Popis: |
Over 1 million image-guided breast biopsies, guided by mammography, ultrasound, or magnetic resonance imaging, are performed annually in the United States. When the imaging characteristics of a lesion correspond to the histopathological diagnosis (e.g., suspicious imaging findings and malignant pathology), the biopsy results are deemed concordant. However, when the imaging characteristics differ from the pathological results (e.g., suspicious imaging findings but benign pathology), this biopsy result is considered discordant. This chapter, appearing in the section on interventions and surgical change, reviews the process of determining concordance between imaging and pathological findings, and managing discordant findings. Topics discussed include benign pathology results with suspicious imaging appearances, as well as the management of high-risk lesions, locally aggressive breast lesions, and malignant breast lesions. |