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A review of needle core biopsy diagnosed radial scars in the Welsh Breast Screening Programme.
Ann R Coll Surg Engl. 2011 Mar; 93(2):123-6.AR

Abstract

INTRODUCTION

Radial scars are benign breast lesions; their appearance on mammography may, however, mimic carcinoma. Needle core biopsy is performed for pre-operative diagnosis and, currently in Wales, all lesions with benign biopsy results are surgically excised. We have reviewed all cases of needle core biopsy-diagnosed radial scars from the Welsh breast screening programme, Breast Test Wales (BTW), and investigated the outcome of radial scars based on histology from surgical excision in order to evaluate the appropriateness of the current management of these lesions in Wales.

PATIENTS AND METHODS

All needle core biopsy diagnosed radial scars were identified from the BTW screening database from the start of screening in 1989 until the end of 2007.

RESULTS

A total of 118 patients were diagnosed with radial scars on needle core biopsy; two patients had bilateral radial scars. Median patient age was 54 years (range, 49-68 years). Ninety-five lesions (79%) were thought to be pure radial scars on needle core biopsy; however, only 81 pure radial scars were identified on excision biopsy histology. Carcinoma was present in seven patients and ductal carcinoma in situ in nine patients at excision biopsy. In two patients, the cancers occurred in lesions reported as pure radial scars on needle core biopsy. Twenty-two lesions showed atypical ductal or lobular hyperplasia (ADH/ALH) or both on excision biopsy; 14 of these lesions were classed as pure radial scars by needle core biopsy.

CONCLUSIONS

All core biopsy diagnosed radial scars, presenting as screen detected abnormalities, should be excised due to their association with premalignant and malignant conditions.

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Authors+Show Affiliations

Osborn G
Department of General Surgery, University Hospital of Wales, Heath Park, Cardiff, UK. garyosborn2@aol.com
Wilton F
No affiliation info available
Stevens G
No affiliation info available
Vaughan-Williams E
No affiliation info available
Gower-Thomas K
No affiliation info available

MeSH

AgedBiopsy, NeedleBreastBreast DiseasesBreast NeoplasmsCarcinoma, Ductal, BreastCarcinoma, LobularCicatrixDiagnosis, DifferentialEarly Detection of CancerFemaleHumansHyperplasiaMiddle AgedPrecancerous ConditionsProspective Studies

Pub Type(s)

Journal Article

Language

eng

PubMed ID

21073820

Citation

Osborn, G, et al. "A Review of Needle Core Biopsy Diagnosed Radial Scars in the Welsh Breast Screening Programme." Annals of the Royal College of Surgeons of England, vol. 93, no. 2, 2011, pp. 123-6.
Osborn G, Wilton F, Stevens G, et al. A review of needle core biopsy diagnosed radial scars in the Welsh Breast Screening Programme. Ann R Coll Surg Engl. 2011;93(2):123-6.
Osborn, G., Wilton, F., Stevens, G., Vaughan-Williams, E., & Gower-Thomas, K. (2011). A review of needle core biopsy diagnosed radial scars in the Welsh Breast Screening Programme. Annals of the Royal College of Surgeons of England, 93(2), 123-6. https://doi.org/10.1308/003588411X12851639107953
Osborn G, et al. A Review of Needle Core Biopsy Diagnosed Radial Scars in the Welsh Breast Screening Programme. Ann R Coll Surg Engl. 2011;93(2):123-6. PubMed PMID: 21073820.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A review of needle core biopsy diagnosed radial scars in the Welsh Breast Screening Programme. AU - Osborn,G, AU - Wilton,F, AU - Stevens,G, AU - Vaughan-Williams,E, AU - Gower-Thomas,K, Y1 - 2010/11/12/ PY - 2010/11/16/entrez PY - 2010/11/16/pubmed PY - 2011/12/14/medline SP - 123 EP - 6 JF - Annals of the Royal College of Surgeons of England JO - Ann R Coll Surg Engl VL - 93 IS - 2 N2 - INTRODUCTION: Radial scars are benign breast lesions; their appearance on mammography may, however, mimic carcinoma. Needle core biopsy is performed for pre-operative diagnosis and, currently in Wales, all lesions with benign biopsy results are surgically excised. We have reviewed all cases of needle core biopsy-diagnosed radial scars from the Welsh breast screening programme, Breast Test Wales (BTW), and investigated the outcome of radial scars based on histology from surgical excision in order to evaluate the appropriateness of the current management of these lesions in Wales. PATIENTS AND METHODS: All needle core biopsy diagnosed radial scars were identified from the BTW screening database from the start of screening in 1989 until the end of 2007. RESULTS: A total of 118 patients were diagnosed with radial scars on needle core biopsy; two patients had bilateral radial scars. Median patient age was 54 years (range, 49-68 years). Ninety-five lesions (79%) were thought to be pure radial scars on needle core biopsy; however, only 81 pure radial scars were identified on excision biopsy histology. Carcinoma was present in seven patients and ductal carcinoma in situ in nine patients at excision biopsy. In two patients, the cancers occurred in lesions reported as pure radial scars on needle core biopsy. Twenty-two lesions showed atypical ductal or lobular hyperplasia (ADH/ALH) or both on excision biopsy; 14 of these lesions were classed as pure radial scars by needle core biopsy. CONCLUSIONS: All core biopsy diagnosed radial scars, presenting as screen detected abnormalities, should be excised due to their association with premalignant and malignant conditions. SN - 1478-7083 UR - https://www.unboundmedicine.com/medline/citation/21073820/A_review_of_needle_core_biopsy_diagnosed_radial_scars_in_the_Welsh_Breast_Screening_Programme_ L2 - https://publishing.rcseng.ac.uk/doi/10.1308/003588411X12851639107953?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -