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Benign Breast Diseases: Radiology — Pathology — Risk by Catherine N. Chinyama MB CHB (Hons), MRC Path (auth.)

By Catherine N. Chinyama MB CHB (Hons), MRC Path (auth.)

Dr. Chinyama certified with Honours measure in medication in Harare, Zimbabwe, knowledgeable in Breast Pathology at St. Bartholomew's health facility, London and Bristol South West Breast Screening Unit in Bristol,UK. labored as Senior Lecturer/Honorary advisor in Histopathology at Guy's and St.Thomas' medical institution, London. at the moment operating as a expert Pathologist, Princess Elizabeth clinic, Guernsey, Channel Islands.

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Example text

Mammographic features that are thought to be common to radial scars include radiolucent central core, elongated radiating spicules and infrequent calcification (Fig. 2a). Fenoglio and Lattes (1974) attributed the central radiolucency to the presence of a hypertrophic fibro-elastic core, which is surrounded by radiating (stellate) proliferations of the duct system. In the early days of screening mammography, the absence of calcification in stellate lesions was thought to discriminate radial scars from carcinomas.

4 %) and other minor stromal and epithelial proliferations. Carcinoma in situ (five ductal , three lobular) was identified in eight fibroade nomas (2%) removed from six patients - the youngest was 40 years old. In three patients, the carcinoma in situ was not confined to the fibroadenoma, but also involved the adjacent parenchyma. 4 years. 5 years. Kuijper and colleagues advocate excising fibroadenomas in patients over 35 years of age as this removes the potentially neoplastic epithelial cells.

The ADH waspresent in three or fewer lobules and the number of biopsies ranged from six to 22. The authors adviseadequate radiological-pathological correlation, as the lowvolume of ADHin directional vacuum-assisted stereotactic biopsies may not require excisional biopsy. In a separate study,the Nottingham group (Spencer et al. 1994) reviewed the mammographic features of 108 benign lesionsdetected in a screening programme. The commonest mammographic abnormalities leading to benign biopsywerenon-comedo-type suspicious calcification (29%), poorly defined mass (21 %), architectural distortion (19%) and well-defined mass (18%).

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