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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.
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Patterson JA, Scott M, Anderson N, Kirk SJ (December 2004). "Radial scar, complex sclerosing lesion and risk of breast cancer. Analysis of 175 cases in
Northern Ireland".
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Radial scar is associated with atypia and/or malignancy and may be an independent risk factor for the development of carcinoma in either breast.
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Ung OA, Lee WB, Greenberg ML, Bilous M (January 2001). "Complex sclerosing lesion: the lesion is complex, the management is straightforward".
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Histopathology of a radial scar of the breast, seen as a fibroelastic stroma and entrapped glands radiating outward. H&E stain.
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Radial scars are diagnosed by a microscopic examination of excised tissue, i.e. they are diagnosed by
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appearing (i.e. scar like) center with peripheral entrapped normal breast ducts and lobules.
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Radial Scar: How worried should we be about this rare breast abnormality? (telegraph.co.uk)
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Radial scars are spiculated masses characterized microscopically by a
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Kennedy M, Masterson AV, Kerin M, Flanagan F (October 2003).
243:"Pathology and clinical relevance of radial scars: a review"
73:, is a benign breast lesion that can radiologically mimic
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319:Micrograph of a radial scar (breastpathology.info)
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47:image of an excised radial scar.
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172:10.1016/j.ejso.2004.08.004
71:radial scar of the breast
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30:Radial scar of the breast
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259:10.1136/jcp.56.10.721
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45:Gross pathology
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166:(10): 1065–8.
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27:Other names
22:Radial scar
328:Categories
195:ANZ J Surg
145:References
124:Management
75:malignancy
118:sclerotic
88:Diagnosis
53:Specialty
339:Scarring
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