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Mammographically Occult Asymptomatic Radial Scars/Complex Sclerosing Lesions at Ultrasonography-Guided Core Needle Biopsy: Follow-Up Can Be Recommended.
Ultrasound Med Biol. 2016 10; 42(10):2367-71.UM

Abstract

An increasing number of radial scars are detected by ultrasound (US), but their management is controversial. This study investigated the upgrade rate in mammographically occult radial scars/complex sclerosing lesions without epithelial atypia at US-guided 14-gauge core needle biopsy in asymptomatic patients. Nineteen mammographically occult benign radial scars/complex sclerosing lesions (median size, 7 mm; range, 3-23 mm) were included. Patients underwent surgical excision (n = 10) or vacuum-assisted excision, with follow-up US at least 6 mo after benign vacuum-assisted excision results (n = 8), or underwent US follow-up for 2 y after core needle biopsy (n = 1). Any cases with change in diagnosis to high-risk lesions or malignancy at excision were considered upgrades. The upgrade rate was 0.0%. Based on US findings, 15.8% (3/19) were Breast Imaging Reporting and Data System (BI-RADS) category 3, 68.4% (13/19) were BI-RADS category 4a and 15.8% (3/19) were BI-RADS category 4b. Follow-up with US can be considered for mammographically occult benign radial scar/complex sclerosing lesions diagnosed by US core needle biopsy in asymptomatic patients.

Authors+Show Affiliations

Department of Radiology and Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.Department of Radiology and Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.Department of Radiology and Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.Department of Radiology and Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.Department of Radiology and Research Institute of Radiological Science, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea. Electronic address: artemis4u@yuhs.ac.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

27444865

Citation

Park, Vivian Youngjean, et al. "Mammographically Occult Asymptomatic Radial Scars/Complex Sclerosing Lesions at Ultrasonography-Guided Core Needle Biopsy: Follow-Up Can Be Recommended." Ultrasound in Medicine & Biology, vol. 42, no. 10, 2016, pp. 2367-71.
Park VY, Kim EK, Kim MJ, et al. Mammographically Occult Asymptomatic Radial Scars/Complex Sclerosing Lesions at Ultrasonography-Guided Core Needle Biopsy: Follow-Up Can Be Recommended. Ultrasound Med Biol. 2016;42(10):2367-71.
Park, V. Y., Kim, E. K., Kim, M. J., Yoon, J. H., & Moon, H. J. (2016). Mammographically Occult Asymptomatic Radial Scars/Complex Sclerosing Lesions at Ultrasonography-Guided Core Needle Biopsy: Follow-Up Can Be Recommended. Ultrasound in Medicine & Biology, 42(10), 2367-71. https://doi.org/10.1016/j.ultrasmedbio.2016.06.004
Park VY, et al. Mammographically Occult Asymptomatic Radial Scars/Complex Sclerosing Lesions at Ultrasonography-Guided Core Needle Biopsy: Follow-Up Can Be Recommended. Ultrasound Med Biol. 2016;42(10):2367-71. PubMed PMID: 27444865.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Mammographically Occult Asymptomatic Radial Scars/Complex Sclerosing Lesions at Ultrasonography-Guided Core Needle Biopsy: Follow-Up Can Be Recommended. AU - Park,Vivian Youngjean, AU - Kim,Eun-Kyung, AU - Kim,Min Jung, AU - Yoon,Jung Hyun, AU - Moon,Hee Jung, Y1 - 2016/07/18/ PY - 2016/01/15/received PY - 2016/05/31/revised PY - 2016/06/02/accepted PY - 2016/7/23/entrez PY - 2016/7/23/pubmed PY - 2017/11/10/medline KW - Complex sclerosing lesion KW - Core needle biopsy KW - Radial scar KW - Ultrasonography SP - 2367 EP - 71 JF - Ultrasound in medicine & biology JO - Ultrasound Med Biol VL - 42 IS - 10 N2 - An increasing number of radial scars are detected by ultrasound (US), but their management is controversial. This study investigated the upgrade rate in mammographically occult radial scars/complex sclerosing lesions without epithelial atypia at US-guided 14-gauge core needle biopsy in asymptomatic patients. Nineteen mammographically occult benign radial scars/complex sclerosing lesions (median size, 7 mm; range, 3-23 mm) were included. Patients underwent surgical excision (n = 10) or vacuum-assisted excision, with follow-up US at least 6 mo after benign vacuum-assisted excision results (n = 8), or underwent US follow-up for 2 y after core needle biopsy (n = 1). Any cases with change in diagnosis to high-risk lesions or malignancy at excision were considered upgrades. The upgrade rate was 0.0%. Based on US findings, 15.8% (3/19) were Breast Imaging Reporting and Data System (BI-RADS) category 3, 68.4% (13/19) were BI-RADS category 4a and 15.8% (3/19) were BI-RADS category 4b. Follow-up with US can be considered for mammographically occult benign radial scar/complex sclerosing lesions diagnosed by US core needle biopsy in asymptomatic patients. SN - 1879-291X UR - https://www.unboundmedicine.com/medline/citation/27444865/Mammographically_Occult_Asymptomatic_Radial_Scars/Complex_Sclerosing_Lesions_at_Ultrasonography_Guided_Core_Needle_Biopsy:_Follow_Up_Can_Be_Recommended_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0301-5629(16)30111-9 DB - PRIME DP - Unbound Medicine ER -