Advocating nonsurgical management of patients with small, incidental radial scars at the time of needle core biopsy: A study of 77 cases

Archives of Pathology and Laboratory Medicine

Volumn 139, Issue 9, 2015, Pages 1137-1142

  Matrai, Cathleen ^a   D'Alfonso, Timothy M ^a   Pharmer, Lindsay ^b   Drotman, Michele B ^b   Simmons, Rache M ^b   Shin, Sandra J ^a  

^a NEW YORK PRESBYTERIAN HOSPITAL   (United States)

^b WEILL CORNELL MEDICAL COLLEGE   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; BREAST DISEASE; BREAST TUMOR; CALCINOSIS; CICATRIX; FEMALE; HUMAN; HYPERPLASIA; INTRADUCTAL CARCINOMA; LARGE CORE NEEDLE BIOPSY; LUNG CARCINOMA; MIDDLE AGED; PAGET NIPPLE DISEASE; PATHOLOGY; RADIOGRAPHY; RETROSPECTIVE STUDY;

ADULT; AGED; BIOPSY, LARGE-CORE NEEDLE; BREAST DISEASES; BREAST NEOPLASMS; CALCINOSIS; CARCINOMA, DUCTAL, BREAST; CARCINOMA, INTRADUCTAL, NONINFILTRATING; CARCINOMA, LOBULAR; CICATRIX; FEMALE; HUMANS; HYPERPLASIA; MIDDLE AGED; RETROSPECTIVE STUDIES;

EID: 84941686623     PISSN: 00039985     EISSN: 15432165     Source Type: Journal    
DOI: 10.5858/arpa.2014-0550-OA     Document Type: Conference Paper

References (18)

1. Aroner SA, Collins LC, Connolly JL, et al. Radial scars and subsequent breast cancer risk: results from the Nurses' Health Studies. Breast Cancer Res Treat. 2013;139(1):277-285.
2. Alvarado-Cabrero I, Tavassoli FA. Neoplastic and malignant lesions involving or arising in a radial scar: a clinicopathologic analysis of 17 cases. Breast J. 2000;6(2):96-102.
3. Bianchi S, Giannotti E, Vanzi E, et al. Radial scar without associated atypical epithelial proliferation on image-guided 14-gauge needle core biopsy: analysis of 49 cases from a single-centre and review of the literature. Breast. 2012;21(2):159-164.
4. Sloane JP, Mayers MM. Carcinoma and atypical hyperplasia in radial scars and complex sclerosing lesions: importance of lesion size and patient age. Histopathology. 1993;23(3):225-231.
5. Brenner RJ, Jackman RJ, Parker SH, et al. Percutaneous core needle biopsy of radial scars of the breast: when is excision necessary? AJR Am J Roentgenol. 2002;179(5):1179-1184.
6. Linda A, Zuiani C, Furlan A, et al. Nonsurgical management of high-risk lesions diagnosed at core needle biopsy: can malignancy be ruled out safely with breast MRI? AJR Am J Roentgenol. 2012;198(2):272-280.
7. Andacoglu O, Kanbour-Shakir A, Teh YC, et al. Rationale of excisional biopsy after the diagnosis of benign radial scar on core biopsy: a single institutional outcome analysis. Am J Clin Oncol. 2013;36(1):7-11.
8. Morgan C, Shah ZA, Hamilton R, et al. The radial scar of the breast diagnosed at core needle biopsy. Proc (Bayl Univ Med Cent). 2012;25(1):3-5.
9. Sohn VY, Causey MW, Steele SR, Keylock JB, Brown TA. The treatment of radial scars in the modern era - surgical excision is not required. Am Surg. 2010; 76(5):522-525.
10. Douglas-Jones AG, Denson JL, Cox AC, Harries IB, Stevens G. Radial scar lesions of the breast diagnosed by needle core biopsy: analysis of cases containing occult malignancy. J Clin Pathol. 2007;60(3):295-298.
11. Philpotts LE, Shaheen NA, Jain KS, Carter D, Lee CH. Uncommon high-risk lesions of the breast diagnosed at stereotactic core-needle biopsy: clinical importance. Radiology. 2000;216(3):831-837.
12. Cawson JN, Malara F, Kavanagh A, et al. Fourteen-gauge needle core biopsy of mammographically evident radial scars: is excision necessary? Cancer. 2003;97(2):345-351.
13. Rakha EA, Ho BC, Naik V, et al. Outcome of breast lesions diagnosed as lesion of uncertain malignant potential (B3) or suspicious of malignancy (B4) on needle core biopsy, including detailed review of epithelial atypia. Histopathology. 2011;58(4):626-632.
14. Miller CL, West JA, Bettini AC, et al. Surgical excision of radial scars diagnosed by core biopsy may help predict future risk of breast cancer. Breast Cancer Res Treat. 2014;145(2):331-338.
15. Obenauer S, Hermann KP, Grabbe E. Applications and literature review of the BI-RADS classification. Eur Radiol. 2005;15(5):1027-1036.
16. Lee KA, Zuley ML, Chivukula M, et al. Risk of malignancy when microscopic radial scars and microscopic papillomas are found at percutaneous biopsy. AJR Am J Roentgenol. 2012;198(2):W141-W145.
17. Doyle EM, Banville N, Quinn CM, et al. Radial scars/complex sclerosing lesions and malignancy in a screening programme: incidence and histological features revisited. Histopathology. 2007;50(5):607-614.
18. Resetkova E, Edelweiss M, Albarracin CT, Yang WT. Management of radial sclerosing lesions of the breast diagnosed using percutaneous vacuum-assisted core needle biopsy: recommendations for excision based on seven years' of experience at a single institution. Breast Cancer Res Treat. 2011;127(2):335-343.