Abstract

RAVELO PAGES, RICARDO et al. Cicatriz Radial de la mama: experiencia en el centro clínico de estereotaxia (CECLINES). Rev. venez. oncol. [online]. 2005, vol.17, n.4, pp.174-181. ISSN 0798-0582.

OBJECTIVES: We retrospectively reviewed our experience with radial scars. We reviewed the characteristics of each patient, their management in order to address futures studies. METHODS: 2 130 percutaneous breast biopsies were practiced between 1996- 2004, 19 of them with histological diagnosis of radial scar. All cases have concordance with images. When were not atypical proliferatives changes, recommended clinical and mammographic follow-up, if atypical proliferate change coexist we recommended surgical resection. In average the follow-up resulted in 23 months. RESULTS: All abnormalities were detected in screening mammograms. The median lesion size was 12 mm. 5.26 % we had mammography diagnosis before the biopsy. Of all lesions, 42.11 % were categorized as highly suspicious (BI-RADS 5), 52.63 % as suspicious (BI-RADS 4) and 5.26 % as probably benign (BI-RADS 3). We made vacuum assisted (Mammotome^®) breast stereotactic biopsy 78.95 %. Median procedure time was 21 minutes, and 20 samples in each patient (range: 6-40). We left a clip to mammographic controls in 63.16 % cases. We observed minors complications in a 10.53 %. Atypical ductal hiperplasia was associated in 36.84 %. Only 8 patients (42.11 %) were to open biopsy. Cancer underestimation was presented in 2 of them (25 %). CONCLUSIONS: The radial scars can be managed safely with vacuum-assisted breast biopsy, avoiding surgical biopsies in many of the patients. When there are associated atypical changes we recommended the surgical resection because there are high risks of cancer underestimation.

Keywords : Cancer; breast; radial scar; atypical ductal hiperplasia; needle core biopsy; image-guided biopsies; diagnosis.