title: The radial scar of the breast diagnosed at core needle biopsy.
abstract: The radial scar (RS) or complex sclerosing lesion (CSL) of the breast represents a management dilemma on diagnosis at breast core needle biopsy because of the risk of associated malignancy identified only upon surgical excision. To determine our experience, we retrospectively reviewed core needle biopsies performed at the Darlene G. Cass Breast Imaging Center from 2006 to 2011, identifying 67 patients with RS or CSL, and correlated histology at excisional biopsy with core biopsy results. Of the 67 cases, 6 (9%) were associated with malignancy at surgical excision. The average size of the RS or CSL was 1.42 cm. In conclusion, RS or CSL diagnosed at core needle biopsy still warrants surgical excision because of the significant percentage (9%) of cases with associated malignancy.
authors.affiliation: Medical Imaging of Dallas, Irving, Texas (Morgan), and American Radiology Associates, Dallas, Texas (Shah, Hamilton, Wang, Spigel, W. DeLeon, P. DeLeon, Leete, Fulmer).
authors.forename: Cory
authors.initials: C
authors.lastname: Morgan
authors.forename: Zeeshan A
authors.initials: ZA
authors.lastname: Shah
authors.forename: Raynal
authors.initials: R
authors.lastname: Hamilton
authors.forename: Jean
authors.initials: J
authors.lastname: Wang
authors.forename: Joseph
authors.initials: J
authors.lastname: Spigel
authors.forename: William
authors.initials: W
authors.lastname: Deleon
authors.forename: Patricia
authors.initials: P
authors.lastname: Deleon
authors.forename: Tyler
authors.initials: T
authors.lastname: Leete
authors.forename: J Mark
authors.initials: JM
authors.lastname: Fulmer