By Catherine N. Chinyama MB CHB (Hons), MRC Path (auth.)
Dr. Chinyama certified with Honours measure in drugs in Harare, Zimbabwe, knowledgeable in Breast Pathology at St. Bartholomew's health facility, London and Bristol South West Breast Screening Unit in Bristol,UK. labored as Senior Lecturer/Honorary advisor in Histopathology at Guy's and St.Thomas' clinic, London. at the moment operating as a specialist Pathologist, Princess Elizabeth sanatorium, Guernsey, Channel Islands.
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Extra info for Benign Breast Diseases: Radiology — Pathology — Risk Assessment
On ultrasound imaging, hamartomas exhibit a smooth margin of a nodular lesion with or without delicate shadows. The fat is usually hypo-echoic with the nodule (Heywang-Kobrunner et al. 2001). Adler et al. (1990) assessed the sonographic features of ten breast hamartomas to determine the diagnostic accuracy of this investigative modality. Mammographic appearances were "characteristic" in five patients. However, the sonographic features were variable. The most frequent feature was that of a moderate to well-circumscribed, solid, hypo-echoic mass with posterior acoustic shadowing.
1996) demonstrated morphological differences between benign and malignant stellate lesions when they examined 500-1,000 micron sections with infrared microscopy. The stellate extensions of complex sclerosing lesions (radial scar) consisted mostly of epithelial structures, whereas those of stellate cancers had a predominance of fibrous tissue. 3 Mammographic Features ofthe Radial Scar Sonographic Features ofthe Radial Scar Radial scars are small and usually impalpable stellate (spiculate) lesions, which are often identified in breast tissue excised for cancer or other benign proliferations (Anderson and Gram 1984;Nielsen et al.
A core biopsy should be performed to confirm the diagnosis before definitive surgical treatment. C5 is reported in the presence of overtly malignant cells, which are pleomorphic and dissociated. Due to the widespread use of core biopsies, definitive surgical treatment is rarely made on C5 cytology. 3 Reporting Needle Core Biopsies At least three levels should be examined histologically to obtain an adequate diagnosis on needle core biopsies. The greater the number of needle core biopsies, the easier it is for the pathologist to make a diagnosis.
Benign Breast Diseases: Radiology — Pathology — Risk Assessment by Catherine N. Chinyama MB CHB (Hons), MRC Path (auth.)