Histopathology of benign non-palpable breast lesions identified by mammography.

Barnard, Nicola; George, Biju; Tucker, A.K.; Gilmore, O. J. A.

doi:10.1136/jcp.41.1.26

Cited by 13 publications

(3 citation statements)

References 14 publications

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“…Nicola et al . [ 31 ] reported that 55% of biopsies performed on the basis of mammographic changes, for instance microcalcification, stromal distortion and spiculation, are due to benign breast disease. Another study has shown that 33% of the biopsies done were due to benign lesions [ 32 ].…”

Section: Discussionmentioning

confidence: 99%

Factors associated with false-positive mammography at first screen in an Asian population

Bok

Ishak

et al. 2019

PLoS ONE

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IntroductionFalse-positive recall is an issue in national screening programmes. The aim of this study is to investigate the recall rate at first screen and to identify potential predictors of false-positive recall in a multi-ethnic Asian population-based breast cancer screening programme.MethodsWomen aged 50–64 years attending screening mammography for the first time (n = 25,318) were included in this study. The associations between potential predictors (sociodemographic, lifestyle and reproductive) and false-positive recall were evaluated using multivariable logistic regression models.ResultsThe recall rate was 7.6% (n = 1,923), of which with 93.8% were false-positive. Factors independently associated with higher false-positive recall included Indian ethnicity (odds ratio [95% confidence interval]: 1.52 [1.25 to 1.84]), premenopause (1.23 [1.04 to 1.44]), nulliparity (1.85 [1.57 to 2.17]), recent breast symptoms (1.72 [1.31 to 2.23]) and history of breast lump excision (1.87 [1.53 to 2.26]). Factors associated with lower risk of false-positive recall included older age at screen (0.84 [0.73 to 0.97]) and use of oral contraceptives (0.87 [0.78 to 0.97]). After further adjustment of percent mammographic density, associations with older age at screening (0.97 [0.84 to 1.11]) and menopausal status (1.12 [0.95 to 1.32]) were attenuated and no longer significant.ConclusionFor every breast cancer identified, 15 women without cancer were subjected to further testing. Efforts to educate Asian women on what it means to be recalled will be useful in reducing unnecessary stress and anxiety.

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Section: Discussionmentioning

confidence: 99%

Factors associated with false-positive mammography at first screen in an Asian population

Bok

Ishak

et al. 2019

PLoS ONE

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“…Mammographically, BDA is characterized by small, oval, round cluster or granular microcalcifications [ 19 ]. Barnard et al evaluated the non-palpable mammographic abnormalities which was reported as benign at biopsy and stated that microcalcifications were mostly related with BDA [ 20 ]. In our series; 23% of BDA lesions were detected on mammography as clustered punctate microcalcifications.…”

Section: Discussionmentioning

confidence: 99%

Mammographic and Ultrasonographic Findings of Different Breast Adenosis Lesions

Öztürk¹,

Yücesoy²,

Önal³

et al. 2015

Journal of the Belgian Society of Radiology

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Aim: To describe imaging features of different breast adenosis lesions.Materials and methods: Mammographic and ultrasonographic findings of patients with different types of adenosis were reviewed retrospectively Tissue samples were obtained either with US-guided core needle biopsy or localization with needle-wire system and surgical excision.Results: Forty-three adenosis lesions were diagnosed in 41 patients: 27 sclerosing adenosis, 13 blunt duct adenosis and 3 microglandular adenosis. Most frequent abnormal findings of sclerosing adenosis were masses with non-circumscribed margins and focal acoustic shadowing without mass configuration (54%) on ultrasonography. Mammography was normal in 54% of sclerosing adenosis, the most common abnormality was architectural distortion (21%). In blunt duct adenosis, usually circumscribed masses (46%) were detected on ultrasonography, clustered punctate microcalcifications (23%) and circumscribed masses (23%) were observed on mammography. All microglandular adenosis lesions were non-circumscribed masses. Premalignant components were detected only with surgical excisional biopsy in three patients that showed suspicious radiological findings and benign pathological result on core biopsy.Conclusion: The adenosis lesions have no pathognomonic characteristics on mammography and ultrasound. Total excision may be considered when suspicious radiological findings are present although core needle biopsy results are benign.

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“…Despite Azzopardi's reservations, fi brosis of the breast can present as either a clinical lump or a mammographically detected lesion (Minkowitz et al 1973 ;Barnard et al 1988 ). disputed whether fi brosis of the breast is a pathological entity.…”

Section: Focal Fibrosismentioning

confidence: 99%

Benign Breast Diseases

Chinyama¹

2014

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Histopathology of benign non-palpable breast lesions identified by mammography.

Cited by 13 publications

References 14 publications

Factors associated with false-positive mammography at first screen in an Asian population

Factors associated with false-positive mammography at first screen in an Asian population

Mammographic and Ultrasonographic Findings of Different Breast Adenosis Lesions

Benign Breast Diseases

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