Are the criteria of Tabar and Dean still relevant to radial scar?

Boute, V.; Goyat, I.; Denoux, Yves; Lacroix, Joëlle; Marie, B; Michels, Jean-Jacques

doi:10.1016/j.ejrad.2006.08.003

Cited by 9 publications

(1 citation statement)

References 18 publications

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“…Some studies suggested that length of spicules of a spiculated lesion contributes to differential diagnosis of RS versus carcinoma: the longer the spicules are compared to the lesion diameter, the more likely the stellate lesion is benign [ 18 , 19 ]; more specifically, considering (D) the diameter of the stellate lesion including spicules and (d) the lesion diameter, Hagay [ 20 ] stated that a D/d ratio higher than two suggests benignancy.…”

Section: Digital Mammography (Dm) and Digital Breast Tomosynthesis (Dbt)mentioning

confidence: 99%

Radial Scar: a management dilemma

et al. 2021

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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.

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Section: Digital Mammography (Dm) and Digital Breast Tomosynthesis (Dbt)mentioning

confidence: 99%