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Mammographically Occult Asymptomatic Radial Scars/Complex Sclerosing Lesions at Ultrasonography-Guided Core Needle Biopsy: Follow-Up Can Be Recommended

Authors
 Vivian Youngjean Park  ;  Eun-Kyung Kim  ;  Min Jung Kim  ;  .Jung Hyun Yoon  ;  Hee JungMoon 
Citation
 ULTRASOUND IN MEDICINE AND BIOLOGY, Vol.42(10) : 2367-2371, 2016 
Journal Title
 ULTRASOUND IN MEDICINE AND BIOLOGY 
ISSN
 0301-5629 
Issue Date
2016
MeSH
Adult ; Aged ; Biopsy, Large-Core Needle ; Breast/diagnostic imaging* ; Breast/pathology* ; Breast Neoplasms/diagnostic imaging* ; Breast Neoplasms/pathology ; Cicatrix/diagnostic imaging* ; Female ; Follow-Up Studies ; Humans ; Middle Aged ; Retrospective Studies ; Ultrasonography, Interventional* ; Ultrasonography, Mammary*
Keywords
Complex sclerosing lesion ; Core needle biopsy ; Radial scar ; Ultrasonography
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.
Full Text
http://www.sciencedirect.com/science/article/pii/S0301562916301119?via%3Dihub
DOI
10.1016/j.ultrasmedbio.2016.06.004
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Min Jung(김민정) ORCID logo https://orcid.org/0000-0003-4949-1237
Kim, Eun-Kyung(김은경) ORCID logo https://orcid.org/0000-0002-3368-5013
Moon, Hee Jung(문희정) ORCID logo https://orcid.org/0000-0002-5643-5885
Park, Vivian Youngjean(박영진) ORCID logo https://orcid.org/0000-0002-5135-4058
Yoon, Jung Hyun(윤정현) ORCID logo https://orcid.org/0000-0002-2100-3513
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/151948
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