Title

High-Risk Lesions at Minimally Invasive Breast Biopsy: Now What?

Document Type

Journal Article

Publication Date

9-1-2017

Journal

Current Radiology Reports

Volume

5

Issue

9

DOI

10.1007/s40134-017-0238-4

Keywords

Breast cancer; Breast imaging; High-risk lesions; Surgery

Abstract

© 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.

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