Hyperplasie épithéliale atypique du sein : bilan des connaissances et pratique clinique

Lavoué, Vincent; Bertel, C; Tas, Patrick; Bendavid, C.; Rouquette, S.; Foucher, Fabrice; Audrain, Odile; Bouriel, C.; Lévèque, Jean

doi:10.1016/j.jgyn.2009.09.007

Cited by 6 publications

(2 citation statements)

References 92 publications

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“…The recommendations of the Léon Bérard Center (CLB) [14] Open Journal of Obstetrics and Gynecology If an atypical lesion is found on a biopsy, the current standard attitude is to perform an exeresis [2]. In the postoperative period, we did not recommend any particular treatment.…”

Section: Discussionmentioning

confidence: 99%

“…The variable clinical significance between marker and precursor of breast cancer, of these atypical hyperplasias is discussed; they are classified into three types: HCA, lobular neoplasia (NL), and cylindrical metaplasia with atypia [1]. The discovery of HCA is often fortuitous on breast tissue [1], and management is not consensual [2]. There are no specific recommendations on the technique for removing atypical hyperplasia lesions discovered on percutaneous biopsy; these lesions are often subclinical.…”

Section: Introductionmentioning

confidence: 99%

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Atypical Ductal Hyperplasia of the Breast: Management of a Clinical Case at the IBN SINA Hospital Centre with Literature Review

Mbongo¹,

Alami²,

Meukem³

et al. 2019

OJOG

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Objective: To report a case of difficulties in the management of atypical ductal hyperplasia (ADH). Presentation of the case: Mrs. G, 50 years old, is consulting following the discovery at autopalpation of a lesion on her left breast. In its history: radical mastectomy Right Patey in 2004 for ductal carcinoma Infiltrant associated with carcinoma in situ; 2 N+ /14; Positive hormone receptors. Adjuvant treatment performed: chemotherapy, radiotherapy and hormone therapy. Summary of the clinical case: Left breast examination: Superior External Quadrant nodule 5 cm × 4, mobile, hard, without inflammatory signs, there is no palpable lymph node. The surgical scar of the right breast is without particularity. Mammography and left breast ultrasound show an ACR4 lesion according to BIRADS. Microbiopsy: intradural papillomatous lesion requiring verification of the myoepithelial layer (P63 and CK5/6). Immunohistochemistry: atypical ductal hyperplasia (ADH) with no sign of transformation. Normal CA15-3 dosage. Treatment: broad surgical removal of the lesion. Analysis of the part shows a lesion with all the criteria of an HCA measuring 2 mm in its largest axis. The postoperative consequences are simple. Conclusion: The management of atypical hyperplasia is not consensual and is often undervalued. The type of lesion characterizing HCA is decisive for therapeutic orientation.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Atypical Ductal Hyperplasia of the Breast: Management of a Clinical Case at the IBN SINA Hospital Centre with Literature Review

Mbongo¹,

Alami²,

Meukem³

et al. 2019

OJOG

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Atypical lobular hyperplasia: what we need to know

Ferre,

Kuzmiak

2024

J Med Imaging Intervent Radiol

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Atypical lobular hyperplasia (ALH) is defined as an epithelial proliferation that does not meet the qualitative or quantitative abnormalities to be classified as ductal carcinoma in situ (DCIS). ALH is part of the high-risk lesions, subclassified among the lobular neoplasia. This review provides the characteristics of ALH, focusing on the imaging appearance. In addition, current outcomes and updated management are reviewed.

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Flat epithelial atypia: What the radiologist needs to know in 2021

Ferré

Kuzmiak

2021

Clinical Imaging

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Hyperplasie épithéliale atypique du sein : bilan des connaissances et pratique clinique

Cited by 6 publications

References 92 publications

Atypical Ductal Hyperplasia of the Breast: Management of a Clinical Case at the IBN SINA Hospital Centre with Literature Review

Atypical Ductal Hyperplasia of the Breast: Management of a Clinical Case at the IBN SINA Hospital Centre with Literature Review

Atypical lobular hyperplasia: what we need to know

Flat epithelial atypia: What the radiologist needs to know in 2021

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