Benign Breast Tumours – Diagnosis and Management
Review Article Breast Care 2018;13:403–412 Published online: December 14, 2018 DOI: 10.1159/000495919 Benign Breast Tumours – Diagnosis and Management a, b, c d e e Stefan Paepke Stephan Metz Anika Brea Salvago Ralf Ohlinger a Department of Obstetrics and Gynecology, Technical University of Munich, Munich , Germany; b Roman Herzog Comprehensive Cancer Center, Munich , Germany; c Comprehensive Cancer Center München, Munich , Germany; d Department of Radiology, Technical University of Munich, Munich , Germany; e Department of Gynecology and Obstetrics, Ernst-Moritz-Arndt University Greifswald, Greifswald , Germany Keywords Introduction Benign breast tumours · Overview · Imaging features · Minimally invasive diagnostics · Therapy With improvements in breast imaging, mammography, ultra- sound and minimally invasive interventions, the detection of early Summary breast cancer, non-invasive cancers, lesions of uncertain malignant With improvements in breast imaging, mammography, potential, and benign lesions has increased. However, with the im- ultrasound and minimally invasive interventions, the de- proved diagnostic capabilities comes a substantial risk of false-posi- tection of early breast cancer, non-invasive cancers, le- tive benign lesions and vice versa false-negative malignant lesions. sions of uncertain malignant potential, and benign le- Whereas ‘Imaging Report and Data System’ (BI-RADS) lesions sions has increased. However, with the improved diag- classified in Group 2 as definitely benign in mammography terms re- nostic capabilities comes a substantial risk of false-posi- quire no further clarification, it is recommended that cases of tumours tive benign lesions and vice versa false-negative that are classified as BI-RADS Group 3 in mammography terms malignant lesions. A statement is provided on the mani- should be subjected to a shorter follow-up interval or biopsy in view of festation, imaging, and diagnostic verification of isolated their unclear malignant potential [1] .
[Show full text]