BENIGN BREAST DISEASE
Most breast symptoms are due to benign disease and are unlikely to be cancer.
Benign lesions can be classified as non-proliferative, proliferative and atypical.
Upon obtaining a benign diagnosis the risks of breast cancer are ascertained and a plan of action is established.
Individual circumstance will dictate the final plan.
Options may include surgery, clinical or imaging review and routine follow up.
Benign lesions can be classified as non-proliferative, proliferative and atypical.
Upon obtaining a benign diagnosis the risks of breast cancer are ascertained and a plan of action is established.
Individual circumstance will dictate the final plan.
Options may include surgery, clinical or imaging review and routine follow up.
Non-proliferative
- These include:– cysts, fibrocystic change, usual type hyperplasia and fibroadenoma
- No increased risk of breast cancer
- Routine follow is usually all that is required
Proliferative
- These include:– papilloma, radial scar, complex sclerosing lesion, complex fibroadenoma
- 5 – 2 times increased risk of cancer
- May require excision biopsy to exclude malignancy (10-15% will be upgraded on excision)
- May require increased imaging and clinical follow up
Atypical
- These include:– atypical ductal hyperplasia, atypical lobular hyperplasia
- 4-5 times increased risk of cancer
- Usually require excision (30% will have more significant lesion)
- May require increased imaging and clinical follow up