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

Vivian Youngjean Park, Eunkyung Kim, minjung Kim, Jung Hyun Yoon, Hee Jung Moon

Research output: Contribution to journalArticle

6 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)2367-2371
Number of pages5
JournalUltrasound in Medicine and Biology
Volume42
Issue number10
DOIs
Publication statusPublished - 2016 Jan 1

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Large-Core Needle Biopsy
scars
needles
lesions
Cicatrix
data systems
Ultrasonography
Information Systems
breast
Breast
Vacuum
vacuum
Neoplasms

All Science Journal Classification (ASJC) codes

  • Radiological and Ultrasound Technology
  • Biophysics
  • Acoustics and Ultrasonics

Cite this

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title = "Mammographically Occult Asymptomatic Radial Scars/Complex Sclerosing Lesions at Ultrasonography-Guided Core Needle Biopsy: Follow-Up Can Be Recommended",
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.",
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Mammographically Occult Asymptomatic Radial Scars/Complex Sclerosing Lesions at Ultrasonography-Guided Core Needle Biopsy : Follow-Up Can Be Recommended. / Park, Vivian Youngjean; Kim, Eunkyung; Kim, minjung; Yoon, Jung Hyun; Moon, Hee Jung.

In: Ultrasound in Medicine and Biology, Vol. 42, No. 10, 01.01.2016, p. 2367-2371.

Research output: Contribution to journalArticle

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