Radial Scar: a management dilemma

Paolo Belli, Riccardo Manfredi, Charlotte Marguerite Lucille Trombadori, Anna D'Angelo, Angela Santoro

Risultato della ricerca: Contributo in rivistaArticolo in rivista

Abstract

Radial scar (RS) or complex sclerosing lesions (CSL) if > 10 mm is a benign lesion with an increasing incidence of diagnosis (ranging from 0.6 to 3.7%) and represents a challenge both for radiologists and for pathologists. The digital mammography and digital breast tomosynthesis appearances of RS are well documented, according to the literature. On ultrasound, variable aspects can be detected. Magnetic resonance imaging contribution to differential diagnosis with carcinoma is growing. As for the management, a vacuum-assisted biopsy (VAB) with large core is recommended after a percutaneous diagnosis of RS due to potential sampling error. According to the recent International Consensus Conference, a RS/CSL lesion, which is visible on imaging, should undergo therapeutic excision with VAB. Thereafter, surveillance is justified. The aim of this review is to provide a practical guide for the recognition of RS on imaging, illustrating radiological findings according to the most recent literature, and to delineate the management strategies that follow.
Lingua originaleEnglish
pagine (da-a)774-785
Numero di pagine12
RivistaLA RADIOLOGIA MEDICA
Volume126
DOI
Stato di pubblicazionePubblicato - 2021

Keywords

  • B3-lesions
  • Radial scar
  • Radial scar management
  • Vacuum-assisted biopsy

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