Applicability of a Proposed Italian Model for the treatment of B3 lesions

2020 ◽  
Vol 26 (11) ◽  
pp. 2320-2322
Author(s):  
Giuseppe Falco ◽  
Emanuela Capalbo ◽  
Vanessa Marchesi ◽  
Moira Ragazzi ◽  
Gianfranco Scaperrotta ◽  
...  
Keyword(s):  
B3 Lesions ◽  
Italian Model

Regulation of strikes and the European social model

2002 ◽  
Vol 8 (4) ◽  
pp. 608-623
Author(s):  
Tiziano Treu
Keyword(s):  
Public Service ◽  
Industrial Relations ◽  
Social Model ◽  
European Social Model ◽  
European System ◽  
Robust System ◽  
Italian Model ◽  
Italian Legislation

Regulation of conflict is not currently part of the European social model. This contribution suggests methods for underpinning the European social model with a robust system of industrial relations. One important issue is that of transnational strikes. The author sets out a number of hypotheses for what might constitute legitimate strike action in European terms. Dispute prevention and settlement procedures should be an important part of a European industrial relations system. Italian legislation on public-service strikes, with its focus on users as well as strikers, is discussed. The Italian model provides useful pointers for a European system, balancing as it does the collective and individual interests of the workers and users involved in labour conflicts.

scholarly journals Towards an implementation of the Italian model of community psychiatry

1992 ◽  
Vol 16 (2) ◽  
pp. 90-92 ◽  
Author(s):  
Andrea Pergami
Keyword(s):  
Mental Health ◽  
General Health ◽  
Community Psychiatry ◽  
The Political ◽  
Western Countries ◽  
Health Measures ◽  
Mental Health Act ◽  
The Subject ◽  
Italian Model

The Italian Reform Act (Law 180) has been considered one of the most revolutionary Mental Health Acts in Western countries and has been the subject of considerable attention since its promulgation in May 1978. Interest in the Italian model of community psychiatry has been reflected in the number of articles, special supplements and letters, published in noteworthy European and American journals. However, for a better understanding of the meaning of Law 180 (now part of Law 833 concerning general health measures) the political and sociocultural climate surrounding the enactment of the Italian Mental Health Act should be considered.

scholarly journals Second International Consensus Conference on lesions of uncertain malignant potential in the breast (B3 lesions)

2018 ◽  
Vol 174 (2) ◽  
pp. 279-296 ◽  
Author(s):  
Christoph J. Rageth ◽  
Elizabeth A. M. O’Flynn ◽  
Katja Pinker ◽  
Rahel A. Kubik-Huch ◽  
Alexander Mundinger ◽  
...  
Keyword(s):  
Consensus Conference ◽  
Malignant Potential ◽  
Uncertain Malignant Potential ◽  
International Consensus ◽  
B3 Lesions ◽  
Second International

Continuity and Change in the Italian Model

2009 ◽  
pp. 201-222 ◽  
Author(s):  
Annamaria Simonazzi ◽  
Paola Villa ◽  
Federico Lucidi ◽  
Paolo Naticchioni
Keyword(s):  
Continuity And Change ◽  
Italian Model

Role of contrast-enhanced spectral mammography in the post biopsy management of B3 lesions: Preliminary results

2018 ◽  
Vol 105 (5) ◽  
pp. 378-387 ◽  
Author(s):  
Giulia Bicchierai ◽  
Jacopo Nori ◽  
Diego De Benedetto ◽  
Cecilia Boeri ◽  
Ermanno Vanzi ◽  
...  
Keyword(s):  
Breast Imaging ◽  
Surgical Excision ◽  
Surgical Biopsy ◽  
Predictive Values ◽  
Contrast Enhanced ◽  
B3 Lesions ◽  
Malignant Lesions ◽  
Sensitivity Specificity

PurposeTo evaluate the role of contrast-enhanced spectral mammography (CESM) in the post biopsy management of breast lesions classified as lesions of uncertain malignant potential (B3) by core needle biopsy and vacuum-assisted biopsy (VAB).MethodsThe local ethics committee approved this retrospective study and for this type of study formal consent is not required. A total of 42 B3 lesions in 40 women aged 41–77 years were included in our study. All patients underwent CESM 2–3 weeks after the biopsy procedure and surgical excision was subsequently performed within 60 days of the CESM procedure. Three radiologists reviewed the images independently. The results were then compared with histologic findings.ResultsThe sensitivity, specificity, and positive and negative predictive values for confirmed demonstration of malignancy at CESM were 33.3%, 87.2%, 16.7%, and 94.4% for reader 1; 66.7%, 76.9%, 18.2%, and 96.7% for reader 2; 66.7%, 74.4%, 16.7%, and 96.7% for reader 3. Overall agreement on detection of malignant lesions using CESM among readers ranged from moderate to substantial (κ = .451–.696), for categorization of BPE from moderate to substantial (κ = .562–.711), and for evaluation of lesion intensity enhancement from fair to moderate (κ = .346–.459).ConclusionIn cases of Breast Imaging Reporting and Data System (BI-RADS) 1, BI-RADS 2, or BI-RADS 3 results at CESM, follow-up or VAB rather than surgical biopsy might be performed.

Characteristics of the Italian Model

2010 ◽  
pp. 111-116
Author(s):  
Pier Carlo Palermo ◽  
Davide Ponzini
Keyword(s):  
Italian Model

Syncope (T-LOC) Management Units: The Italian Model

Syncope ◽  
2010 ◽  
pp. 139-150
Author(s):  
Michele Brignole ◽  
David G. Benditt
Keyword(s):  
Management Units ◽  
Italian Model

scholarly journals Relevance of B3 lesions in breast diagnosis – frequency and therapeutic consequences

2018 ◽  
Vol 15 (03) ◽  
pp. 153-159 ◽  
Author(s):  
Christin Madjar ◽  
James Seabert ◽  
Annette Fisseler-Eckhoff ◽  
Christian Gustmann ◽  
Isabell Hoffmann ◽  
...  
Keyword(s):  
Breast Imaging ◽  
Atypical Ductal Hyperplasia ◽  
Radial Scar ◽  
Flat Epithelial Atypia ◽  
Surgical Removal ◽  
Core Needle ◽  
Ductal Hyperplasia ◽  
Vacuum Biopsy ◽  
B3 Lesions ◽  
Epithelial Atypia

AbstractWith improvements in breast imaging and minimally invasive interventions, detection of early breast cancer has increased. However, with the improved diagnostic capabilities, the risk of false-positive benign lesions as well as lesions classified as B3 by histopathology has also increased. Varying rates of malignancies are associated with B3 lesions, raising the question of whether such lesions should always be surgically removed. The results of our retrospective analysis should assist in this decision-making process.307 core needle or vacuum-assisted needle biopsies in which B3 lesions were found were examined. The most common lesions were intraductal papillomas (44 %), atypical ductal hyperplasia (22.8 %), flat epithelial atypia (9.4 %), phyllodes tumours (6.5 %), radial scars (5.9 %), LIN 1 (4.9 %), complex fibroadenomas (3.3 %) and LIN 2 (1.6 %). The frequencies depended considerably on whether the tissue was obtained by core biopsy or vacuum biopsy. Stereotactic vacuum biopsy was generally performed in the case of microcalcification not apparent on sonography. Lesions visible on ultrasound had core needle biopsy.Surgery was performed in 254 cases and a malignancy was found in 27.2 % on the final histopathology. Malignancy was found in 24.6 % of 114 cases initially diagnosed as intraductal papilloma. Similarly, cancer was discovered in 48.4 % of the 62 cases of atypical ductal hyperplasia, in 2.4 % of the 41 cases of flat epithelial atypia, complex fibroadenoma and phyllodes tumour, in 20.7 % of the 29 cases of LIN 1 and radial scar as well as in 50 % of the 8 cases of LIN 2, adenomyoepithelioma and atypical apocrine metaplasia.These data indicate the necessity for complete surgical removal of a B3 lesion when it is discovered using the core needle or vacuum-assisted biopsy technique. The decision not to perform surgery can be made when the risk of associated malignancy is deemed low in the clinical pathology conference, but careful follow-up is essential.

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