TITLE: PREVALENCE OF BREAST CANCER IN BI-RADS CATEGORY 3 LESIONS
Abstract
Objective:
To determine the prevalence of breast cancer in patients found on mammography to have the Breast Imaging Report and Data System (BI-RADS) category 3 lesions.
Materials and methods:
1,704 women who underwent mammography during the one-year period from January 1st to December 31st 2001 were determined to have BI-RADS category 3 lesions. Of these, 1,100 had medical records available for review. Patients were included in the study if biopsies of the lesions were available, or if not, the followup time was at least two years. Presence of breast cancer was defined as cancer detected within two to three years after the initial mammogram at the site of the initial mammographic lesion. Patients not biopsied after two years were determined not to have breast cancer at the time of initial mammogram.
Results:
397 patients fulfilled the inclusion criteria. Biopsies were performed on 51 (12.8%) patients. Invasive breast cancer was found in two patients (2 of 397, 0.5%) and lobular carcinoma in situ in one.
Conclusion:
Our data suggest that the prevalence of breast cancer in patients with BI-RADS category 3 mammogram is extremely low (0.5%)
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References
American college of radiology. Breast imaging reporting and data system (BI-RADS) 4th ED. Reston, Va: American college of radiology, 2003
Sickles EA. Periodic mammographic follow-up of probably benign lesions: results of 3,184 consecutive cases. Radiology 1991; 179:463-8
Orel SG, Kay N, Reynolds C, Sullivan DC. BI-RADS categorization as a predictor of malignancy. Radiology 1999;211:845-50
Veras X, Leborgne F, Leborgne JH. Nonpalpable, probably benign lesions:role of follow -up mammography. Radiology 1992; 184: 409-14
Sickles EA. Probably benign breast lesions: when should follow-up be recommended and what is the optimal follow-up protocol? Radiology 1999;213:11-4
Buchbinder SS, Leichter IS, Lederman RB, Novak B, Bamberger PN, Sklair-Levy M, et al. Computer-aided classification of BI -RADS category 3 breast lesions. Radiology 2004; 230: 820-3
Veras X, Leborgne JH, Leborgne F, Mezzera J, Janmandreu S, Leborgne F. Revisiting the mammographic follow-up of BI-RADS category 3 lesions. AJR 2002;179:691-5
Berg WA, Mrose HE, Loffe OB. Atypical lobular hyperplasia or lobular carcinoma in situ at core-needle breast biopsy. Radiology 2001; 218: 503-9
Foster MC, Helvie MA, Gregory NE, Rebner M, Nees AV, Paramakul C. Lobular carcinoma in situ or atypical lobular hyperplasia at coreneedle biopsy: is excisional biopsy necessary? Radiology 2004; 231: 813-9
Yasmeen S, Romano PA, Pettinger M, Chlebowski RT, Robbins JA, Lane DS, Hendrix SL. Frequency and predictive value ofa mammographic recommendation for short-interval follow-up. JNCI 2003; 95: 429-36.
Kopan DB. Mammographic appearance of breast cancer. In:Kopan DB. Editors. Breast imaging. 2nd ed. Philadelphia:Lippincott -Raven; 1997. p.375-408
Singletary SE, Allred C, Ashley P, Bassett LW, Berry D, Bland KI, et al. Revision of the American joint committee on cancer staging system for breast cancer. J Clin Oncol 2002; 20: 3628-36
Zonderland HM, Coerkamp EG, Hermans J, Van de Vijver MJ, Van Voorthuisen AD. Diagnostic of breast cancer: contribution of US as an adjunct to mammography. Radiology 1999; 213: 413-22
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