Clinical practice guidelines from the French College of Gynecologists and Obstetricians (CNGOF): benign breast tumors - short text

被引：22

作者：

Lavoue, Vincent ^{[1
,2
,3
]}

Fritel, Xavier ^{[4
,5
]}

Antoine, Martine ^{[6
]}

Beltjens, Francoise ^{[7
]}

Bendifallah, Sofiane ^{[8
]}

Boisserie-Lacroix, Martine ^{[9
]}

Boulanger, Loic ^{[10
]}

Canlorbe, Geoffroy ^{[11
]}

Catteau-Jonard, Sophie ^{[20
]}

Chabbert-Buffet, Nathalie ^{[12
]}

Chamming's, Foucauld ^{[13
]}

Chereau, Elisabeth ^{[14
]}

Chopier, Jocelyne ^{[15
]}

Coutant, Charles ^{[16
]}

Demetz, Julie ^{[10
]}

Guilhen, Nicolas ^{[17
]}

Fauvet, Raffaele ^{[18
,19
]}

Kerdraon, Olivier ^{[21
]}

Laas, Enora ^{[8
]}

Legendre, Guillaume ^{[22
,23
]}

Mathelin, Carole ^{[24
]}

Nadeau, Cedric

Naggara, Isabelle Thomassin

Ngo, Charlotte ^{[25
,26
]}

Ouldamer, Lobna ^{[27
,28
,29
]}

Rafii, Arash ^{[30
]}

Roedlich, Marie-Noelle ^{[31
]}

Seror, Jeremy ^{[32
,33
]}

Seror, Jean-Yves ^{[34
]}

Touboul, Cyril ^{[35
]}

Uzan, Catherine ^{[36
,37
]}

Darai, Emile ^{[37
]}

机构：

[1] Rennes Univ Hosp, Dept Gynecol, Rennes, France

[2] CRLCC Eugene Marquis, INSERM Labeled, Rennes, France

[3] Univ Rennes 1, F-35014 Rennes, France

[4] Univ Poitiers, Poitiers Univ Hosp, CIC 1402, Poitiers, France

[5] INSERM, U1018, CESP, Le Kremlin Bicetre, France

[6] Hop Tenon, Dept Anat Pathol, 4 Rue Chine, F-75020 Paris, France

[7] Ctr Reg Lutte Canc Georges Francois Leclerc, Dept Anat Pathol, Dijon, France

[8] Hop Tenon, AP HP, INSERM, Dept Gynecol Obstet & Reprod Med,UMRS707, 4 Rue Chine, F-75020 Paris, France

[9] Ctr Reg Lutte Ctr Canc Bergognie, Dept Radiol, Bordeaux, France

[10] Hop Jeanne de Flandre, Dept Gynecol & Obstet, Lille, France

[11] Hop Tenon, AP HP, INSERM, Dept Gynecol Obstet & Reprod Med,UMRS938, 4 Rue Chine, F-75020 Paris, France

[12] Hop Tenon, AP HP, Dept Gynecol Obstet & Reprod Med, 4 Rue Chine, F-75020 Paris, France

[13] Hop Europeen Georges Pompidou, Dept Radiol, AP HP, 15 Rue Leblanc, F-75015 Paris, France

[14] Ctr Reg Lutte Canc Paoli Calmettes, Dept Surg, Marseille, France

[15] Hop Tenon, Dept Radiol, AP HP, 4 Rue Chine, F-75020 Paris, France

[16] Ctr Reg Lutte Canc Georges Francois Leclerc, Dept Surg, Dijon, France

[17] Univ Poitiers Hosp, Dept Gynecol & Obstet, 2 Rue Miletrie,BP 577, F-86021 Poitiers, France

[18] Caen Univ Hosp, Dept Gynecol & Obstet, Ave Cote Nacre, F-14033 Caen 09, France

[19] Univ Caen Normandy, INSERM, U1199, BIOTICLA, Caen, France

[20] Hop Jeanne de Flandre, Dept Endocrine Gynecol, Lille, France

[21] Hop Jeanne de Flandre, Dept Anat Pathol, Lille, France

[22] Angers Univ Hosp, Dept Gynecol & Obstet, Angers, France

[23] INSERM, U1018, CESP, Paris, France

[24] Hop Hautepierre, Mastol Unit, CHRU Strasbourg, Ave Moliere, Strasbourg, France

[25] Hop Europeen Georges Pompidou, Dept Ontol Gynecol & Breast Surg, AP HP, 15 Rue Leblanc, F-75015 Paris, France

[26] Paris Descartes Univ, Paris, France

[27] Hop Bretonneau, Tours Univ Hosp, Dept Gynecol, 2 Blvd Tonnelle, F-37044 Tours, France

[28] Fac Med Francois Rabelais, F-37044 Tours, France

[29] INSERM, U1069, F-37044 Tours, France

[30] Montpellier Univ Hosp, Dept Obstet Gynecol, Montpellier, France

[31] Hop Hautepierre, Dept Radiol, 1 Moliere, F-67100 Strasbourg, France

[32] 146 Ave Ledru Rollin, F-75011 Paris, France

[33] Hop Tenon, AP HP, Dept Ultrasound, 4 Rue De La Chine, F-75020 Paris, France

[34] Imagerie Duroc, R Blvd Montparnasse, F-75006 Paris, France

[35] CHI, Dept Gynecol & Obstet, 40 Ave De Verdun, F-94000 Creteil, France

[36] Pitie Salpetriere, AP HP, Dept Gynecol & Breast Surg & Oncol, 83 Bd De lHop, F-75013 Paris, France

[37] Univ Paris 06, Paris 6, France

来源：

EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY | 2016年 / 200卷

关键词：

Benign breast tumor; Mammogram; Ultrasound; Pathological examination; BI-RADS classification; RECOMMENDATIONS; VARIABILITY; HYPERPLASIA; MANAGEMENT; PREGNANCY; NIPPLE; MASS;

D O I：

10.1016/j.ejogrb.2016.02.017

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

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). (C) 2016 Elsevier Ireland Ltd. All rights reserved.

引用

页码：16 / 23

页数：8

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