Does a radial scar need to be surgically removed?
Women with radial scars should undergo a surgical excision to rule out an underlying malignancy. Summary: Any patient with a breast lesion classified as a radial scar classified at percutaneous biopsy should undergo a surgical excision to rule out an underlying malignancy, according to a new study.
How serious is a radial scar?
A radial scar is a type of breast mass that can be associated with an increased risk of breast cancer. This mass may be benign or precancerous, and it can contain a mixture of tissue, including hyperplasia (increased number of cells), atypia (change in the cell characteristics), or cancer.
What percentage of radial scars are cancerous?
The radiologically detected radial scar associated malignancy rate ranged from 10.0 to 41.0% on excision [11]. However, recent studies with carefully performed correlations between radiological and pathology findings suggest that upgrade to carcinoma on core biopsy occurs in less than 2.0% [12,13,14,15].
What is the treatment for radial scars?
Even though the diagnosis can usually be made on a core biopsy, your doctor may suggest a small operation (excision biopsy) to completely remove the radial scar or complex sclerosing lesion. Sometimes your doctor may suggest doing a vacuum-assisted biopsy to remove it instead of an excision biopsy.
Is a radial scar a tumor?
Radial Scar Diagnosis and Management. Radial scars (RS) are benign, tumor-like lesions which are most commonly an incidental finding during mammography. When they are greater than 1 cm in diameter, they are referred to as complex sclerosing lesions.
Do radial scars recur?
Breast Cancer Mimics Radial scar (RS), also known as a complex sclerosing lesion, is a benign lesion that is often mistaken for carcinoma because of its spiculated appearance (Figure 1).
What causes breast radial scar?
A radial scar is a benign hyperplastic proliferative disease of the breast. Proposed possible causes include localized inflammatory reaction and chronic ischemia with subsequent slow infarction.
Is a lumpectomy major surgery?
A lumpectomy is a common but major surgery with significant risks and potential complications. You may have more effective treatment options for your type and stage of breast cancer. You may also have less invasive treatment options for noncancerous tumors.
How common is radial scar breast?
The reported prevalence of radial scar is 0.1-2.0 per 1,000 screening mammograms. The radial scar is very rare in women younger than 40 years and older than 60 years. Most often in women between 41-60 years 12-13.
Do radial scars enhance on MRI?
[27] found a similar upgrade rate of 23.1% (3/13 radial scars upgraded) for MRI biopsy–diagnosed radial scars.
How common are breast radial scars?
Does radial scar enhance on MRI?
Radial scars have a broadly variable MRI appearance ranging from not being visible to an enhancing irregular malignant-appearing mass (Fig. 7).
Can a radial scar of breast be removed?
A simple surgical excision and removal of the entire Radial Scar of Breast is normally sufficient treatment. It is the recommended treatment due to association of the tumor with malignancy and recurrence potential.
What is the prognosis of a radial scar?
1 The prognosis of Radial Scar of Breast is generally excellent on a surgical excision and removal of the tumor 2 In general, Radial Scar of Breast is associated with an increased risk for breast cancer into the future. 3 Periodic follow-up check-ups with screening is required
What kind of tumor has a radial scar?
The tumors can appear as a firm mass; larger tumors may be felt by touch Radial scars (RSs) denote tumors of relatively smaller size, while complex sclerosing lesions (CSLs) that are similar to radial scars, indicate larger-sized tumors When a pathologist examines the tumor under a microscope, the tumor usually has irregular margins.
How are breast cancer patients treated after a lumpectomy?
Most patients who choose lumpectomy will also be treated with radiation therapy to minimize the chance of recurrence of the cancer in the breast. The photos below show the breasts of some typical patients who underwent lumpectomy and radiation therapy for treatment of their cancer at Norris Cotton Cancer Center.