Breast lumps surgery: Difference between revisions
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==Surgery== | ==Surgery== | ||
=== | Management of breast lumps determined by [[core needle biopsy]]<ref name="pmid25341156">{{cite journal| author=Lehman CD, Lee AY, Lee CI| title=Imaging management of palpable breast abnormalities. | journal=AJR Am J Roentgenol | year= 2014 | volume= 203 | issue= 5 | pages= 1142-53 | pmid=25341156 | doi=10.2214/AJR.14.12725 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25341156 }} </ref> | ||
* | *Atypical ductal [[hyperplasia]] | ||
* | **Excision of lump by surgical consultation and follow-up with clinical breast examination for every 6-12 months accompanied with mammography annually | ||
* | *Atypical lobular [[hyperplasia]], lobular [[neoplasia]], [[lobular carcinoma in situ]] | ||
* | **Surgical consultation and follow-up with clinical breast examination for 6-12 months accompanied with mammography annually | ||
* | *Flat [[epithelial]] [[atypia]] | ||
* | **Surgical consultation and follow-up with clinical breast examination for 6-12 months accompanied with mammography annually | ||
* | *[[Papillomas]] | ||
* | **Multiple, peripheral [[papillomas]],lesions with atypia, and size >10 mm require surgical consultation and Follow-up with clinical breast examination every 12 months and mammography annually | ||
* | *Complex sclerosing lesion, [[radical scar]] | ||
* | **If the size<10mm and adequately sampled, observation would be enough | ||
* | **If the size>10mm; surgical consultation is require | ||
* | **If papillomas excised; follow-up with annual clinical breast examination and mammography is required | ||
* | *[[Fibroadenoma]] | ||
* | **If accompanied with atypia and enlarging size, surgical consultation is required | ||
* | **Follow-up with annual clinical breast examination and mammography | ||
* | *Complex [[fibroadenoma]] | ||
* | **Observation and follow-up with clinical breast examination and mammography annually | ||
* | *[[Sclerosing adenosis]] | ||
* | **Observation and follow-up with clinical breast examination and mammography annually | ||
* | *[[Fat necrosis]] | ||
* | **Observation and follow-up with clinical breast examination and mammography annually | ||
*Columnar [[cell]] [[hyperplasia]] | |||
**Observation and follow-up with clinical breast examination and mammography annually | |||
*[[Phyllodes tumor]] | |||
**Surgical consultation is required with follow-up with clinical breast examination and mammography annually | |||
*[[Desmoid tumor]] and [[mammary]] [[fibromatosis]] | |||
**Surgical consultation is required with follow-up with clinical breast examination and mammography annually | |||
*Pseudoangiomatous [[stromal]] [[hyperplasia]] | |||
**In symptomatic and large lesions, surgical consultation is required with annual clinical breast examination and mammography follow-up | |||
*[[Apocrine]] [[metaplasia]] | |||
**In discordant and atypic lesions, surgical consultation is required and in case of excision,follow-up with clinical breast examination and mammography annually | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
Revision as of 15:23, 14 December 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Surgery
Management of breast lumps determined by core needle biopsy[1]
- Atypical ductal hyperplasia
- Excision of lump by surgical consultation and follow-up with clinical breast examination for every 6-12 months accompanied with mammography annually
- Atypical lobular hyperplasia, lobular neoplasia, lobular carcinoma in situ
- Surgical consultation and follow-up with clinical breast examination for 6-12 months accompanied with mammography annually
- Flat epithelial atypia
- Surgical consultation and follow-up with clinical breast examination for 6-12 months accompanied with mammography annually
- Papillomas
- Multiple, peripheral papillomas,lesions with atypia, and size >10 mm require surgical consultation and Follow-up with clinical breast examination every 12 months and mammography annually
- Complex sclerosing lesion, radical scar
- If the size<10mm and adequately sampled, observation would be enough
- If the size>10mm; surgical consultation is require
- If papillomas excised; follow-up with annual clinical breast examination and mammography is required
- Fibroadenoma
- If accompanied with atypia and enlarging size, surgical consultation is required
- Follow-up with annual clinical breast examination and mammography
- Complex fibroadenoma
- Observation and follow-up with clinical breast examination and mammography annually
- Sclerosing adenosis
- Observation and follow-up with clinical breast examination and mammography annually
- Fat necrosis
- Observation and follow-up with clinical breast examination and mammography annually
- Columnar cell hyperplasia
- Observation and follow-up with clinical breast examination and mammography annually
- Phyllodes tumor
- Surgical consultation is required with follow-up with clinical breast examination and mammography annually
- Desmoid tumor and mammary fibromatosis
- Surgical consultation is required with follow-up with clinical breast examination and mammography annually
- Pseudoangiomatous stromal hyperplasia
- In symptomatic and large lesions, surgical consultation is required with annual clinical breast examination and mammography follow-up
- Apocrine metaplasia
- In discordant and atypic lesions, surgical consultation is required and in case of excision,follow-up with clinical breast examination and mammography annually
References
- ↑ 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.