Radial Scars Without Atypia Diagnosed at Imaging-Guided Needle Biopsy: How Often Is Associated Malignancy Found at Subsequent Surgical Excision, and Do Mammography and Sonography Predict Which Lesions Are Malignant?

• DOI: 10.2214/ajr.09.2326
• Publication Date: 2010-03-22T18:28:58Z
• Authors: Anna Linda; Chiara Zuiani; Alessandro Furlan; Viviana Londero; Rossano Girometti; Piernicola Machin; Massimo Bazzocchi
• Keywords: Atypia; Surgical excision

The purposes of our study were to evaluate the surgical outcome cases radial scar without atypia diagnosed at imaging-guided percutaneous needle biopsy and determine whether mammographic sonographic features are able predict which lesions will be upgraded malignancy excision.The records 4,458 consecutive biopsies retrospectively reviewed. Surgical excision results available in 62 was highest-risk lesion stereotactically guided or sonographically biopsy. images findings underestimation rate calculated. Differences appearances between scars with associated evaluated using Fisher's exact test.The 8% (5/62): 9% (4/43) for sonography 14-gauge 5% (1/19) 11-gauge vacuum-assisted (p = 1.000). Mammographic not significantly different those malignancy.A diagnosis a does exclude excision. as do have surgery. Therefore, all patients should undergo regardless appearances, until further criteria can determined.