TATIANA CARDOSO DE MELLO TUCUNDUVA
Índice h a partir de 2011
4
Projetos de Pesquisa
Unidades Organizacionais
Instituto de Radiologia, Hospital das Clínicas, Faculdade de Medicina
LIM/24 - Laboratório de Oncologia Experimental, Hospital das Clínicas, Faculdade de Medicina
LIM/24 - Laboratório de Oncologia Experimental, Hospital das Clínicas, Faculdade de Medicina
3 resultados
Resultados de Busca
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- Imaging of male breast disease: the good, the bad and the ugly - A pictorial review(2020) VIANAA, Marcela Pacheco; TUCUNDUVAA, Tatiana Cardoso de Mello; TORRES, Ulysses S.; AGUILLARA, Vera Lucia Nunes; BRESCIANI, Barbara Helou; SHIMIZU, Carlos; CHALA, Luciano Fernandes; BARROS, Nestor de; MELLO, Giselle Guede Netto deThe male breast is affected by a broad spectrum of conditions, ranging from benign to malignant, many of which are similar to those occurring in its female counterpart. Despite the challenge motivated by different imaging characteristic features, correct imaging interpretation in male breast disease may aid at differentiation between benign and suspected conditions, narrow the differential diagnosis and guide subsequent management. The purpose of this review is to showcase a wide array of male breast diseases, discuss their imaging presentations and key features for diagnosis.
- Tattoo pigment mimicking calcifications in axillary lymph nodes: A pitfall in mammographic imaging evaluation(2020) AGUILLAR, Vera Lucia Nunes; TUCUNDUVA, Tatiana Cardoso de Mello; CARVALHO, Filomena Marino; MAZUCATO, Mariana Bertassi; VIANA, Marcela Pacheco; TORRES, Ulysses S.; MELLO, Giselle Guedes Netto de
- MRI as a complementary tool for the assessment of suspicious mammographic calcifications: Does it have a role?(2021) NINNO, Andrea Alves Maciel Di; MELLO, Giselle Guedes Netto de; TORRES, Ulysses S.; SHIMIZU, Carlos; TUCUNDUVA, Tatiana Cardoso de Mello; REIS, Fatima Regina Silva; ANANIAS, Mariana Pinheiro Ferri; LEDERMAN, Henrique ManoelIntroduction: Mammography remains the standard imaging modality for the identification and characterization of breast calcifications. However, its low specificity results in high biopsy rates in cases of suspicious calcifications. Objectives: To evaluate the diagnostic performance of MRI as an additional tool in the assessment of suspicious mammographic calcifications and to identify the enhancement patterns most related to malignancy. Methods: An observational, prospective, cross-sectional, bi-centre study was conducted including consecutive patients with suspicious calcification groups on mammography (BI-RADS? 4 and 5). Anatomopathological results obtained from biopsies were considered the reference standard, and the patients were followed up for at least two years. MRI examinations were interpreted by two radiologists in consensus. The chi-square test was used to evaluate the correlation between MRI features and histological results. The overall diagnostic performance of MRI for malignancy was calculated. Results: 162 female patients were included (mean age, 53 years; range 34?82 years), with 163 mammographic lesions, of which 77 (47.2%) were benign, 64 (39.3%) malignant, and 22 (13.5%) precursor lesions on histopathology. Malignant lesions demonstrated a significantly higher presence of enhancement (56/64; 87.5%) than benign lesions (17/77; 22.1%) (p < 0.001). Non-mass enhancement (NME) was the morphology most related to malignant lesions (38/56; 67.9%). The accuracy, sensitivity, specificity, positive predictive value, and negative predictive value of MRI for malignancy were 81.5%, 87.5%, 77.8%, 71.8%, and 90.5%, respectively. Conclusion: MRI performed as an adjunct tool allows to increase imaging specificity for malignancy in suspicious calcifications, which may contribute to reduce the need for biopsy.