PubMed Health⌕ Search

Biomedical subjects

N Y Hoffman

Publications and source records attributed to N Y Hoffman.

16 recordsLinked to original sources
PubMed1994

When the patient asks for the results of her mammogram, how should the radiologist reply?

More and more, the patient expects the radiologist to answer her questions about the results of her mammogram. Yet many radiologists are concerned about the way they should reply. Many radiologists are unsure what the referring physicians would want them to say and what other radiologists would consider appropriate. In this continuing attempt to redefine radiologists' responsibilities and their changing roles, the radiologist and the referring physician too often omit the key factor in every medical equation: what the patient wants.

Breast Neoplasms↗
PubMed1992

Fine-needle aspiration cytology in the detection of breast cancer in nonsuspicious lesions.

In 1988, fine-needle aspiration cytology (FNAC) was performed on 222 consecutive patients who underwent screening mammography and had benign-appearing opacities. FNAC was also performed in 2,248 consecutive symptomatic patients with clinically palpable masses and mammograms that were considered within normal limits. FNAC, performed with a 23-gauge needle, helped detect three unsuspected cancers in the 222 screened patients and eight unsuspected malignancies in the 2,248 symptomatic patients. Only one of every 225 nonsuspicious masses proved to be malignant, but, without FNAC, there would have been no way to know which mass was a newly surfacing carcinoma. FNAC not only helped detect early cancers, but its negative findings resulted in sparing patients the ordeal of surgical biopsy for benign conditions. The low lymph node metastatic rate of 18% suggests that patients with FNAC-depicted cancers have a prognosis as promising as those patients with mammographically detected malignancies.

Adult↗
PubMed1989

Diabetic fibrous breast disease.

Women with long-standing insulin-dependent diabetes mellitus (IDDM) and radiographically dense mammary glandular tissue can have benign breast masses clinically resembling cancer. The authors have identified 36 patients, aged 20-54 years, with this little-known condition, which the authors call diabetic fibrous breast disease (DFBD). For a diagnosis of DFBD, the patient must fulfill certain stringent requirements: a long-term history of IDDM; radiographically dense glandular tissue; and one or more hard, irregular, easily movable, discrete, painless, palpable breast masses with strong ultrasonographic acoustical shadowing and firm resistance to the back-and-forth motion of the needle used for fine-needle aspiration cytology (FNAC). Patients meeting all criteria can be monitored with serial FNAC procedures to prevent them from undergoing multiple surgical biopsies. During an average of 6 years of monitoring these 36 women, breast cancer did not develop in any mass fulfilling all requirements for DFBD.

Adult↗