Advanced Screening Options and Surveillance in Women with Atypical Breast Lesions
An integral component in the management of high-risk women is screening for breast cancer. The goal of a screening examination is to detect disease in asymptomatic individuals at an early stage, when treatment may be more effective, less invasive, and/or less expensive. A complete risk assessment may place many women with a history of atypia at an increased risk of breast cancer. Several imaging modalities may be considered for additional screening and surveillance.
KeywordsScreening mammography Digital breast tomosynthesis Breast MRI Ultrasound High risk Intermediate risk Atypia
- 2.Bevers TB, Harris RE, Parker CC, Helvie M, Heerdt AS, Pearlman M, et al. Breast cancer screening and diagnosis. NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines) [Internet]. June 2, 2017; Version I.2017. Available from: NCCN.org
- 3.ACR and SBI continue to recommend regular mammography starting at age 40 [press release]. https://www.sbi-online.org/Portals/0/ACR-SBI%20press%20release%20ACS%20FINAL%20for%20web.pdf. October 20, 2015.
- 4.Mainiero MB, Moy L, Baron P, Didwania AD, diFlorio-Alexander RM, Green ED, et al. ACR appropriateness criteria® breast cancer screening. Available from: https://acsearch.acr.org/docs/70910/Narrative/. American College of Radiology. Accessed 31 Oct 2017.
- 21.Lång K, Andersson I, Rosso A, Tingberg A, Timberg P, Zackrisson S. Performance of one-view breast tomosynthesis as a stand-alone breast cancer screening modality: results from the Malmö Breast Tomosynthesis Screening Trial, a population-based study. Eur Radiol. 2016;26(1):184–90.CrossRefGoogle Scholar
- 29.ACR manual on contrast media version 10.3. ACR committee on drugs and contrast media. Available from: https://www.acr.org/~/media/37D84428BF1D4E1B9A3A2918DA9E27A3.pdf. American College of Radiology. Accessed on 31 Oct 2017.
- 33.Lord SJ, Lei W, Craft P, Cawson JN, Morris I, Walleser S, et al. A systematic review of the effectiveness of magnetic resonance imaging (MRI) as an addition to mammography and ultrasound in screening young women at high risk of breast cancer. Eur J Cancer (Oxford, England: 1990). 2007;43(13):1905–17.CrossRefGoogle Scholar
- 37.Kuhl CK, Schrading S, Strobel K, Schild HH, Hilgers R-D, Bieling HB. Abbreviated breast magnetic resonance imaging (MRI): first postcontrast subtracted images and maximum-intensity projection—a novel approach to breast cancer screening with MRI. J Clin Oncol. 2014;32(22):2304–10.CrossRefGoogle Scholar
- 38.Skaane P, Gullien R, Eben EB, Sandhaug M, Schulz-Wendtland R, Stoeblen F. Interpretation of automated breast ultrasound (ABUS) with and without knowledge of mammography: a reader performance study. Acta Radiol (Stockholm, Sweden: 1987). 2015;56(4):404–12.Google Scholar
- 41.Brem RF, Ruda RC, Yang JL, Coffey CM, Rapelyea JA. Breast-specific gamma-imaging for the detection of mammographically occult breast cancer in women at increased risk. J Nucl Med Off Publ Soc Nucl Med. 2016;57(5):678–84.Google Scholar