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Revisiones en Cáncer H0163

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Revisión

Radiología de la mama en el carcinoma de mama localmente avanzado

Publicado: 2023-03-29

VOLUMEN 36, NÚM. 6, noviembre-diciembre (2022), PAG. 271-338

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El carcinoma de mama localmente avanzado (CMLA) es una situación poco frecuente en países desarrollados. El tratamiento óptimo requiere un abordaje multidisciplinario. El abordaje terapéutico inicial más aceptado es la quimioterapia neoadyuvante seguida de cirugía, radioterapia y terapia adyuvante sistémica. Las técnicas de imagen juegan un papel fundamental en la correcta y precisa estadificación y en la monitorización del tratamiento primario sistémico para poder orientar el tratamiento más adecuado. Las técnicas convencionales de mamografía y ecografía, unidas a la exploración clínica, constituyen un abordaje inicial. Sin embargo, las guías de consenso más actuales refieren que las técnicas funcionales (resonancia magnética y mamografía con contraste en manos de radiólogos expertos) permiten una valoración más precisa.

Palabras Clave: Carcinoma de mama localmente avanzado. Carcinoma inflamatorio de mama. Resonancia magnética de mama. Estadificación. Ecografía axilar. Mamografía con contraste. Monitorización quimioterapia resonancia. Quimioterapia.

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