Literature DB >> 27936888

The B3 conundrum-the radiologists' perspective.

Nisha Sharma1, Louise S Wilkinson2, Sarah E Pinder3.   

Abstract

The management of B3 lesions is both controversial and complicated. There have been recent publications regarding how best to manage this heterogeneous group particularly in light of the Marmot Review and with the advent of vacuum-assisted biopsy technique. It is recognized that B3 lesions on core biopsy can be upgraded to malignancy in up to one-third of cases, but this is predominantly to ductal carcinoma in situ or low-grade invasive tumours. The upgrade rate is mainly associated with B3 lesions with epithelial atypia. This review summarizes the current management and focuses on the proposed future management of these B3 lesions.

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Year:  2016        PMID: 27936888      PMCID: PMC5601507          DOI: 10.1259/bjr.20160595

Source DB:  PubMed          Journal:  Br J Radiol        ISSN: 0007-1285            Impact factor:   3.039


  20 in total

1.  Positive predictive value for malignancy on surgical excision of breast lesions of uncertain malignant potential (B3) diagnosed by stereotactic vacuum-assisted needle core biopsy (VANCB): a large multi-institutional study in Italy.

Authors:  S Bianchi; S Caini; G Renne; E Cassano; D Ambrogetti; M G Cattani; G Saguatti; M Chiaramondia; E Bellotti; R Bottiglieri; A Ancona; Q Piubello; S Montemezzi; G Ficarra; C Mauri; F A Zito; V Ventrella; P Baccini; M Calabrese; D Palli
Journal:  Breast       Date:  2011-01-03       Impact factor: 4.380

2.  Underestimation of malignancy of breast core-needle biopsy: concepts and precise overall and category-specific estimates.

Authors:  Nehmat Houssami; Stefano Ciatto; Ian Ellis; Daniela Ambrogetti
Journal:  Cancer       Date:  2007-02-01       Impact factor: 6.860

Review 3.  The benefits and harms of breast cancer screening: an independent review.

Authors:  M G Marmot; D G Altman; D A Cameron; J A Dewar; S G Thompson; M Wilcox
Journal:  Br J Cancer       Date:  2013-06-06       Impact factor: 7.640

4.  The role of pre-operative diagnosis in breast cancer.

Authors:  S E Pinder; C W Elston; I O Ellis
Journal:  Histopathology       Date:  1996-06       Impact factor: 5.087

5.  Characterization and outcome of breast needle core biopsy diagnoses of lesions of uncertain malignant potential (B3) in abnormalities detected by mammographic screening.

Authors:  Emad A Rakha; Andrew H S Lee; Jacquie A Jenkins; Alison E Murphy; Lisa J Hamilton; Ian O Ellis
Journal:  Int J Cancer       Date:  2011-02-11       Impact factor: 7.396

6.  Outcome of a new patient pathway for managing B3 breast lesions by vacuum-assisted biopsy: time to change current UK practice?

Authors:  C Strachan; K Horgan; R A Millican-Slater; A M Shaaban; N Sharma
Journal:  J Clin Pathol       Date:  2015-09-14       Impact factor: 3.411

7.  Vacuum-assisted breast biopsy with 7-gauge, 8-gauge, 9-gauge, 10-gauge, and 11-gauge needles: how many specimens are necessary?

Authors:  Heike Preibsch; Astrid Baur; Beate M Wietek; Bernhard Krämer; Annette Staebler; Claus D Claussen; Katja C Siegmann-Luz
Journal:  Acta Radiol       Date:  2014-09-17       Impact factor: 1.990

8.  Surgical excision for B3 breast lesions diagnosed by vacuum-assisted core biopsy.

Authors:  S Reefy; H Osman; C Chao; N Perry; K Mokbel
Journal:  Anticancer Res       Date:  2010-06       Impact factor: 2.480

9.  Benign breast lesions: minimally invasive vacuum-assisted biopsy with 11-gauge needles patient acceptance and effect on follow-up imaging findings.

Authors:  Sabine Huber; Monika Wagner; Michael Medl; Heinrich Czembirek
Journal:  Radiology       Date:  2003-03       Impact factor: 11.105

10.  Risk factors for breast cancer in women with proliferative breast disease.

Authors:  W D Dupont; D L Page
Journal:  N Engl J Med       Date:  1985-01-17       Impact factor: 91.245

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  2 in total

1.  Effectiveness of percutaneous vacuum-assisted excision (VAE) of breast lesions of uncertain malignant potential (B3 lesions) as an alternative to open surgical biopsy.

Authors:  Elisabetta Giannotti; Jonathan J James; Yan Chen; Rachel Sun; Amanjot Karuppiah; Julie Yemm; Andrew H S Lee
Journal:  Eur Radiol       Date:  2021-06-08       Impact factor: 5.315

2.  Atypical Ductal Hyperplasia: Risk Factors for Predicting Pathologic Upgrade on Excisional Biopsy.

Authors:  Ko Woon Park; Boo-Kyung Han; Sun Jung Rhee; Soo Youn Cho; Eun Young Ko; Eun Sook Ko; Ji Soo Choi
Journal:  Taehan Yongsang Uihakhoe Chi       Date:  2021-10-18
  2 in total

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