Biomedical subjects

D Ouimet-Oliva

Publications and source records attributed to D Ouimet-Oliva.

14 recordsLinked to original sources

PubMed1998

Level of suspicion of a mammographic lesion: use of features defined by BI-RADS lexicon and correlation with large-core breast biopsy.

OBJECTIVE: To determine whether the categories defined in the Breast Imaging Reporting and Data System (BI-RADS) are useful predictors of malignancy and to assess their positive predictive value. PATIENTS AND METHODS: A retrospective study was undertaken from July 1, 1994, to June 30, 1995. Of 568 abnormal mammograms for which largecore biopsy was recommended, 495 were available for review. The mammographic features of the lesions, as defined by the BI-RADS lexicon, were used to assess the level of suspicion. The lesions were classified as "probably benign," "suspicious" or "highly suggestive of malignancy." These diagnostic impressions were then correlated with the histologic diagnosis made after core biopsy. RESULTS: The diagnostic impressions before core biopsy were as followed: 16 (3%) benign lesions, 397 (80%) suspicious lesions and 82 (17%) lesions highly suggestive of malignancy. All benign lesions remained in the same category after core biopsy, whereas, of the suspicious lesions, 91% were diagnosed as benign, only 4% as malignant, and the other 5% as atypical hyperplasia. Among the lesions highly suggestive of malignancy according to the BI-RADS lexicon, 54% were found to be malignant at core biopsy. CONCLUSION: The BI-RADS lexicon is helpful in discriminating between lesions that are probably benign and probably malignant from the mammographic features. However, the rate of malignancy in the "suspicious" category is low.

Adult↗

PubMed1993

Imaging of the salivary glands.

The most common conditions affecting the salivary glands are calculi, inflammation and tumours. Plain radiography may be useful, especially in showing calculi. Sialography is the examination of choice for inflammatory diseases, whereas ultrasonography, computed tomography and magnetic resonance imaging are particularly useful in evaluating masses in the salivary glands. Radionuclide studies are sometimes helpful in evaluating inflammatory or tumoral diseases. Each technique has its place, and the methods are often complementary. In this review article the authors present the techniques that they use in evaluating diseases of the salivary glands.

Humans↗

PubMed1991

Diffuse metastatic involvement of the breast.

Metastases to the breast are not very common and, according to the recent literature, usually present as nodules, most often single but sometimes multiple, generally without retraction or thickening of the skin. The authors reviewed 21 such cases from the last 15 years. In six patients the metastatic infiltration presented as diffuse thickening of the skin and increased density of the breast, as can be seen in inflammatory diseases or after radiotherapy. In five of these six women lymphangitic spread of the carcinoma was demonstrated by microscopy.

Adult↗

PubMed1986

Sensitivity and specificity of first screen mammography in the Canadian National Breast Screening Study: a preliminary report from five centers.

Sensitivity and specificity of first screen mammography in a randomized screening trial at five centers are reported. A total of 23,101 women underwent mammography; in 139, breast cancer was detected at first screening; in 20, less than 12 months after first screening; and in 47, at second screening. All 206 cancer cases were histologically confirmed, and 174 were defined as being detectable at first screening. Average length of follow-up for all women was 3.2 years. Interpretations of first screen mammograms by the center radiologists were matched to known outcomes. Simultaneous blind review was performed by a single reference radiologist with mammograms from all 206 cancer cases and those of a random sample of 739 women not known to have breast cancer at 15 months or more after initial screening. Overall, the five screening centers achieved a sensitivity of 69% (range, 60%-78%), a specificity of 94% (range, 93%-96%), a positive predictive value of 8.6% (range, 3%-16%), and a negative predictive value of 99.7% (range, 99.6%-99.9%).

Breast Neoplasms↗

PubMed1981

Effect of danazol on the radiographic density of breast parenchyma.

We have given danazol to 25 women with mammary dysplasia. Clinical, cytologic and radiographic examinations were made before, during and after this treatment. In 23 patients breast pain disappeared completely. Danazol produced such a decrease in breast volume and density that on the mammogram the parenchyma was much more easily visualized. We suggest that danazol might be given before mammography to high risk women having dense dysplasic breasts, in order to ensure easier and more accurate interpretation.

Adult↗

PubMed1977

Radiology of breast tumors in the male.

Radiologic investigation of the male breast has given us a better knowledge of its physiopathology. We have reviewed more than 100 cases of breast tumors in male patients. We wish to describe the radiologic presentation of these lesions, the commonest of which is gynecomastia, to distinguish between cancer and gynecomastia, and to compare male breast cancer with female breast cancer. Examination of the breast in man is important. In the adolescent with an enlarged breast, examination may reveal a testicular tumor, whereas in the adult, where a malignant tumor of the breast must excluded, mammography is particularly helpful.

Adolescent↗

PubMed1976