Sandbox:Shadan

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Shadan Mehraban, M.D.[2]

Overview

Classification

Classification of breast lumps based on epithelial hyperplasia[1]

  • Approximately 65% of all BBD considered as nonproliferative(NP)with relative cancer risk of 1.2, 1.4 times:
    • Simple cyst
    • Fibrosis
      • Fibroadenoma (simple)
        • Columnar alteration (Simple)
          • Apocrine metaplasia (simple)
            • Mild ductal hyperplasia
    • Approximately 30% of total are classifed as [[proliferative disease(PD) with relative cancer risk of 1.7, 2.1 times
    • Usual ductal hyperplasia
      • Sclerosing adenosis
        • Columnar hyperplasia
      ***** papilloma
      ****** Radical scar
 *** Approximately 5% to 8% of the rest regarded to PD with atypiawith relative cancer risk more than 4 times
     *** Atypical lobar hyperplasia
     **** Lobular carcinoma in situ
     ***** Atypical ductal hyperplasia
**** Unclear risk
     **** Mucocele like tumor
     ***** Apocrine atypia
     ****** Secretory atypia

References

  1. Hartmann LC, Sellers TA, Frost MH, Lingle WL, Degnim AC, Ghosh K; et al. (2005). "Benign breast disease and the risk of breast cancer". N Engl J Med. 353 (3): 229–37. doi:10.1056/NEJMoa044383. PMID 16034008.