Radial Scar

  • Excision is recommended:
    • Because approximately 8% to 17% of radial scars:
      • Will be found to be associated with an adjacent malignant lesion:
        • The risk may be higher with abnormal mammogram findings
  • There is no indication for annual breast magnetic resonance screening in a patient with a radial scar
  • As a radial scar does not confer an increased risk of developing breast cancer:
    • Chemoprevention with tamoxifen is not indicated
  • References:
    • Linda A, Zuiani C, Furlan A, Londero V, Girometti R, Machin P, et al. Radial scars without atypia diagnosed at imaging-guided needle biopsy: how often is associated malignancy found at subsequent surgical excision, and do mammography and sonography predict which lesions are malignant? AJR Am J Roentgenol. 2010;194(4):1146-1151.
    • Hayes BD, O’Doherty A, Quinn CM. Correlation of needle core biopsy with excision histology in screen-detected B3 lesions: the Merrion Breast Screening Unit experience. J Clin Pathol. 2009;62(12):1136-1140.
    • Kennedy M, Masterson AV, Kerin M, Flanagan F. Pathology and clinical relevance of radial scars: a review. J Clin Pathol. 2003;56(10):721-724.
    • Patterson JA, Scott M, Anderson N, Kirk SJ. Radial scar, complex sclerosing lesion and risk of breast cancer. Analysis of 175 cases in Northern Ireland. Eur J Surg Oncol. 2004;30(10):1065-1068.
“Black Star”: Left craniocaudal (a) and mediolateral oblique (b) mammograms show an area of architectural distortion with radiolucent core in the union of upper quadrants (white circle). Left mediolateral oblique tomosynthesis (c) confirms the area of architectural distortion and shows better the radiolucent core with the radiating long thin spicules (white circle)

#Arrangoiz #BreastSurgeon #CancerSurgeon #BreastCancer #Teacher #Surgeon #RadialScar #Miami #Mexico

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s