Assessment of the role of ultrasound in the differentiation of radial scars and stellate carcinomas of the breast

Finlay, M.E.; Liston, J; Lunt, L.G.; Young, Jonathan R.

doi:10.1016/s0009-9260(05)82915-0

Cited by 40 publications

(20 citation statements)

References 3 publications

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“…Each case in the present series demonstrated ADH or DCIS. Regarding discrimination from breast cancer, Finlay et al [17] reported that all RS/CSL could be demonstrated by US, and almost all were visualized as an irregularly shaped low-echo area, but this finding was not considered to discriminate between RS/ CSL and breast cancer [18]. All of the present cases were similar to those described by Finlay et al Two of our patients manifested the interesting appearance of retraction from surrounding tissue on US.…”

Section: Discussionsupporting

confidence: 71%

Six cases showing radial scar/complex sclerosing lesions of the breast detected by breast cancer screening

Inoue

Kawasaki

et al. 2008

Breast Cancer

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Recently, the number of radial scars (RS)/complex sclerosing lesions (CSL) of the breast has been increasingly detected by mammography screening. Six RS/CSL cases encountered clinicopathologically in the last 2 years are presented. All patients were pre-menopausal. Three cases were detected by ultrasonography (US) screening, and the others were detected by mammography (MG) screening. Partial mastectomy was carried out for both diagnosis and treatment, since it was difficult to discriminate whether RS/CSL accompanied breast cancer even by US, MG, MRI, aspiration cytology, and spring-loaded core needle biopsy (CNB). RS/CSL was histologically confirmed in all cases, and atypical ductal hyperplasia (ADH) or ductal carcinoma in situ (DCIS) accompanied RS/CSL in each case. At present, the clinical diagnosis of complicated breast cancer is difficult. Therefore, we selected partial mastectomy that resects a wider area than surgical biopsy to adequately diagnose breast cancer and to achieve a resected margin that is free from breast cancer. But it may be that partial resection should be performed in case of older age with larger RS/CSL, since it is over-surgery for RS/CSL without breast cancer. Further studies where complicated breast cancer is certainly identified are necessary.

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Section: Discussionsupporting

confidence: 71%

Six cases showing radial scar/complex sclerosing lesions of the breast detected by breast cancer screening

Inoue

Kawasaki

et al. 2008

Breast Cancer

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“…Since the initial radiographic description by Tabar and Dean, 4 several papers have shown that RS/CSL and carcinoma may simulate each other so that mammography cannot accurately differentiate RS/CSL from carcinoma. 2,6,14,15 Twenty-five percent of the lesions in this study were classified as suspicious for carcinoma mammographically, and RS/CSL was not considered. Cytologically, one of these three cases had insufficient material for diagnosis, one was reported as benign, and the third was reported as atypical.…”

Section: Discussionmentioning

confidence: 99%

“…Diagnostic Cytopathology, Vol 16,No 6 Due to the complex nature of these lesions, false-positive results may also occur with frozen section. One of our screen-detected RS/CSLs, which was reported as atypical cytologically, was falsely reported as malignant on frozen section.…”

Section: Fna In Rs/csl Of the Breastmentioning

confidence: 99%

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Is there a role for fine-needle aspiration in radial scar/complex sclerosing lesions of the breast?

et al. 1997

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The fine‐needle aspiration cytology (FNA) from 12 mammographically detected, histologically confirmed radial scar/complex sclerosing lesions (RS/CSL) and their corresponding mammography were reviewed. Six aspirates were obtained by palpation, four by ultrasound guidance, and two by stereotactic guidance. Of the eight lesions with sufficient material, five (62.5%) were reported as benign, two (25%) as atypical, and one (12.5%) as suspicious. It is proposed that FNA for RS/CSL should not be performed, and lesions require excision for histologic assessment. Diagn. Cytopathol. 16:537–542, 1997. © 1997 Wiley‐Liss, Inc.

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“…Rarely, radial scars appear similar to carcinomas on sonography, with an irregular shape and marked shadowing. 19 Radial scars are often seen in 1 plane but are difficult to demonstrate in the orthogonal plane. 9 In general, radial scars are fortuitous microscopic findings.…”

Section: Radial Scarsmentioning

confidence: 99%

Small focal areas of acoustic shadowing in the breast

Mesurolle

Ariche-Cohen²,

Mignon

et al. 2002

J of Clinical Ultrasound

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Assessment of the role of ultrasound in the differentiation of radial scars and stellate carcinomas of the breast

Cited by 40 publications

References 3 publications

Six cases showing radial scar/complex sclerosing lesions of the breast detected by breast cancer screening

Six cases showing radial scar/complex sclerosing lesions of the breast detected by breast cancer screening

Is there a role for fine-needle aspiration in radial scar/complex sclerosing lesions of the breast?

Small focal areas of acoustic shadowing in the breast

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