Department of Breast Imaging, The University of Texas MD Anderson Cancer Center Holcombe Blvd, Unit 1350, Houston, United States.
Br J Radiol. 2023 Feb;96(1142):20211326. doi: 10.1259/bjr.20211326. Epub 2022 Apr 28.
Screening mammography identifies early-stage breast cancers and is associated with reduced breast cancer mortality. An unintended consequence of breast screening is the detection and diagnosis of multiple incidental benign and malignant breast lesions, including the heterogenous group of incidental benign (B3) lesions with uncertain biological outcomes and malignant potential, for which management remains controversial. Recent shifts toward more conservative management approaches, including the identification of patients who can undergo observation after vacuum-assisted excision, has gained interest. This commentary provides an overview of incidental B3 lesions and summarizes the current management paradigms for them.
乳腺 X 线筛查能早期发现乳腺癌，并降低乳腺癌死亡率。乳腺筛查的一个意外后果是发现和诊断多种偶然良性和恶性乳腺病变，包括偶然良性（B3）病变的异质组，其生物学结局和恶性潜能不确定，对此的处理仍存在争议。最近，人们越来越倾向于采用更保守的管理方法，包括确定可以在真空辅助切除后进行观察的患者，这引起了人们的兴趣。本评论概述了偶然 B3 病变，并总结了其目前的管理模式。
