[Five-year experience with the multidisciplinary evaluation of breast lesions according to the Decker radio-pathologic correlation system].

Abstract:

INTRODUCTION:Lesions identified during breast imaging often require microscopic verification. Current recommendations imply the classification of radiological, clinical, cytology and core biopsy findings into one of five predefined categories. The Decker system also includes a classification of both the correlation between radiology and pathology and the actions required on this basis. AIM:To report on the five-year results of the implementation of the Decker system in our pretreatment multidisciplinary breast team. METHOD:Retrospective analysis of patients operated on because of breast diseases or appearing at the multidisciplinary breast team during the period between 2000 and 2014. RESULTS:Of 1716 cases discussed, 1531 were solved by non-operative diagnostics, 157 required diagnostic excisions; 1122 cases (65%) proved to be malignant. Malignancy was diagnosed by core needle biopsies in 69% of the cases. The non-operative approach was unsuccessful, delayed or wrong in 14 cases. CONCLUSION:Breast lesions need to be evaluated in a multidisciplinary setting. The Decker-system is suitable for the recording and analysis of the correlation between radiologic/physical and microscopy findings, and of the ensuing diagnostic/therapeutic actions. Orv Hetil. 2017; 158(28): 1100-1108.

journal_name

Orv Hetil

journal_title

Orvosi hetilap

authors

Cserni G,Ambrózay É,Serfőző O

doi

10.1556/650.2017.30790

subject

Has Abstract

pub_date

2017-07-01 00:00:00

pages

1100-1108

issue

28

eissn

0030-6002

issn

1788-6120

journal_volume

158

pub_type

杂志文章
  • [Abdominal metroplasty: 25 years experience].

    abstract:INTRODUCTION:The congenital or acquired anomalies of uterus could be the causes of complications in obstetrics. PATIENTS AND METHODS:157 patients were diagnosed by hysterosalpingography and/or ultrasound as having subseptate uterus which were assumed to be responsible for their recurrent abortions (124 cases) or infer...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Papp Z

    更新日期:2005-07-10 00:00:00

  • [Importance of the interdisciplinary, evidence-based diagnosis of polycystic ovary syndrome].

    abstract::Polycystic ovary syndrome is recognized as the most common hormonal and metabolic disorder of women. This heterogeneous endocrinopathy characterized by clinical and/or biochemical hyperandrogenism, oligo- or amenorrhoea, anovulatory infertility, and polycystic ovarian morphology. The prevalence, clinical feature and t...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:10.1556/OH.2014.29941

    authors: Gődény S,Csenteri O

    更新日期:2014-07-27 00:00:00

  • [Acute mesenteric ischemia: analysis of cases over a ten-years period (2001-2010)].

    abstract:UNLABELLED:Acute mesenteric ischemia is a rare disorder; it occurs on average of 0.4% of acute surgery cases. Its diagnosis is often difficult because of the poor symptoms, and mortality of the patients is still as high as 70-90%. AIMS:The aims of the study were to assess the importance of time factor that may influen...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:10.1556/OH.2012.29444

    authors: Szabóné Révész E

    更新日期:2012-09-09 00:00:00

  • [Sjögren's syndrome and multiple myeloma].

    abstract::In our recent work we present two cases of coexisting Sjögren's syndrome and myeloma multiplex. Our results obtained studying a high number of patients suggest that the occurrence of myeloma in Sjögren's syndrome is much higher than in normal population. This can possibly be explained by the common pathogenetical fact...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Gál I,Zeher M

    更新日期:2000-09-17 00:00:00

  • [Sketches and snapshots in breast screening].

    abstract::The literature of breast-screening is vastly large, and enlarges by newer publications permanently. This summary can only be confined to publish data, with arbitrary selection. The mass-screening of complaintless and symptomless persons for early recognition of certain illnesses is to be completed according to distric...

    journal_title:Orvosi hetilap

    pub_type: 历史文章,杂志文章,评审

    doi:

    authors: Göblyös P

    更新日期:2003-02-16 00:00:00

  • [Study on religious addiction as a potential novel type of behavioral addiction in an adolescent population].

    abstract:INTRODUCTION:Religious addiction is a new behavioral addiction, featured with pathologic religious activity. AIM:The authors examined whether this new phenomenon appears in adolescence, and whether it correlates with substance use and mental health variables. METHOD:The General Addiction Screening Tool was used to in...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:10.1556/OH.2015.30137

    authors: Kovács E,Pikó B

    更新日期:2015-05-03 00:00:00

  • [Rare late complication of transcystic drainage].

    abstract::The authors performed 3539 successful endoscopic retrograde cholangio-panreatographies between 1982 and 1992. In 1160 (32.7%) of the cases was revealed some kind of pathological condition. In connection with one case, following conventional cholecystectomy, a very rare complication was diagnosed by endoscopic means. T...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Novák J,Ottlakán A,Pásztor P,Gurzó Z,Kovács J,Libor J

    更新日期:1994-11-27 00:00:00

  • [Current surgical methods for advanced glaucoma].

    abstract::The author summarizes the most effective types of glaucoma surgery in advanced glaucoma. In high pressure advanced glaucoma a low target intraocular pressure is to be set. The most effective method of reaching this target pressure level is mitomycin C trabeculectomy combined with effective pre- and postoperative antii...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:10.1556/OH.2013.29801

    authors: Holló G

    更新日期:2013-12-29 00:00:00

  • [Survey of the nutritional status of patients with locally advanced laryngo-pharyngeal tumors].

    abstract::At the Department of Head and Neck Surgery of the Postgraduate Medical University the authors surveyed the nutrition state of 20 patients with stage III-IV locally advanced pharyngolaryngeal tumours. The control data were provided by 20 patients with benign lesions. It can be established that among the hematological a...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:

    authors: Zemplén B,Döbrentey E,Ottó S,Varsányi R,Bánhídy F

    更新日期:1989-07-23 00:00:00

  • [Evaluation of syncope in medicolegal expertise].

    abstract::The authors summarise the clinical characteristics of the syncope and neurological signs respectively caused by basilar vertebral artery insufficiency as well as carotid sinus hypersensitivity. Several authors have seen an increased number of patients with neurological symptoms caused by ischaemia in the region of the...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Irányi J,Somogyi E,Verzár R

    更新日期:1994-11-13 00:00:00

  • [Role of blood glucose in prediction of cardiovascular risk].

    abstract::Increased cardiovascular risk in diabetes mellitus has been well-documented. In contrast, it is not widely known, that the relation between degree of hyperglycemia and mortality of diabetics or nondiabetics with acute coronary syndromes (ACS) shows a positive correlation. Insulin treatment significantly improves survi...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:

    authors: Simon K,Szépvölgyi A,Dobó E,Szabó A

    更新日期:2006-01-22 00:00:00

  • [Optical biopsy of the retina in vivo: on optical coherence tomography and its clinical use in ophthalmology].

    abstract::Optical Coherence Tomography (OCT) is a novel, non invasive imaging method, which enables in vivo assessment of living tissues, providing near histological resolution images. The first description of its clinical introduction was in ophthalmology, which substantially changed our view of specific retinal diseases. OCT ...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:

    authors: Somfai GM,Salacz G

    更新日期:2005-05-22 00:00:00

  • [Mood disorders in patients with chronic kidney disease: significance, etiology and prevalence of depression].

    abstract::Due to the rapidly increasing number of end-stage renal disease patients and the high costs of their treatment, all the aspects of kidney disease that may significantly affect clinical outcome (quality of life mortality) deserve increasing attention. It has been established and accepted that in addition to clinical/so...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:10.1556/OH.2009.28586

    authors: Szeifert L,Adorjáni G,Zalai D,Novák M

    更新日期:2009-03-29 00:00:00

  • [Medicine and health care].

    abstract::Recently the importance of the infrastructure in which the medicine acts is rapidly developing. The health care system is a new science and practice due to the responsibility of the modern state about the health status of the citizens. At the same time the informatical epoch caused the rapid development of the diagnos...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Forgács I

    更新日期:1999-06-27 00:00:00

  • [Needle biopsy of the pleura].

    abstract::A total of 171 pleural needle biopsies were carried out in 123 patients with pleural effusion. The sensitivity of the method proved to be 51% for malignant diseases and 75% for tuberculotic pleurisy, respectively. Performing biopsy simultaneously with the cytological examination of the pleural fluid, malignancy was pr...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Zsiray M,Appel J,Lantos A,Szondy K

    更新日期:1993-11-14 00:00:00

  • [Improvement of myocardial perfusion following left ventricular resection].

    abstract::Left ventricular aneurysm had detected at the 55-year-old woman after extensive anterior myocardial infarction in association with progressive ventricular dilatation and symptoms of heart failure. Coronary angiogram revealed a serious lesion in the proximal segment of the left anterior descending coronary branch with ...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Kulin L,Köszegi Z,Szük T,Kun C,Csapó K,Fülöp T,Voith L,Galuska L,Trón L,Vaszily M,Edes I

    更新日期:1999-08-08 00:00:00

  • [Local infiltration analgesia in total joint replacement].

    abstract:INTRODUCTION:Total hip and knee replacment surgeries are characterized by severe postoperative pain. Local infiltration analgesia is proved to be very effective. However this method has not been widely used in Hungary. AIM:To evaluate the efficacy of the local infiltration analgesia with modified components in patient...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:10.1556/650.2017.30666

    authors: de Jonge T,Görgényi S,Szabó G,Torkos MB

    更新日期:2017-03-01 00:00:00

  • [Selection of statin considering the HDL cholesterol level].

    abstract::Low HDL cholesterol level is an independent risk factor in the cardivascular diseases and the therapeutic aim is to increase this. In high risk patients (cardiovascular disease-, diabetic- or metabolic syndrome patients), the target value of HDL cholesterol is more than 1,0 mmol/l in males and 1,3 mmol/l in females. T...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:

    authors: Kalina A

    更新日期:2006-11-26 00:00:00

  • [Surveys of the consumption of nutritional antioxidants in inflammatory bowel diseases].

    abstract::The redox homeostasis of patients with inflammatory bowel disease is not balanced because of malnutrition and malabsorption. The seriousness of this illness often hinders the intake and use of bioactive agents. We have just a small amount of knowledge about how patients can get access to these important materials. The...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Dörnyei O,Kovács A,Székely E,Dinya E,Blászovics A

    更新日期:2006-06-11 00:00:00

  • [15-year echocardiographic follow-up of acromegalic patients].

    abstract::An echocardiographic follow-up of 25 patients (pts) was performed, after the first examinations in 1978-1979. 15 pts have died in the last 15 years (Group 1), while 10 still living (Group 2). In Group 1 either the impaired global left ventricular at the time of the first echocardiography predicted a high mortality i.e...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:

    authors: Gyöngyösi M,Valkusz Z,Varga A,Forster T,Gáspár L,Csanády M

    更新日期:1995-07-16 00:00:00

  • [The role of real-time three-dimensional echocardiography in the evaluation of hypertrophic cardiomyopathy].

    abstract::Hypertrophic cardiomyopathy is a relatively common hereditary disorder, which is associated with cardiac morphologic and functional alterations. Echocardiography is a non-invasive, simple and easy-to-learn method to evaluate patients with cardiomyopathy. The aim of this review paper is to demonstrate the possible diag...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:10.1556/OH.2009.28710

    authors: Nemes A,Geleijnse ML,Soliman OI,Anwar AM,Vletter WB,McGhie JS,Csanády M,Forster T,Ten Cate FJ

    更新日期:2009-10-18 00:00:00

  • [New perspective in immunotherapy: local imiquimod treatment].

    abstract::Imiquimod belongs to the family of synthetic small nucleotid-like molecules of imidazoquinolinamines. It is an immune response modifier with potent antiviral and antitumor effects, which are mediated by Toll-like receptors (TLR7 and TLR8). Imiquimod targets predominantly TLR7 expressing plasmacytoid dendritic cells an...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:10.1556/OH.2010.28866

    authors: Kemény L,Nagy N

    更新日期:2010-05-09 00:00:00

  • [Postischemic inverted T waves: does gradual regression indicate improved prognosis?].

    abstract::This study has followed up the natural history of postischemic inverted T waves and assessed the prognosis. 40 consecutive patients with unstable angina with postischemic precordial inverted T waves in the noninfarcted, previously ischemic area were followed during the persistence (negative T wave period) and after re...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Simon K,Turi T,Szabó P,Szelier A,Szépvölgyi A,Sereg M,Szatmáry L

    更新日期:1993-12-05 00:00:00

  • [Changes in serum levels of lipid and lipoprotein fractions during breast feeding under the effect of hormonal contraceptives].

    abstract::During the first 3 months of the full-time lactation the level of the lipid and lipoprotein fractions does not change in the mother's blood. The levonorgestrel contraceptive pills taken during the lactation do not influence considerably the lipid-metabolism either. There is only one minute deviation in the levonorgest...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Gellén J,Borthaiser Z,Nyári T,Földesi I

    更新日期:1992-02-09 00:00:00

  • [Frequency of hyperhomocysteinemia in hemodialysis patients with folic acid supplementation].

    abstract:BACKGROUND:It is known that hyperhomocystinemia is an independent risk factor for development of atherosclerosis. In end stage renal disease the frequency of hyperhomocystinemia is much greater than in normal populations. AIM:In this study homocystein (Hcy), folic acid and vitamin B12 concentrations were determined in...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Kárpáti I,Balla J,Szóke G,Bereczky Z,Páll D,Ben T,Toma K,Katona E,Mohácsi A,Paragh G,Varga Z,Kakuk G,Muszbek L

    更新日期:2002-07-07 00:00:00

  • Programming and reprogramming from conception till death

    abstract::During conception (fusion of maternal and paternal germ cells) a new entity is formed, which has individual structure and functions. From its gene-pool (genome) epigenetic regulation selects those genes which are durably or acutely working, supplying a theoretically lifelong program. However, this program could be cha...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:10.1556/650.2020.31764

    authors: Csaba G

    更新日期:2020-06-01 00:00:00

  • [Decreased first-phase secretion of insulin may play a role in the development of insulin resistance].

    abstract::Decreased first-phase secretion of insulin may play a role in the development of insulin resistance. In the development of type 2 diabetes an abnormal function of the beta-cells and insulin resistance of liver, fat cells and muscle play the main role. An early sign of beta-cell damage can be the loss of first-phase in...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章,评审

    doi:

    authors: Wittmann I,Soltész G,Jermendy G,Nagy J

    更新日期:2004-11-07 00:00:00

  • [How did cholesterol levels change in a village in Békés County, Hungary, during the last 20 years?].

    abstract:INTRODUCTION:There are only limited data about the change of cholesterol levels at population level in Hungary. AIM:The aim of the authors was to compare current serum cholesterol levels to those measured 20 years ago in residents of a village in Békés County, Hungary. METHOD:Using a database of a general ptactitione...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:10.1556/650.2015.30263

    authors: Márk L,Hanyecz V

    更新日期:2015-10-04 00:00:00

  • [The role of family therapy in the treatment of extremely severe anorexia nervosa].

    abstract::The authors present the case of a fifteen-year-old anorectic girl. Her lowest body weight was after admission 16.5 kg, with a height of 139 cm-s (body mass index: 8.54 kg/m2). After five-year long unsuccessful individual therapy family therapy was administered, which caused remission, ascertained by a five-year follow...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:

    authors: Túry F,Wildmann M

    更新日期:2006-03-19 00:00:00

  • [Use of the short (5-item) version of the WHO well-being questionnaire in first year students of Semmelweis University].

    abstract:INTRODUCTION:Studies on well-being of students in higher education are in the centre of international research interest, because adult health as a value plays an important role in the life of future generation. AIM:The authors studied variables that affect the value of well-being (satisfaction with life, student succe...

    journal_title:Orvosi hetilap

    pub_type: 杂志文章

    doi:10.1556/650.2016.30572

    authors: Dinyáné Szabó M,Pusztai G

    更新日期:2016-10-01 00:00:00