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Radial scar

Field	Value
name	Radial scar
synonyms	Radial scar of the breast
image	Radial scar.jpg
caption	Gross pathology image of an excised radial scar.
field	General surgery

A radial scar, formally radial scar of the breast, is a benign breast lesion that can radiologically mimic malignancy, i.e. cancer.

Radial scar is associated with atypia and/or malignancy and may be an independent risk factor for the development of carcinoma in either breast.

Diagnosis

Radial scars are diagnosed by a microscopic examination of excised tissue, i.e. they are diagnosed by pathologists based on their histomorphology.

Histomorphology

Histopathology of a radial scar of the breast, seen as a fibroelastic stroma and entrapped glands radiating outward. H&E stain.

Radial scars are spiculated masses characterized microscopically by a sclerotic appearing (i.e. scar like) center with peripheral entrapped normal breast ducts and lobules.

Management

The presence of a radial scar on imaging mandates a percutaneous core biopsy for histologic diagnosis. Excisional biopsy is usually recommended for radial scar, although it has been argued that core biopsy evaluation and surveillance may be appropriate in selected patients.

References

(December 2004). "Radial scar, complex sclerosing lesion and risk of breast cancer. Analysis of 175 cases in Northern Ireland". Eur J Surg Oncol.
(January 2001). "Complex sclerosing lesion: the lesion is complex, the management is straightforward". ANZ J Surg.
(October 2003). "Pathology and clinical relevance of radial scars: a review". J. Clin. Pathol..

Info: Wikipedia Source

This article was imported from Wikipedia and is available under the Creative Commons Attribution-ShareAlike 4.0 License. Content has been adapted to SurfDoc format. Original contributors can be found on the article history page.

breast scarring

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