Do You Need Surgery After a Core Needle Biopsy Diagnosis of a High Risk Breast Lesion?

This article about high risk breast lesions in HealthImaging highlights what my Radiology colleague from Harvard and I have been writing and lecturing about over the past several years.

There remains significant controversy on how to treat high risk breast lesions that are diagnosed on needle core biopsy. Among these high risk lesions are lobular neoplasia (LCIS and ALH), papillomas, flat epithelial atypia, and radial scars.  After an extensive search of the literature over the past years, my colleague and I have realized there is no standard of care for how to treat these specific breast biopsy diagnoses.

So if you, a friend, or a family member have a breast core biopsy and are confronted with one of these diagnoses, we would recommend getting a second opinion from a breast pathologist and then ask why your doctor is recommending surgery or not recommending surgery. Please reference our articles which show there remains no consensus in the medical community as to how to treat high risk breast lesions diagnosed on core biopsy.

One Response

  1. Hello,

    I had a stereotactic biopsy and the diagnosis came back Flat Epithelial Atypia with microcalcifications as well as Atypia Lobular Hyperplasia with Microcalcifications.

    My doctor referred me to a surgical oncologist for a consultation. My appointment is this Wednesday morning. Could you suggest some questions for me please.

    Thank you for your time.

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