Breast lumps surgery
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Surgical management of breast lumps depends on the type of masses based on core-needle biopsy. Atypical ductal hyperplasia, atypical lobular hyperplasia, lobular neoplasia, lobular carcinoma in situ, flat epithelial atypia. Multiple, peripheral and atypic papillomas, large sclerosing adenosis and radical scar >10mm, atypic and enlargic fibroadenomas, desmoid tumor, mammary fibromatosis, phyllodes tumor, symptomatic and large pseudoangiomatous stromal hyperplasia requires surgical consultation and excision. The rest of breast lumps require observation and follow-up. The final decision for excisional biopsy is based on recommendations from pathologist, radiologist, and surgeons.
Management of breast lumps after confirmation on the basis of core needle biopsy:
|Breast lump||Surgical management|
|Atypical ductal hyperplasia|
|Atypical lobular hyperplasia, lobular neoplasia, lobular carcinoma in situ|
|Flat epithelial atypia|
|Complex sclerosing lesion, radical scar|
|Columnar cell hyperplasia|
|Desmoid tumor and mammary fibromatosis|
|Pseudoangiomatous stromal hyperplasia:|
The final decision for excisional biopsy is based on recommendations from pathologist, radiologist, and surgeons. The decision is made after comprehensive evaluation of clinical, imaging and pathological findings which help to reach the best possible management for patient care.
- Lehman CD, Lee AY, Lee CI (2014). "Imaging management of palpable breast abnormalities". AJR Am J Roentgenol. 203 (5): 1142–53. doi:10.2214/AJR.14.12725. PMID 25341156.