دورية أكاديمية

High-risk and selected benign breast lesions diagnosed on core needle biopsy: Evidence for and against immediate surgical excision.

التفاصيل البيبلوغرافية
العنوان: High-risk and selected benign breast lesions diagnosed on core needle biopsy: Evidence for and against immediate surgical excision.
المؤلفون: Harbhajanka A; Department of Pathology, Case Western University School of Medicine, Cleveland, OH, 44106, USA., Gilmore HL; Department of Pathology, Case Western University School of Medicine, Cleveland, OH, 44106, USA., Calhoun BC; Department of Pathology and Laboratory Medicine, The University of North Carolina School of Medicine, Chapel Hill, NC, 27599, USA. ben.calhoun@unchealth.unc.edu.
المصدر: Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc [Mod Pathol] 2022 Nov; Vol. 35 (11), pp. 1500-1508. Date of Electronic Publication: 2022 Jun 02.
نوع المنشور: Journal Article; Review
اللغة: English
بيانات الدورية: Publisher: Elsevier Inc Country of Publication: United States NLM ID: 8806605 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1530-0285 (Electronic) Linking ISSN: 08933952 NLM ISO Abbreviation: Mod Pathol Subsets: MEDLINE
أسماء مطبوعة: Publication: 2023- : [New York] : Elsevier Inc.
Original Publication: Baltimore, MD : Williams & Wilkins, c1988-
مواضيع طبية MeSH: Carcinoma in Situ*/pathology , Carcinoma, Intraductal, Noninfiltrating*/surgery , Carcinoma, Intraductal, Noninfiltrating*/pathology , Breast Neoplasms*/pathology , Carcinoma, Lobular*/pathology, Humans ; Female ; Biopsy, Large-Core Needle ; Breast/surgery ; Breast/pathology ; Hyperplasia/pathology
مستخلص: The vast majority of image-detected breast abnormalities are diagnosed by percutaneous core needle biopsy (CNB) in contemporary practice. For frankly malignant lesions diagnosed by CNB, the standard practice of excision and multimodality therapy have been well-defined. However, for high-risk and selected benign lesions diagnosed by CNB, there is less consensus on optimal patient management and the need for immediate surgical excision. Here we outline the arguments for and against the practice of routine surgical excision of commonly encountered high-risk and selected benign breast lesions diagnosed by CNB. The entities reviewed include atypical ductal hyperplasia, atypical lobular hyperplasia, lobular carcinoma in situ, intraductal papillomas, and radial scars. The data in the peer-reviewed literature confirm the benefits of a patient-centered, multidisciplinary approach that moves away from the reflexive "yes" or "no" for routine excision for a given pathologic diagnosis.
(© 2022. The Author(s), under exclusive licence to United States & Canadian Academy of Pathology.)
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تواريخ الأحداث: Date Created: 20220602 Date Completed: 20221027 Latest Revision: 20230210
رمز التحديث: 20240628
DOI: 10.1038/s41379-022-01092-w
PMID: 35654997
قاعدة البيانات: MEDLINE
الوصف
تدمد:1530-0285
DOI:10.1038/s41379-022-01092-w