title: [Benign breast tumors: Recommendations of Collège National des Gynécologues Obstétriciens Français (CNGOF)--Short text].
abstract: Breast sonography is required with mammogram to explore clinical breast mass (grade B), colored unipore breast nipple discharge (grade C), or mastitis (grade C). Bi-RADS system is recommended to describe and classify breast-imaging abnormalities. For breast abscess, a percutaneous biopsy is recommended in case of mass or persistent symptoms (grade C). For mastodynia, when breast imaging is normal, no MRI neither breast biopsy is recommended (grade C). Percutaneous biopsy is recommended for BI-RADS 4-5 mass (grade B). For persistent erythematous breast nipple or atypical eczema lesion, a nipple biopsy is recommended (grade C). For distortion and asymmetry, a vacuum core needle biopsy is recommended because of the risk of underestimation by simple core needle biopsy (grade C). For BI-RADS 4-5 microcalcifications without ultrasound signal, a vacuum core needle biopsy of at least 11 gauges is recommended (grade B); in the absence of microcalcifications on radiograph carrots, additional samples are recommended (grade B). For atypical ductal hyperplasia, atypical lobular hyperplasia, lobular carcinoma in situ, flat epithelial with atypia, radial scar, mucocele with atypia, surgical excision is commonly recommended (grade C). Expectant management is feasible after multidisciplinary concertation. For these lesions, when excision is not in sano, no new excision is recommended except for pleomorphic or with necrosis CLIS (grade C). For grade 1 phyllode tumour, in sano surgical resection is recommended; for grade 2 phyllode, 10-mm margins are recommended (grade C). For breast papillary without atypia, complete disappearance of the radiologic signal is recommended (grade C). For breast papillary with atypia, complete surgical excision is recommended (grade C).
authors.affiliation: ER440, oncogenesis, stress and signaling, labelisé Inserm, CRLCC Eugène-Marquis, service de gynécologie, CHU de Rennes, université de Rennes 1, 35000 Rennes, France. Electronic address: cngof@club-internet.fr.
authors.forename: V
authors.initials: V
authors.lastname: Lavoué
authors.affiliation: CIC 1402, CHU de Poitiers, université de Poitiers, 86021 Poitiers, France; CESP Inserm U1018, 94270 Kremlin-Bicêtre, France.
authors.forename: X
authors.initials: X
authors.lastname: Fritel
authors.affiliation: Service d'anatomopathologie, hôpital Tenon, 4, rue de la Chine, 75020 Paris, France.
authors.forename: M
authors.initials: M
authors.lastname: Antoine
authors.affiliation: Service d'anatomopathologie, centre régional de lutte contre le cancer Georges-François-Leclerc, 21000 Dijon, France.
authors.forename: F
authors.initials: F
authors.lastname: Beltjens
authors.affiliation: Inserm UMRS707, service de gynécologie obstétrique et médecine de la reproduction, hôpital Tenon, AP-HP, 4, rue de la Chine, 75020 Paris, France.
authors.forename: S
authors.initials: S
authors.lastname: Bendifallah
authors.affiliation: Service de radiologie, centre régional de lutte contre le cancer bergognié, 33000 Bordeaux, France.
authors.forename: M
authors.initials: M
authors.lastname: Boisserie-Lacroix
authors.affiliation: Service de gynécologie-obstétrique, hôpital Jeanne-de-Flandre, 59000 Lille, France.
authors.forename: L
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authors.lastname: Boulanger
authors.affiliation: Inserm UMRS938, service de gynécologie obstétrique et médecine de la reproduction, hôpital Tenon, AP-HP, 4, rue de la Chine, 75020 Paris, France.
authors.forename: G
authors.initials: G
authors.lastname: Canlorbe
authors.affiliation: Service de gynécologie endocrinienne, hôpital Jeanne-de-Flandre, 59000 Lille, France.
authors.forename: S
authors.initials: S
authors.lastname: Catteau-Jonard
authors.affiliation: Service de gynécologie obstétrique et médecine de la reproduction, hôpital Tenon, AP-HP, 4, rue de la Chine, 75020 Paris, France.
authors.forename: N
authors.initials: N
authors.lastname: Chabbert-Buffet
authors.affiliation: Service de radiologie, hôpital européen Georges-Pompidou, AP-HP, 15, rue Leblanc, 75015 Paris, France.
authors.forename: F
authors.initials: F
authors.lastname: Chamming's
authors.affiliation: Service de chirurgie, centre régional de lutte contre le cancer Paoli-Calmettes, 13009 Marseille, France.
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authors.affiliation: Service de radiologie, hôpital Tenon, AP-HP, 4, rue de la Chine, 75020 Paris, France.
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authors.affiliation: Service de chirurgie, centre régional de lutte contre le cancer Georges-François-Leclerc, 21079 Dijon, France.
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authors.affiliation: Service de gynécologie-obstétrique, hôpital Jeanne-de-Flandre, 59000 Lille, France.
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authors.affiliation: Service de gynécologie-obstétrique, CHU de Poitiers, 2, rue de la Milétrie, BP 577, 86021 Poitiers cedex, France.
authors.forename: N
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authors.affiliation: Inserm U1199, Bioticla, service de gynécologie-obstétrique, CHU de Caen, université de Basse-Normandie, avenue de la Côte-de-Nacre, 14033 Caen cedex 09, France.
authors.forename: R
authors.initials: R
authors.lastname: Fauvet
authors.affiliation: Service d'anatomopathologie, hôpital Jeanne-de-Flandre, 59037 Lille, France.
authors.forename: O
authors.initials: O
authors.lastname: Kerdraon
authors.affiliation: Service de gynécologie obstétrique et médecine de la reproduction, hôpital Tenon, AP-HP, 4, rue de la Chine, 75020 Paris, France.
authors.forename: E
authors.initials: E
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authors.affiliation: CESP Inserm U1018, service de gynécologie obstétrique, CHU d'Angers, 49100 Angers, France.
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authors.affiliation: Unité de sénologie, hôpital de Hautepierre, CHRU de Strasbourg, avenue Molière, 67200 Strasbourg, France.
authors.forename: C
authors.initials: C
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authors.affiliation: Service de gynécologie-obstétrique, CHU de Poitiers, 2, rue de la Milétrie, BP 577, 86021 Poitiers cedex, France.
authors.forename: C
authors.initials: C
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authors.affiliation: Service de radiologie, hôpital Tenon, AP-HP, 4, rue de la Chine, 75020 Paris, France.
authors.forename: I
authors.initials: I
authors.lastname: Thomassin Naggara
authors.affiliation: Service de chirurgie cancérologique, gynécologique et du sein, hôpital européen Georges-Pompidou, AP-HP, 15, rue Leblanc, 75015 Paris, France; Université Paris-Descartes, 75006 Paris, France.
authors.forename: C
authors.initials: C
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authors.affiliation: Unité Inserm 1069, département de gynécologie, centre hospitalier régional universitaire de Tours, hôpital Bretonneau, faculté de médecine François-Rabelais, 2, boulevard Tonnellé, 37044 Tours, France.
authors.forename: L
authors.initials: L
authors.lastname: Ouldamer
authors.affiliation: Service de gynécologie obstétrique, CHU de Montpellier, 34295 Montpellier, France.
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authors.initials: A
authors.lastname: Rafii
authors.affiliation: Service de radiologie, hôpital Hautepierre, 1, avenue Molière, 67100 Strasbourg, France.
authors.forename: M-N
authors.initials: MN
authors.lastname: Roedlich
authors.affiliation: Cabinet médical, 146, avenue Ledru-Rollin, 75011 Paris, France.
authors.forename: J
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authors.lastname: Seror
authors.affiliation: Imagerie Duroc, R, boulevard du Montparnasse, 75006 Paris, France.
authors.forename: J-Y
authors.initials: JY
authors.lastname: Séror
authors.affiliation: Service de gynécologie obstétrique, CHI, 40, avenue de Verdun, 94000 Créteil, France.
authors.forename: C
authors.initials: C
authors.lastname: Touboul
authors.affiliation: Service de chirurgie et cancérologie gynécologique et mammaire, AP-HP, Pitié-Salpêtrière, université Pierre-et-Marie-Curie, Paris 6, 83, boulevard de l'Hôpital, 75013 Paris, France.
authors.forename: C
authors.initials: C
authors.lastname: Uzan
authors.affiliation: Inserm UMRS938, service de gynécologie obstétrique et médecine de la reproduction, hôpital Tenon, AP-HP, 4, rue de la Chine, 75020 Paris, France.
authors.forename: E
authors.initials: E
authors.lastname: Daraï
mesh_terms: D001941:Breast Diseases / Q000175:diagnosis* / Q000628:therapy*; D001943:Breast Neoplasms / Q000175:diagnosis* / Q000628:therapy*; D005260:Female; D006801:Humans; D017410:Practice Guidelines as Topic
keywords: BI-RADS classification; Benign breast tumour; Classification BI-RADS; Histologie; Mammogram; Mammographie; Pathological analysis; Sonography; Tumeur bénigne du sein; Échographie