7in malignite oranlar\u0131 s\u0131ras\u0131yla %1,6 ve %17,6 idi. En k\u00f6t\u00fc huylu odaklar, biyopsi ile kan\u0131tlanm\u0131\u015f invazif meme kanseriydi. Washout kineti\u011fi ve kitle boyutunun, malignite ile ili\u015fkisi a\u00e7\u0131s\u0131ndan istatistiksel olarak \u00f6nemli oldu\u011fu g\u00f6sterilmi\u015ftir. Yazarlar, meme MRG’deki odaklar\u0131n, \u00f6zellikle BI-RADS 4 anomalilerinin, y\u00fcksek malignite oranlar\u0131 nedeniyle g\u00f6z ard\u0131 edilmemesi gerekti\u011fi sonucuna varm\u0131\u015flard\u0131r. Kitle boyutu ve washout kineti\u011fi gibi ili\u015fkili \u00f6zellikler, radyologlara malignite \u015f\u00fcphesi olu\u015fturmada yard\u0131mc\u0131 olabilir.<\/p>\n

 <\/p>\n

Y\u00fcz\u00fckoyuna Kar\u015f\u0131 Ayakta Dijital Tomosentez \u2013 K\u0131lavuzlu Biyopsi<\/strong><\/span><\/h5>\n

Choudhery, S., Johnson, M., & Fazzio, R. T. (2020).<\/p>\n

American Journal of Roentgenology,<\/em> 215<\/em>(3), 760-764. doi:10.2214\/ajr.19.22735<\/p>\n

https:\/\/www.ajronline.org\/doi\/abs\/10.2214\/AJR.19.22735<\/a><\/p>\n

Bu \u00e7al\u0131\u015fmada, yazarlar y\u00fcz\u00fckoyun ve ayakta meme biyopsilerinin genel performans\u0131n\u0131 dijital meme tomosentezi (DMT) kullanarak de\u011ferlendirmeye \u00e7al\u0131\u015ft\u0131lar. May\u0131s 2018 ile Temmuz 2019 aras\u0131nda meme biyopsisi yap\u0131lan iki y\u00fcz seksen iki hasta retrospektif olarak incelendi. Al\u0131nan radyolojik maruziyet say\u0131s\u0131, elde edilen \u00f6rnek say\u0131s\u0131 ve biyopsi komplikasyonlar\u0131 gibi veri noktalar\u0131 iki biyopsi tekni\u011fi aras\u0131nda kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131. Ayakta biyopsi yap\u0131lan hastalar, y\u00fcz\u00fckoyun biyopsilere k\u0131yasla anlaml\u0131 olarak daha az radyolojik maruziyete tabi tutulmu\u015ftur (p <0,001). Bunun yan\u0131 s\u0131ra, i\u015flem s\u00fcresi, al\u0131nan \u00f6rnekler ve biyopsi komplikasyonlar\u0131 dahil olmak \u00fczere iki teknik aras\u0131nda ek olarak \u00f6nemli istatistiksel farkl\u0131l\u0131klar bulunmam\u0131\u015ft\u0131r. Yazarlar, y\u00fcz\u00fckoyun ve ayakta DMT k\u0131lavuzlu\u011funda meme biyopsilerinin benzer klinik performansa sahip oldu\u011fu ve hasta konforu ve prosed\u00fcr odas\u0131 lojisti\u011fi gibi fakt\u00f6rlerin biyopsi tekni\u011fini belirlemesi gerekti\u011fi sonucuna varm\u0131\u015flard\u0131r.<\/p>\n

 <\/p>\n

Mamografik olarak dens memeleri olan kad\u0131nlarda ek tan\u0131sal g\u00f6r\u00fcnt\u00fcleme olarak memeye spesifik gama g\u00f6r\u00fcnt\u00fcleme veya ultrasonografi.<\/span> <\/strong><\/h5>\n

Zhang, Z., Wang, W., Wang, X., Yu, X., Zhu, Y., Zhan, H., . . . Huang, J. (2020).<\/p>\n

European Radiology,<\/em> 30<\/em>(11), 6062-6071. doi:10.1007\/s00330-020-06950-2<\/p>\n

https:\/\/pubmed.ncbi.nlm.nih.gov\/32524221\/<\/a><\/p>\n

Bu \u00e7al\u0131\u015fmada yazarlar, dens memeleri olan hastalarda mamografi (MMG) ve ultrason (US) ile MMG ve memeye spesifik gama g\u00f6r\u00fcnt\u00fcleme (MSGG) y\u00f6ntemlerinin meme kanseri saptamada tan\u0131sal performanslar\u0131n\u0131 kar\u015f\u0131la\u015ft\u0131rmaya \u00e7al\u0131\u015ft\u0131lar. Nisan 2013 ve Nisan 2016 aras\u0131nda mamografi ve ek US veya MSGG yap\u0131lan 364 kad\u0131n geriye d\u00f6n\u00fck olarak incelendi. Ek US ve MSGG aras\u0131nda duyarl\u0131l\u0131k a\u00e7\u0131s\u0131ndan fark yoktu. Bununla birlikte, MSGG, US ile kar\u015f\u0131la\u015ft\u0131r\u0131ld\u0131\u011f\u0131nda daha spesifik ve do\u011fruydu. Yazarlar, MSGG\u2019nin dens memeli hastalarda meme kanseri te\u015fhisinde ek g\u00f6r\u00fcnt\u00fcleme y\u00f6ntemi olarak faydal\u0131 olabilece\u011fi sonucuna varm\u0131\u015flard\u0131r.<\/p>\n

 <\/p>\n

40 ya\u015f\u0131n \u00fczerindeki kad\u0131nlarda provoke edilmemi\u015f ven\u00f6z tromboembolizm: Mamografi ve abdominopelvic BT ile gizli malignite taramas\u0131 yararl\u0131 m\u0131d\u0131r?<\/span> <\/strong><\/h5>\n

Healy, N., Daley, F., & Sinnatamby, R. (2020).<\/p>\n

Clinical Radiology,<\/em> 75<\/em>(10), 757-762. doi:10.1016\/j.crad.2020.05.022<\/p>\n

https:\/\/www.clinicalradiologyonline.net\/article\/S0009-9260(20)30220-8\/fulltext<\/a><\/p>\n

Bu \u00e7al\u0131\u015fmada yazarlar, primer meme malignitesini saptamak i\u00e7in sonradan mamogram yap\u0131lan provoke edilmemi\u015f ven\u00f6z tromboembolizm (VTE) hastalar\u0131nda sonu\u00e7lar\u0131 belirlemeye \u00e7al\u0131\u015ft\u0131lar. Provoke edilmemi\u015f VTE sonras\u0131 mamograma ba\u015fvuran 139 hasta Ocak 2016 ve Eyl\u00fcl 2019 aras\u0131nda geriye d\u00f6n\u00fck olarak incelendi. Hastalar\u0131n %10\u2019u ek g\u00f6r\u00fcnt\u00fcleme i\u00e7in geri \u00e7a\u011f\u0131r\u0131ld\u0131 ve 2 do\u011frulanm\u0131\u015f malignite vakas\u0131 vard\u0131 (%1,4). Yazarlar, mamografide kanser tespit oran\u0131n\u0131n provoke edilmemi\u015f VTE\u2019si olan kad\u0131nlarda d\u00fc\u015f\u00fck oldu\u011fu sonucuna varm\u0131\u015flard\u0131r. Ek olarak, yanl\u0131\u015f pozitif mamografik bulgular yararl\u0131 tan\u0131sal verim olmaks\u0131z\u0131n hasta anksiyetesine neden olabilir.<\/p>\n

 <\/p>\n

Lob\u00fcler Neoplazinin Meme \u00c7ekirdek \u0130\u011fne Biyopsi Tan\u0131s\u0131ndan Sonra Maligniteye Y\u00fckselme Riski: Sistematik Bir \u0130nceleme ve Meta-Analiz.<\/span> <\/strong><\/h5>\n

Shehata, M. N., Rahbar, H., Flanagan, M. R., Kilgore, M. R., Lee, C. I., Ryser, M. D., & Lowry, K. P. (2020).<\/p>\n

Journal of the American College of Radiology,<\/em> 17<\/em>(10), 1207-1219. doi:10.1016\/j.jacr.2020.07.036<\/p>\n

https:\/\/pubmed.ncbi.nlm.nih.gov\/32861602\/<\/a><\/p>\n

Bu \u00e7al\u0131\u015fmada yazarlar, atipik lob\u00fcler hiperplazi (ALH) ve klasik lob\u00fcler karsinoma in situ (LKIS) dahil olmak \u00fczere biyopsi ile kan\u0131tlanm\u0131\u015f klasik lob\u00fcler neoplazili (LN) hastalarda maligniteye y\u00fckselme riskini \u00f6l\u00e7mek i\u00e7in sistematik bir inceleme ve meta-analiz yapt\u0131lar. Bu sistematik incelemeye 65 \u00e7al\u0131\u015fma dahil edildi (16\u2019s\u0131 meta-analize dahil edildi), ve varyant LKIS ve g\u00f6r\u00fcnt\u00fc-diskordans lezyonlar hari\u00e7 tutuldu. T\u00fcm LN, ALH ve LKIS\u2019deki herhangi bir maligniteye y\u00fckselme i\u00e7in havuzlanm\u0131\u015f riskler s\u0131ras\u0131yla %3,1, %2,5 ve %5,8 idi. Yazarlar, biyopsi ile kan\u0131tlanm\u0131\u015f LN\u2019si olan hastalarda maligniteye y\u00fckselme riskinin, \u00f6zellikle ALH\u2019de nispeten d\u00fc\u015f\u00fck oldu\u011fu sonucuna varm\u0131\u015flard\u0131r. Bu bulgular, hastalar\u0131n geleneksel cerrahi eksizyon yerine g\u00f6r\u00fcnt\u00fcleme taramas\u0131na girmesine olanak verebilir.<\/p>\n

 <\/p>\n

Translated by: \u0130pek Berbero\u011flu, \u00d6mer Tar\u0131k Eseng\u00fcr, Mine Sorkun<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"Mamografik olarak dens memeye sahip kad\u0131nlarda ek tan\u0131sal g\u00f6r\u00fcnt\u00fcleme olarak memeye spesifik gama g\u00f6r\u00fcnt\u00fcleme veya […]","protected":false},"author":3,"featured_media":3020,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"footnotes":""},"categories":[209],"tags":[],"class_list":["post-10566","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized-tr"],"yoast_head":"\nWhat's new in Breast Imaging (Turkish) - December 2020 - ACORE<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/staging-hub.acoredu.com\/whats-new-in-breast-imaging-december-2020\/\" \/>\n<meta property=\"og:locale\" content=\"tr_TR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"What's new in Breast Imaging (Turkish) - December 2020 - ACORE\" \/>\n<meta property=\"og:description\" content=\"Mamografik olarak dens memeye sahip kad\u0131nlarda ek tan\u0131sal g\u00f6r\u00fcnt\u00fcleme olarak memeye spesifik gama g\u00f6r\u00fcnt\u00fcleme veya […]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/staging-hub.acoredu.com\/whats-new-in-breast-imaging-december-2020\/\" \/>\n<meta property=\"og:site_name\" content=\"ACORE\" \/>\n<meta property=\"article:published_time\" content=\"2020-12-25T02:23:25+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2020-12-25T03:10:25+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/staging-hub.acoredu.com\/wp-content\/uploads\/2020\/07\/female-hands-joined-in-circle-holding-pink-ribbons-RCN683A-scaled.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"2560\" \/>\n\t<meta property=\"og:image:height\" content=\"2560\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Abdelrahman\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Yazan:\" \/>\n\t<meta name=\"twitter:data1\" content=\"Abdelrahman\" \/>\n\t<meta name=\"twitter:label2\" content=\"Tahmini okuma s\u00fcresi\" \/>\n\t<meta name=\"twitter:data2\" content=\"10 dakika\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/staging-hub.acoredu.com\/whats-new-in-breast-imaging-december-2020\/\",\"url\":\"https:\/\/staging-hub.acoredu.com\/whats-new-in-breast-imaging-december-2020\/\",\"name\":\"What's new in Breast Imaging (Turkish) - December 2020 - ACORE\",\"isPartOf\":{\"@id\":\"https:\/\/staging-hub.acoredu.com\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/staging-hub.acoredu.com\/whats-new-in-breast-imaging-december-2020\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/staging-hub.acoredu.com\/whats-new-in-breast-imaging-december-2020\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/staging-hub.acoredu.com\/wp-content\/uploads\/2020\/07\/female-hands-joined-in-circle-holding-pink-ribbons-RCN683A-scaled.jpg\",\"datePublished\":\"2020-12-25T02:23:25+00:00\",\"dateModified\":\"2020-12-25T03:10:25+00:00\",\"author\":{\"@id\":\"https:\/\/staging-hub.acoredu.com\/#\/schema\/person\/75293c6e4870f3aa293e1394c53df6b7\"},\"breadcrumb\":{\"@id\":\"https:\/\/staging-hub.acoredu.com\/whats-new-in-breast-imaging-december-2020\/#breadcrumb\"},\"inLanguage\":\"tr\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/staging-hub.acoredu.com\/whats-new-in-breast-imaging-december-2020\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"tr\",\"@id\":\"https:\/\/staging-hub.acoredu.com\/whats-new-in-breast-imaging-december-2020\/#primaryimage\",\"url\":\"https:\/\/staging-hub.acoredu.com\/wp-content\/uploads\/2020\/07\/female-hands-joined-in-circle-holding-pink-ribbons-RCN683A-scaled.jpg\",\"contentUrl\":\"https:\/\/staging-hub.acoredu.com\/wp-content\/uploads\/2020\/07\/female-hands-joined-in-circle-holding-pink-ribbons-RCN683A-scaled.jpg\",\"width\":2560,\"height\":2560,\"caption\":\"Breast Cancer. 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