Short-interval follow-up mammography versus immediate core biopsy of benign breast lesions: assessment of patient stress.

Abstract Lactating adenomas are benign breast lesions that occur in pregnant, lactating, and postpartum women. These lesions have no associated malignant potential; their origin is disputed with no consensus on whether they represent hyperplastic or neoplastic processes. On ultrasound, lactating adenomas are classically described as solid, circumscribed, parallel masses with iso/hypoechoic internal echotexture and posterior enhancement. Histologically, lactating adenomas appear as circumscribed nodules of tightly packed lobular acini with extensive lactational change during pregnancy or the postpartum period. Masses in pregnant and lactating women with probably benign imaging characteristics—oval, circumscribed, parallel, iso/hypoechoic—can be managed with short interval follow-up (BI-RADS 3) rather than biopsy. However, lactating adenomas can also demonstrate characteristics that overlap with pregnancy-associated breast cancer, such as margins that are not circumscribed, prompting biopsy to exclude pregnancy-associated carcinoma. Breast imaging radiologists must be aware of the variable appearances of lactating adenomas to appropriately manage pregnant and lactating women presenting with palpable lumps.

Download Full-text

Benign core biopsy of probably benign breast lesions 2 cm or larger: correlation with excisional biopsy and long-term follow-up

ULTRASONOGRAPHY ◽

10.14366/usg.14011 ◽

2014 ◽

Vol 33 (3) ◽

pp. 200-205 ◽

Cited By ~ 5

Author(s):

Hyun Kyung Jung ◽

Hee Jung Moon ◽

Min Jung Kim ◽

Eun-Kyung Kim

Keyword(s):

Core Biopsy ◽

Excisional Biopsy ◽

Breast Lesions ◽

Long Term Follow Up ◽

Benign Breast Lesions

Download Full-text

Follow-Up, Biopsy, or Surgical Excision of Palpable Probably Benign Breast Lesions

American Journal of Roentgenology ◽

10.2214/ajr.10.4250 ◽

2010 ◽

Vol 195 (2) ◽

pp. 529-529 ◽

Cited By ~ 1

Author(s):

Ferris M. Hall

Keyword(s):

Surgical Excision ◽

Breast Lesions ◽

Benign Breast Lesions

Download Full-text

Benign Breast Lesions: Minimally Invasive Vacuum-assisted Biopsy with 11-Gauge Needles—Patient Acceptance and Effect on Follow-up Imaging Findings

Radiology ◽

10.1148/radiol.2271011933 ◽

2003 ◽

Vol 226 (3) ◽

pp. 783-790 ◽

Cited By ~ 31

Author(s):

Sabine Huber ◽

Monika Wagner ◽

Michael Medl ◽

Heinrich Czembirek

Keyword(s):

Minimally Invasive ◽

Patient Acceptance ◽

Breast Lesions ◽

Imaging Findings ◽

Benign Breast Lesions

Download Full-text

Scar formation after stereotactic vacuum-assisted core biopsy of benign breast lesions

Clinical Radiology ◽

10.1016/j.crad.2006.03.008 ◽

2006 ◽

Vol 61 (7) ◽

pp. 619-624 ◽

Cited By ~ 10

Author(s):

B. Yazici ◽

A.R. Sever ◽

P. Mills ◽

D. Fish ◽

S.E. Jones ◽

...

Keyword(s):

Core Biopsy ◽

Scar Formation ◽

Breast Lesions ◽

Benign Breast Lesions

Download Full-text

Imaging-Histological Discordance after Sonographically Guided Percutaneous Breast Core Biopsy

Breast Care ◽

10.1159/000370219 ◽

2014 ◽

Vol 10 (1) ◽

pp. 33-37 ◽

Cited By ~ 9

Author(s):

Aykut Soyder ◽

Füsun Taşkın ◽

Serdar Ozbas

Keyword(s):

Core Biopsy ◽

Breast Biopsy ◽

Surgical Excision ◽

Excisional Biopsy ◽

Breast Lesions ◽

Core Needle ◽

Ductal Carcinomas ◽

Histological Results

Background: The objectives of this study were to determine the frequency of imaging-histological discordance and to compare the frequency of carcinoma between discordant lesions at ultrasound (US)-guided core needle biopsy. Materials and Methods: From November 2009 to June 2012, we performed US-guided 14-gauge core needle biopsies on 989 breast lesions in 961 women. We reviewed 58 (5.8%) cases that had imaging-histological discordance after percutaneous breast biopsy and underwent subsequent excisional biopsy. The clinical, radiological, and histological findings were reviewed for those 58 cases. Results: Among the 58 cases, subsequent excisions revealed 16 (27.5%) malignancies, which were categorized as 9 (15.5%) invasive ductal carcinomas, 4 (6.9%) malignant phyllodes tumors, and 3 (5.1%) ductal carcinomas in situ. Conclusion: The malignancy rate of 27.5% suggests that surgical excision should be performed in those cases presenting with imaging-histological discordance after US-guided core biopsy. Careful correlation of clinical, radiological, and histological results as well as appropriate follow-up are essential.

Download Full-text