RadioGraphics
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Figures Only
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Alleva, D. Q.
Right arrow Articles by Cederbom, G. J.
Right arrow Search for Related Content
PubMed
Right arrow Articles by Alleva, D. Q.
Right arrow Articles by Cederbom, G. J.
Related Collections
Right arrow Breast (Imaging and Interventional)
Right arrow Mammography
Right arrowRelated Article
(Radiographics. 1999;19:S27-S35.)
© RSNA, 1999

BREAST IMAGING

Radial Scar of the Breast: Radiologic-Pathologic Correlation in 22 Cases1

D. Quentin Alleva, MD, Dana H. Smetherman, MD, MPH, Gist H. Farr, Jr, MD and Gunnar J. Cederbom, MD

1 From the Departments of Radiology (D.Q.A., D.H.S., G.J.C.) and Pathology (G.H.F.), Ochsner Clinic, 1514 Jefferson Hwy, New Orleans, LA 70121. Presented as a scientific exhibit at the 1998 RSNA scientific assembly. Received March 19, 1999; revision requested April 13 and received May 7; accepted May 7. Address reprint requests to D.H.S.

Twenty-two cases were reviewed in which the diagnosis of radial scar (complex sclerosing lesion) of the breast was suspected preoperatively. At mammography, the lesions had a "black star" appearance with long, thin spicules radiating from a radiolucent central area. Excisional rather than core needle biopsy was recommended in all cases. In 13 of 22 cases, including one case of atypical ductal hyperplasia, the lesions proved benign at pathologic analysis. The remaining nine cases were malignant and included one case with a low-nuclear-grade cribriform and micropapillary ductal carcinoma in situ adjacent to the lesion. Results of this study confirm the previously reported association of atypical ductal hyperplasia and carcinoma with radial scar. Furthermore, they demonstrate that a mammographic finding suggestive of radial scar may represent a malignancy that mimics the typical imaging findings in these entities. In cases of mammographically suspected radial scar, all members of the management team as well as the patient should be made aware preoperatively of the potential for benign as well as malignant pathologic findings.

Index Terms: Breast, radial scar, 00.725 • Breast neoplasms, 00.32 • Breast neoplasms, diagnosis, 00.11, 00.1261


Related Article

Invited Commentary • Author's Response
Julianne S. Greenberg and Dana H. Smetherman
RadioGraphics 1999 19: 36-37. [Full Text] [PDF]





HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
RADIOGRAPHICS RADIOLOGY RSNA JOURNALS ONLINE
Copyright © 1999 by the Radiological Society of North America.