Document Detail

Variations in physician recommendations for surgery after diagnosis of a high-risk lesion on breast core needle biopsy.
MedLine Citation:
PMID:  22268166     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: This article focuses on four high-risk lesions: lobular neoplasia, benign papilloma, radial scar, and flat epithelial atypia. Controversies exist in the management after core biopsy of each of these lesions--whether to perform immediate surgical excision so as not to miss an associated malignancy or imaging follow-up because concomitant malignancy is low. This review is staged in two parts per lesion. The first is from data gathered during the last two American Roentgen Ray Society annual meetings from the audience response system querying practice management styles per diagnostic lesion. The second part is a brief review of selected articles recommending either follow-up or surgery. The strengths and weaknesses of each article are discussed.
CONCLUSION: Our opinion is that neither recommendation, surgical excision or follow-up, is well substantiated in the literature and that our ignorance is not serving the needs of women worldwide. The time is now for a prospective trial.
Dianne Georgian-Smith; Thomas J Lawton
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  AJR. American journal of roentgenology     Volume:  198     ISSN:  1546-3141     ISO Abbreviation:  AJR Am J Roentgenol     Publication Date:  2012 Feb 
Date Detail:
Created Date:  2012-01-23     Completed Date:  2012-04-03     Revised Date:  2013-05-20    
Medline Journal Info:
Nlm Unique ID:  7708173     Medline TA:  AJR Am J Roentgenol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  256-63     Citation Subset:  AIM; IM    
Division of Breast Imaging, Department of Radiology, Brigham and Women's Hospital, Harvard Medical School, 75 Francis St, Boston, MA 02115, USA.
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MeSH Terms
Biopsy, Needle*
Breast Neoplasms / pathology*,  surgery*
Carcinoma, Lobular / pathology*,  surgery*
Cicatrix / pathology*,  surgery*
Diagnostic Imaging
Papilloma, Intraductal / pathology*,  surgery*
Physician's Practice Patterns*
Precancerous Conditions / pathology*,  surgery*
Radiography, Interventional
Risk Assessment
Risk Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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