Tags

Type your tag names separated by a space and hit enter

The treatment of radial scars in the modern era--surgical excision is not required.
Am Surg. 2010 May; 76(5):522-5.AS

Abstract

The clinical significance of isolated radial scars (RS) diagnosed on core needle biopsy (CNB) remains unclear. By determining the pathologic concordance rate, we sought to define the indications for surgical excision for RS diagnosed on CNB. Between January 1994 and December 2007, 38 RS were diagnosed by CNB. Twenty-eight underwent surgical excision with 27 (96%) patients having further benign diagnoses. One patient, who was found to have invasive cancer on CNB, was also found to have malignancy on open biopsy. Fourteen lesions were diagnosed by 8-gauge, 13 lesions by 11-gauge, and one lesion by 14-gauge biopsy needles. Seven studies met inclusion criteria for analysis; 341 lesions with follow-on surgical biopsy were identified. Sixteen (5%) radial'scars were found to harbor malignancy and all were percutaneously biopsied with 14-gauge needles. With the inclusion of the current study, none of the isolated radial scars diagnosed by the larger 11- or 8-gauge biopsy needles resulted in upgraded lesions on follow-on surgical biopsy. Based on the current review, histologic radial scars are infrequently associated with occult malignancy and do not mandate surgical excision. Indications for excision include the mammographic diagnosis of RS and specimens associated with atypia that would otherwise require open biopsy.

Authors+Show Affiliations

Sohn VY
Department of Surgery, Madigan Army Medical Center, Tacoma, Washington 98431, USA. vancesohn@hotmail.com
Causey MW
No affiliation info available
Steele SR
No affiliation info available
Keylock JB
No affiliation info available
Brown TA
No affiliation info available

MeSH

AdultAgedBiopsy, NeedleBreast DiseasesCicatrixCohort StudiesFemaleHumansMammographyMiddle AgedPredictive Value of TestsReproducibility of ResultsRetrospective StudiesTreatment Outcome

Pub Type(s)

Journal Article

Language

eng

PubMed ID

20506884

Citation

Sohn, Vance Y., et al. "The Treatment of Radial Scars in the Modern Era--surgical Excision Is Not Required." The American Surgeon, vol. 76, no. 5, 2010, pp. 522-5.
Sohn VY, Causey MW, Steele SR, et al. The treatment of radial scars in the modern era--surgical excision is not required. Am Surg. 2010;76(5):522-5.
Sohn, V. Y., Causey, M. W., Steele, S. R., Keylock, J. B., & Brown, T. A. (2010). The treatment of radial scars in the modern era--surgical excision is not required. The American Surgeon, 76(5), 522-5.
Sohn VY, et al. The Treatment of Radial Scars in the Modern Era--surgical Excision Is Not Required. Am Surg. 2010;76(5):522-5. PubMed PMID: 20506884.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The treatment of radial scars in the modern era--surgical excision is not required. AU - Sohn,Vance Y, AU - Causey,Marlin W, AU - Steele,Scott R, AU - Keylock,Joren B, AU - Brown,Tommy A, PY - 2010/5/29/entrez PY - 2010/5/29/pubmed PY - 2010/7/23/medline SP - 522 EP - 5 JF - The American surgeon JO - Am Surg VL - 76 IS - 5 N2 - The clinical significance of isolated radial scars (RS) diagnosed on core needle biopsy (CNB) remains unclear. By determining the pathologic concordance rate, we sought to define the indications for surgical excision for RS diagnosed on CNB. Between January 1994 and December 2007, 38 RS were diagnosed by CNB. Twenty-eight underwent surgical excision with 27 (96%) patients having further benign diagnoses. One patient, who was found to have invasive cancer on CNB, was also found to have malignancy on open biopsy. Fourteen lesions were diagnosed by 8-gauge, 13 lesions by 11-gauge, and one lesion by 14-gauge biopsy needles. Seven studies met inclusion criteria for analysis; 341 lesions with follow-on surgical biopsy were identified. Sixteen (5%) radial'scars were found to harbor malignancy and all were percutaneously biopsied with 14-gauge needles. With the inclusion of the current study, none of the isolated radial scars diagnosed by the larger 11- or 8-gauge biopsy needles resulted in upgraded lesions on follow-on surgical biopsy. Based on the current review, histologic radial scars are infrequently associated with occult malignancy and do not mandate surgical excision. Indications for excision include the mammographic diagnosis of RS and specimens associated with atypia that would otherwise require open biopsy. SN - 0003-1348 UR - https://www.unboundmedicine.com/medline/citation/20506884/The_treatment_of_radial_scars_in_the_modern_era__surgical_excision_is_not_required_ DB - PRIME DP - Unbound Medicine ER -