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Un hombre en la consulta de ginecologia

Era residente de primer año,cuando en las consultas externas la medica adjunta me pide que llame a la siguiente paciente , cuando salgo a llamar por la puerta veo que se llama Pedro , no entendía nada , voy a buscar a la enfermera para informarle del error y me dice que no hay ningún error , que el paciente era un hombre y se llamaba Pedro y venia a atenderse con la doctora , mi cara estaría  tan desencajada , a parte de cansada; por que la enfermera se echo a reír., entonces miro a la sala de espera y veo a un hombre sentado entre dos mujeres , bastante desalineado ,parecía tener unos 60 años .

Llamo entonces a Pedro , el hombre pasa a la consulta con la cabeza a gachas y se siente delante de la doctora , ella comienza con el interrogatorio y Pedro le cuanta que tiene un bulto en la mama derecha de hace tiempo y que le preocupaba bastante . Durante el interrogatorio Pedro nos cuenta que trabajaba de cartonero. Tenia 50 años y varios hijos , salia todo los días muy temprano a juntar todo los desechos que se pudieran  reciclar en la  la ciudad de Monte Grande .

Pedro era un paciente muy introvertido , aparentaba mucha mas edad de la que tenia, era muy delgado y alto  su piel era morena y surcada por muchas arrugas tenia una ligera cifosis  , nos contaba que se levantaba a las cinco de la mañana y salia con su carro empujado por un caballo recorriendo los basurales en busca de botellas , hierro y cartones para canjear por algunos pesos,  muchas veces iba acompañado de alguno de sus hijos , solía estar en la calle trabajando hasta altas horas de la noche.

Cuando revisamos a Pedro vemos que su mama derecha presentaba un nódulo duro y pétreo muy fijo al musculo , se solicito ecografia y mamografia del tumor y dada la sospecha ingresa a quirofano , durante la cirugía se realiza la biopsia y se confirman las sospechas Cáncer de mama con ganglios axilares positivos  Tiene un posoperatorio complicado ,luego del cual pasa a oncologia . Era muy difícil para Pedro y su familia ya que el era el único que trabajaba, no tenia pensión ,ni seguridad social era imposible que cumpliera los tratamientos, no podía comprar la medicación solía faltar a sus citas de oncologia y al año nos enteramos que falleció.

El cáncer de mama en hombre no es muy frecuente , pero cuando aparece un nódulo en la mama  siempre hay que descartar cáncer de mama ya que la aparición de nódulos se asocian a muy alta frecuencia de cáncer de mama en hombre

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