High-Risk Lesions at Minimally Invasive Breast Biopsy: Now What?
Current Radiology Reports
Breast cancer; Breast imaging; High-risk lesions; Surgery
© 2017, Springer Science+Business Media, LLC. Purpose: The purpose of this section is to provide a detailed review of high-risk lesions and their associated risk of upgrade at surgical excision in order to guide in management and appropriate risk reduction strategies. Recent Findings: “High-risk” breast lesions refer to an eclectic group of histologic abnormalities associated with an increased risk of breast cancer. Current data show a vast disparity in upgrade rates upon surgical excision for high-risk lesions, which leads to confusing and often conflicting recommendations. There has been suggestion in the media that breast biopsies lead to “over-diagnosis” and unnecessary breast surgeries. However, the goal of breast imagers is to detect early cancers, and in doing so, the recommendation for surgical excision of the appropriate high-risk lesions is necessary. Summary: In managing high-risk lesions we must balance the opportunity to diagnose early, curable breast cancer by recommending surgical excision with prudent and conservative management along with careful radiologic and pathologic correlation.
Brem, R., Mehta, A., & Thomas, G. (2017). High-Risk Lesions at Minimally Invasive Breast Biopsy: Now What?. Current Radiology Reports, 5 (9). http://dx.doi.org/10.1007/s40134-017-0238-4