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Radial scars/complex sclerosing lesions of the breast: radiologic and clinicopathologic correlation

Authors
Ha, Su MinCha, Joo HeeShin, Hee JungChae, Eun YoungChoi, Woo JungKim, Hak HeeOh, Ha-Yeon
Issue Date
3-Nov-2018
Publisher
BMC
Keywords
Radial scar; Complex sclerosing lesion; Mammography; Ultrasound; Surgical management
Citation
BMC MEDICAL IMAGING, v.18, no.1
Journal Title
BMC MEDICAL IMAGING
Volume
18
Number
1
URI
https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/45174
DOI
10.1186/s12880-018-0279-z
ISSN
1471-2342
Abstract
BackgroundWe investigated the radiologic and clinical findings of radial scar and complex sclerosing lesions, and evaluated the rate of pathologic upgrade and predicting factors.MethodsFrom review of our institution's database from January 2006 to December 2012, we enrolled 82 radial scars/complex sclerosing lesions in 80 women; 51 by ultrasound guided core needle biopsy, 1 by mammography-guided stereotactic biopsy, and 38 by surgical excision. The initial biopsy pathology revealed that 53 lesions were without high risk lesions and 29 were with high risk lesions. Radiologic, clinical and pathological results were analyzed statistically and upgrade rates were calculated.ResultsOf the 82 lesions, 64 (78.0%) were surgically excised. After surgical excision, two were upgraded to DCIS and two were upgraded to lesions with high risk lesions. The rate of radial scar with high risk lesions was significantly higher in the surgical excision group (11.1% vs. 42.2%, p=0.015), which also demonstrated larger lesion size (10.76.5 vs. 7.1 +/- 2.6mm, p=0.001). The diagnoses with high risk lesions on final pathological results showed older age (52.9 +/- 6.0years vs. 48.4 +/- 6.7years, p=0.018).ConclusionsRadial scars with and without high risk lesions showed no statistically significant differences in imaging, and gave relatively low cancer upgrade rates.
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