Breast cancer is an oncologic process in which healthy cells of the mammary gland degenerate and transform into tumor cells, proliferating and multiplying until the tumor is formed. It is known that breast cancer is one of the main causes of death in women. Therefore, mastectomy is one of the most used medical interventions to prevent, fight or stop breast cancer totally or partially. Due to this, the aim of this work was to determine the method or methods used for breast reconstruction for patients with a history of breast cancer after a total or partial mastectomy, and also to know a little about possible complications if any, to know which would be the most assertive to apply to the patient, for which information was collected in databases, and using a method similar to PRISMA a necessary number of articles that met the criteria for the preparation of the work were chosen, and search terms were used in pages such as MESH/DECS. Among the main methods found to achieve breast reconstruction was the immediate reconstruction that can even be applied at the time of mastectomy, however, the technique to be used will depend on the patient’s case, as soft tissue flaps can be used, as well as autologous tissues that are cataloged with better results even than radiotherapy.
Esta revisión, presenta un caso clínico poco frecuente en el contexto actual, como lo es la adrenoleucodistrofia. La adrenoleucodistrofia (ADL) es un raro trastorno peroxisomal el cual está ligado al cromosoma X y que presenta múltiples manifestaciones que a menudo son progresivas y que no pueden detectarse antes o durante el nacimiento dejando que las manifestaciones de la enfermedad se vayan desarrollando con el paso del tiempo. Descripción del caso: El caso se trata de un paciente masculino de 13 años de edad que desde los 6 años fue llevado a consulta por sus padres por presentar cambios bruscos en su desarrollo con perdida en el tono muscular y deterioro cognitivo progresivo. Durante la primera consulta se realizan, exámenes complementarios con el afán de encontrar la causa del problema, siendo referido a múltiples especialidades, si bien en un inicio no hubo un diagnóstico claro. Los resultados realizados en Alemania a partir de un cribado (ADN) confirmó el diagnóstico de la enfermedad y en el examen se detalla que el gen se lo transmitió por herencia desde la familia materna. Conclusión: Un diagnostico precoz ayudará a tratar de forma temprana la patología, además de una monitorización a la familia que es portadora del gen ayudará a determinar la existencia previa de posibles nuevos casos, además de la necesidad de revisión y actualización de la literatura sobre la patología.
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