Skip to Main content Skip to Navigation
Journal articles

Clinical practice guidelines from the French College of Gynecologists and Obstetricians (CNGOF): benign breast tumors–Short Text

Vincent Lavoué 1, 2, * Xavier Fritel 3, 4 Martine Antoine 5 Françoise Beltjens 6 Sofiane Bendifallah 7 Martine Boisserie-Lacroix 8 Loïc Boulanger 9 Geoffroy Canlorbe 7 Sophie Catteau-Jonard 9 Nathalie Chabbert-Buffet 7 Foucauld Chamming'S 10 Elisabeth Chéreau 11 Jocelyne Chopier 12 Charles Coutant 6 Julie Demetz 9 Nicolas Guilhen 13 Raffaèle Fauvet 14 Olivier Kerdraon 15 Enora Laas 7 Guillaume Legendre 4, 16 Carole Mathelin 17 Cédric Nadeau 18 Isabelle Thomassin Naggara 12 Charlotte Ngô 19 Lobna Ouldamer 20, 21, 22 Arash Rafii 23, 24 Marie-Noelle Roedlich 25 Jérémy Seror 25, 12 Jean-Yves Séror 26 Cyril Touboul 27 Catherine Uzan 28 Emile Darai 7
Abstract : Screening with breast ultrasound in combination with mammography is needed to investigate a clinical breast mass (Grade B), colored single-pore breast nipple discharge (Grade C), or mastitis (Grade C). The BI-RADS system is recommended for describing and classifying abnormal breast imaging findings. For a breast abscess, a percutaneous biopsy is recommended in the case of a mass or persistent symptoms (Grade C). For mastalgia, when breast imaging is normal, no MRI or breast biopsy is recommended (Grade C). Percutaneous biopsy is recommended for a BI-RADS category 4-5 mass (Grade B). For persistent erythematous nipple or atypical eczema lesions, a nipple biopsy is recommended (Grade C). For distortion and asymmetry, a vacuum core-needle biopsy is recommended due to the risk of underestimation by simple core-needle biopsy (Grade C). For BI-RADS category 4-5 microcalcifications without any ultrasound signal, a minimum 11-G vacuum core-needle biopsy is recommended (Grade B). In the absence of microcalcifications on radiography cores additional samples are recommended (Grade B). For atypical ductal hyperplasia, atypical lobular hyperplasia, lobular carcinoma in situ, flat epithelial atypia, radial scar and mucocele with atypia, surgical excision is commonly recommended (Grade C). Expectant management is feasible after multidisciplinary consensus. For these lesions, when excision margins are not clear, no new excision is recommended except for LCIS characterized as pleomorphic or with necrosis (Grade C). For grade 1 phyllodes tumor, surgical resection with clear margins is recommended. For grade 2 phyllodes tumor, 10 mm margins are recommended (Grade C). For papillary breast lesions without atypia, complete disappearance of the radiological signal is recommended (Grade C). For papillary breast lesions with atypia, complete surgical excision is recommended (Grade C)
Document type :
Journal articles
Complete list of metadatas

Cited literature [21 references]  Display  Hide  Download

https://hal-univ-rennes1.archives-ouvertes.fr/hal-01282343
Contributor : Nelly Brenner <>
Submitted on : Thursday, March 10, 2016 - 10:35:30 AM
Last modification on : Wednesday, October 14, 2020 - 4:10:04 AM
Long-term archiving on: : Sunday, November 13, 2016 - 1:50:07 PM

File

Lavoue_Clinical_practice.pdf
Files produced by the author(s)

Identifiers

Citation

Vincent Lavoué, Xavier Fritel, Martine Antoine, Françoise Beltjens, Sofiane Bendifallah, et al.. Clinical practice guidelines from the French College of Gynecologists and Obstetricians (CNGOF): benign breast tumors–Short Text. European Journal of Obstetrics and Gynecology and Reproductive Biology, Elsevier, 2016, 200, pp.16-23. ⟨10.1016/j.ejogrb.2016.02.017⟩. ⟨hal-01282343⟩

Share

Metrics

Record views

1717

Files downloads

1296