Correlación y características de microcalcificaciones en pacientes clase III, IV, V con resultados histológicos

objective: analyzing the characteristics of micro calcifications biopsy under stereotactic guidance in group of patients classified class iii, iv, v, correlate with histological results. methods: in service imaging and intervention of unit mastology, barcelona period may 2004 - may 2009 biopsied 206 patients were guided by stereotaxic micro calcifications which 7 were class iii 142 class iv 16 class v. analyzed number, area, shape, and distribution to establish the class mastologic and correlated with histological. results: 181 patients with diagnosis of microcalcifications, which are considered suspect classification birads. the class was predominant s iv 142 patients (86.06 %), followed by class v 16 patients (9.70 %) class iii and 7 patients (4.24 %), the predominant morphological feature were clustered amorphous micro calcifications (43.03 %), with regard to histopathologic results are clustered amorphous microcalcifications associated with greater percentage benign lesions 58.9 %, while the segmental granular and amorphous microcalcifications relate predominantly segmental proliferative and malignant lesions and 80 % 85.61 % respectively, of the lesions found fibroadenoma was the most frequent with 20 cases (22.47 %), proliferative lesions typical of sclerosing adenosis was predominant 40 cases (59.70 %) atypical proliferative lesions, flat epithelial atypia had higher incidence 7 (58.33 %) malignant pathology the intraductal carcinoma 27 cases (50.94 %). conclusions: correlation between morphology distributions of micro calcifications on the outcome pathologic clustered amorphous micro calcifications associated with benign disease, while segmental granular amorphous micro calcifications correlated with segmental proliferative and malignant.