{"id":660,"date":"2026-05-10T17:00:00","date_gmt":"2026-05-10T20:00:00","guid":{"rendered":"https:\/\/sevenresiduosaude.com.br\/blog\/?p=660"},"modified":"2026-05-10T17:00:00","modified_gmt":"2026-05-10T20:00:00","slug":"descarte-mastologia-biopsia-puncao-marcacao-rss","status":"publish","type":"post","link":"https:\/\/sevenresiduosaude.com.br\/blog\/descarte-mastologia-biopsia-puncao-marcacao-rss\/","title":{"rendered":"Mastologia: descarte de bi\u00f3psia, pun\u00e7\u00e3o, marca\u00e7\u00e3o e procedimentos ambulatoriais"},"content":{"rendered":"<p>A mastologia ambulatorial \u00e9 especialidade que combina <strong>avalia\u00e7\u00e3o cl\u00ednica<\/strong> (palpa\u00e7\u00e3o, ultrassom, resson\u00e2ncia) com <strong>procedimentos invasivos<\/strong> rotineiros (PAAF, core biopsy, mamotomia, marca\u00e7\u00e3o pr\u00e9-cir\u00fargica). O perfil RSS \u00e9 <strong>m\u00e9dio<\/strong>, com forte componente de tecido mam\u00e1rio em formol e perfurocortantes espec\u00edficos.<\/p>\n<h2>Os 5 procedimentos mastol\u00f3gicos e seus res\u00edduos<\/h2>\n<table border=\"1\" cellpadding=\"6\" cellspacing=\"0\" style=\"border-collapse:collapse;\">\n<tr>\n<th>Procedimento<\/th>\n<th>Res\u00edduo<\/th>\n<th>Grupo<\/th>\n<\/tr>\n<tr>\n<td>PAAF (Pun\u00e7\u00e3o Aspirativa por Agulha Fina)<\/td>\n<td>Agulha 22-23G + seringa + l\u00e2mina + algod\u00e3o com sangue<\/td>\n<td>E + A1<\/td>\n<\/tr>\n<tr>\n<td>Core biopsy (agulha grossa, fragmento)<\/td>\n<td>Pistola\/agulha autom\u00e1tica + fragmento em formol + EPI<\/td>\n<td>E + A1 + B (formol)<\/td>\n<\/tr>\n<tr>\n<td>Mamotomia (suc\u00e7\u00e3o a v\u00e1cuo guiada por imagem)<\/td>\n<td>Cassete coletor + tecido em formol + cateter + EPI<\/td>\n<td>E + A1 + B<\/td>\n<\/tr>\n<tr>\n<td>Marca\u00e7\u00e3o pr\u00e9-cir\u00fargica (fio, tinta)<\/td>\n<td>Fio met\u00e1lico de marca\u00e7\u00e3o, ROLL, EPI<\/td>\n<td>A1 + E<\/td>\n<\/tr>\n<tr>\n<td>Drenagem de cisto \/ abscesso mam\u00e1rio<\/td>\n<td>Agulha + drenado em frasco + EPI<\/td>\n<td>E + A1<\/td>\n<\/tr>\n<\/table>\n<h2>Core biopsy: o procedimento dominante<\/h2>\n<p>Core biopsy guiada por ultrassom ou estereotaxia \u00e9 hoje o padr\u00e3o-ouro para diagn\u00f3stico de n\u00f3dulo mam\u00e1rio suspeito. Por procedimento:<\/p>\n<ul>\n<li><strong>Pistola descart\u00e1vel + agulha core<\/strong> \u2192 E (corte).<\/li>\n<li><strong>Fragmento em formol<\/strong> \u2192 A1 + B (vai para patologia).<\/li>\n<li><strong>Anest\u00e9sico local + agulha de infiltra\u00e7\u00e3o<\/strong> \u2192 E + A1.<\/li>\n<li><strong>Compressas, EPI cir\u00fargico leve<\/strong> \u2192 A1.<\/li>\n<\/ul>\n<p>Volume t\u00edpico: 100-300 g por procedimento.<\/p>\n<h2>Volume e custo m\u00e9dio<\/h2>\n<p>Consult\u00f3rio de mastologia ambulatorial padr\u00e3o (8-15 procedimentos\/semana):<\/p>\n<ul>\n<li><strong>Volume RSS A1<\/strong>: 5-15 kg\/m\u00eas.<\/li>\n<li><strong>Grupo E<\/strong>: 1-3 kg\/m\u00eas.<\/li>\n<li><strong>Grupo B<\/strong>: 0,5-2 kg\/m\u00eas (formol, anest\u00e9sicos).<\/li>\n<li><strong>Coleta especial mensal<\/strong>: R$200-450\/m\u00eas.<\/li>\n<li><strong>PGRSS<\/strong>: R$2.500-5.000.<\/li>\n<\/ul>\n<p>Centro de imagem mam\u00e1ria com PAAF + core + mamotomia rotineiros (cl\u00ednica de mama):<\/p>\n<ul>\n<li><strong>Volume<\/strong>: 15-40 kg\/m\u00eas.<\/li>\n<li><strong>Coleta<\/strong>: R$400-800\/m\u00eas.<\/li>\n<\/ul>\n<h2>Erros comuns<\/h2>\n<ul>\n<li><strong>Misturar tecido em formol com A1 simples<\/strong>. \u00c9 A1 + B.<\/li>\n<li><strong>Tratar fio de marca\u00e7\u00e3o como reciclagem<\/strong>. Fio met\u00e1lico contaminado por contato com paciente \u00e9 A1.<\/li>\n<li><strong>N\u00e3o considerar EPI durante mamotomia<\/strong>. \u00c9 A1 sempre.<\/li>\n<\/ul>\n<h2>Conclus\u00e3o<\/h2>\n<p>Mastologia ambulatorial \u00e9 gerador RSS m\u00e9dio com componente formol significativo. PGRSS proporcional, segrega\u00e7\u00e3o A1 + E + B, aten\u00e7\u00e3o a fragmentos para patologia.<\/p>\n<p>A <a href=\"https:\/\/sevenresiduosaude.com.br\/\">Seven Res\u00edduos Sa\u00fade<\/a> atende cl\u00ednicas mastol\u00f3gicas em S\u00e3o Paulo. <a href=\"https:\/\/sevenresiduosaude.com.br\/blog\/\">Solicite avalia\u00e7\u00e3o<\/a> ao perfil espec\u00edfico.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Consult\u00f3rio de mastologia: PAAF, core biopsy, mamotomia, marca\u00e7\u00e3o pr\u00e9-cir\u00fargica. Veja segrega\u00e7\u00e3o RSS, custo de coleta e regula\u00e7\u00e3o pr\u00e9-operat\u00f3ria.<\/p>\n","protected":false},"author":3,"featured_media":659,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[1234,1235,1237,1233,1236],"class_list":["post-660","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-compliance-legislacao","tag-core-biopsy-descarte","tag-mamotomia-pgrss","tag-marcacao-pre-cirurgica","tag-mastologia-rss","tag-paaf-mama-residuo"],"_links":{"self":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/660","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/comments?post=660"}],"version-history":[{"count":1,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/660\/revisions"}],"predecessor-version":[{"id":2414,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/posts\/660\/revisions\/2414"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/media\/659"}],"wp:attachment":[{"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/media?parent=660"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/categories?post=660"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sevenresiduosaude.com.br\/blog\/wp-json\/wp\/v2\/tags?post=660"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}