Academic Journal
European guidelines for the diagnosis, treatment and follow-up of breast lesions with uncertain malignant potential (B3 lesions) developed jointly by EUSOMA, EUSOBI, ESP (BWG) and ESSO
| العنوان: | European guidelines for the diagnosis, treatment and follow-up of breast lesions with uncertain malignant potential (B3 lesions) developed jointly by EUSOMA, EUSOBI, ESP (BWG) and ESSO |
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| المؤلفون: | Rubio, Isabel T, Wyld, Lynda, Marotti, Lorenza, Athanasiou, Alexandra, Regitnig, Peter, Catanuto, Giuseppe, Schoones Ma, Jan W, Zambon, Marzia, Camps, Julia, Santini, Donatella, Dietz, Jill, Sardanelli, Francesco, Varga, Zsuzsanna, Smidt, Marjolein, Sharma, Nisha, Shaaban, Abeer M, Gilbert, Fiona |
| المصدر: | Rubio, Isabel T; Wyld, Lynda; Marotti, Lorenza; Athanasiou, Alexandra; Regitnig, Peter; Catanuto, Giuseppe; Schoones Ma, Jan W; Zambon, Marzia; Camps, Julia; Santini, Donatella; Dietz, Jill; Sardanelli, Francesco; Varga, Zsuzsanna; Smidt, Marjolein; Sharma, Nisha; Shaaban, Abeer M; Gilbert, Fiona (2024). European guidelines for the diagnosis, treatment and follow-up of breast lesions with uncertain malignant potential (B3 lesions) developed jointly by EUSOMA, EUSOBI, ESP (BWG) and ESSO. European Journal of Surgical Oncology, 50(1):107292. |
| بيانات النشر: | Elsevier |
| سنة النشر: | 2024 |
| المجموعة: | University of Zurich (UZH): ZORA (Zurich Open Repository and Archive |
| مصطلحات موضوعية: | Institute of Pathology and Molecular Pathology, 610 Medicine & health, Oncology, General Medicine, Surgery |
| الوصف: | Introduction: Breast lesions of uncertain malignant potential (B3) include atypical ductal and lobular hyperplasias, lobular carcinoma in situ, flat epithelial atypia, papillary lesions, radial scars and fibroepithelial lesions as well as other rare miscellaneous lesions. They are challenging to categorise histologically, requiring specialist training and multidisciplinary input. They may coexist with in situ or invasive breast cancer (BC) and increase the risk of subsequent BC development. Management should focus on adequate classification and management whilst avoiding overtreatment. The aim of these guidelines is to provide updated information regarding the diagnosis and management of B3 lesions, according to updated literature review evidence. Methods: These guidelines provide practical recommendations which can be applied in clinical practice which include recommendation grade and level of evidence. All sections were written according to an updated literature review and discussed at a consensus meeting. Critical appraisal by the expert writing committee adhered to the 23 items in the international Appraisal of Guidelines, Research and Evaluation (AGREE) tool. Results: Recommendations for further management after core-needle biopsy (CNB) or vacuum-assisted biopsy (VAB) diagnosis of a B3 lesion reported in this guideline, vary depending on the presence of atypia, size of lesion, sampling size, and patient preferences. After CNB or VAB, the option of vacuum-assisted excision or surgical excision should be evaluated by a multidisciplinary team and shared decision-making with the patient is crucial for personalizing further treatment. De-escalation of surgical intervention for B3 breast lesions is ongoing, and the inclusion of vacuum-assisted excision (VAE) will decrease the need for surgical intervention in further approaches. Communication with patients may be different according to histological diagnosis, presence or absence of atypia, or risk of upgrade due to discordant imaging. Written information ... |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | application/pdf |
| اللغة: | English |
| تدمد: | 0748-7983 |
| Relation: | https://www.zora.uzh.ch/id/eprint/239212/18/ZORA239212_original.pdf; https://www.zora.uzh.ch/id/eprint/239212/17/ZORA239212.pdf; info:pmid/38061151; urn:issn:0748-7983 |
| DOI: | 10.1016/j.ejso.2023.107292 |
| الاتاحة: | https://www.zora.uzh.ch/id/eprint/239212/ https://www.zora.uzh.ch/id/eprint/239212/18/ZORA239212_original.pdf https://www.zora.uzh.ch/id/eprint/239212/17/ZORA239212.pdf https://doi.org/10.1016/j.ejso.2023.107292 |
| Rights: | info:eu-repo/semantics/openAccess ; Creative Commons: Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) ; http://creativecommons.org/licenses/by-nc-nd/4.0/ |
| رقم الانضمام: | edsbas.B27477E3 |
| قاعدة البيانات: | BASE |
| تدمد: | 07487983 |
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| DOI: | 10.1016/j.ejso.2023.107292 |