Breast screening in Singapore: implications for pathology.

The aim of this review is to discuss the impact of breast screening on pathology. The advent of the national mammographic screening programme in Singapore has led to changes in the manner in which breast specimens are handled in the pathology laboratory, an increased detection of borderline lesions which pose diagnostic challenges, the occurrence of specific issues regarding core biopsies, and the need for awareness of histologic artefacts associated with preoperative needling procedures. There are also economic and workload implications, in addition to the essential requirement for quality assurance and educational programmes to maintain high professional standards. A multidisciplinary approach and commitment to continual professional upgrading are key to surmounting the pathologic challenges brought about by breast screening.