Architectural Distortion of the Breast: Imaging Approach and Management
Purpose of Review Architectural distortion (AD) of the breast is a problematic imaging finding because it is difficult to perceive since it mimics the fibroglandular tissue. AD is the third most common form of presentation of breast cancer in mammography, only preceded by masses and calcifications....
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creator | Rodriguez-Suarez, Israel Cruz-Cruz, Veronica |
description | Purpose of Review
Architectural distortion (AD) of the breast is a problematic imaging finding because it is difficult to perceive since it mimics the fibroglandular tissue. AD is the third most common form of presentation of breast cancer in mammography, only preceded by masses and calcifications. Once AD is detected and determined to be a candidate for a biopsy, it is necessary to know the biopsy options available, with the preferred biopsy method being image-guided biopsy. Furthermore, the differential diagnosis for AD is broad, and it is crucial to perform pathology-radiological correlation post-biopsy.
Recent Findings
There is controversy regarding the management of AD when the histopathological diagnosis is a radial scar or complex sclerosing lesion. An option for management includes recommendations based on the size of the lesion and the presence or absence of atypia.
Summary
This article will review the spectrum of imaging presentation of breast AD, biopsy recommendations, and management options. |
doi_str_mv | 10.1007/s40134-024-00429-4 |
format | Article |
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Architectural distortion (AD) of the breast is a problematic imaging finding because it is difficult to perceive since it mimics the fibroglandular tissue. AD is the third most common form of presentation of breast cancer in mammography, only preceded by masses and calcifications. Once AD is detected and determined to be a candidate for a biopsy, it is necessary to know the biopsy options available, with the preferred biopsy method being image-guided biopsy. Furthermore, the differential diagnosis for AD is broad, and it is crucial to perform pathology-radiological correlation post-biopsy.
Recent Findings
There is controversy regarding the management of AD when the histopathological diagnosis is a radial scar or complex sclerosing lesion. An option for management includes recommendations based on the size of the lesion and the presence or absence of atypia.
Summary
This article will review the spectrum of imaging presentation of breast AD, biopsy recommendations, and management options.</description><identifier>ISSN: 2167-4825</identifier><identifier>EISSN: 2167-4825</identifier><identifier>DOI: 10.1007/s40134-024-00429-4</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Biopsy ; Breast Imaging (Haydee Ojeda-Fournier and Azadeh Elmi ; Diagnosis ; Distortion ; Imaging ; Lesions ; Mammography ; Medical imaging ; Medicine ; Medicine & Public Health ; Radiology ; Section Editors</subject><ispartof>Current radiology reports (Philadelphia, PA ), 2024, Vol.12 (9), p.87-95</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c200t-be13fd57c1afa97205a766472f45b6a16043b630f20c61e5e39ac05da91bf5763</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s40134-024-00429-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s40134-024-00429-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids></links><search><creatorcontrib>Rodriguez-Suarez, Israel</creatorcontrib><creatorcontrib>Cruz-Cruz, Veronica</creatorcontrib><title>Architectural Distortion of the Breast: Imaging Approach and Management</title><title>Current radiology reports (Philadelphia, PA )</title><addtitle>Curr Radiol Rep</addtitle><description>Purpose of Review
Architectural distortion (AD) of the breast is a problematic imaging finding because it is difficult to perceive since it mimics the fibroglandular tissue. AD is the third most common form of presentation of breast cancer in mammography, only preceded by masses and calcifications. Once AD is detected and determined to be a candidate for a biopsy, it is necessary to know the biopsy options available, with the preferred biopsy method being image-guided biopsy. Furthermore, the differential diagnosis for AD is broad, and it is crucial to perform pathology-radiological correlation post-biopsy.
Recent Findings
There is controversy regarding the management of AD when the histopathological diagnosis is a radial scar or complex sclerosing lesion. An option for management includes recommendations based on the size of the lesion and the presence or absence of atypia.
Summary
This article will review the spectrum of imaging presentation of breast AD, biopsy recommendations, and management options.</description><subject>Biopsy</subject><subject>Breast Imaging (Haydee Ojeda-Fournier and Azadeh Elmi</subject><subject>Diagnosis</subject><subject>Distortion</subject><subject>Imaging</subject><subject>Lesions</subject><subject>Mammography</subject><subject>Medical imaging</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Radiology</subject><subject>Section Editors</subject><issn>2167-4825</issn><issn>2167-4825</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><recordid>eNp9kE9LAzEQxYMoWGq_gKeA59XJ3931VqvWQsWLnsNsmmy3tLs1SQ9-e6MV9OTAMHN4vzfDI-SSwTUDKG-iBCZkATw3SF4X8oSMONNlISuuTv_s52QS4wZyVRnUbETm02DXXXI2HQJu6X0X0xBSN_R08DStHb0LDmO6pYsdtl3f0ul-Hwa0a4r9ij5jj63buT5dkDOP2-gmP3NM3h4fXmdPxfJlvphNl4XlAKloHBN-pUrL0GNdclBYai1L7qVqNDINUjRagOdgNXPKiRotqBXWrPGq1GJMro6--Yv3g4vJbIZD6PNJI6BSnKu6qrOKH1U2DDEG580-dDsMH4aB-crMHDMzOTPznZmRGRJHKGZx37rwa_0P9QmmvG1u</recordid><startdate>2024</startdate><enddate>2024</enddate><creator>Rodriguez-Suarez, Israel</creator><creator>Cruz-Cruz, Veronica</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>AAYXX</scope><scope>CITATION</scope></search><sort><creationdate>2024</creationdate><title>Architectural Distortion of the Breast: Imaging Approach and Management</title><author>Rodriguez-Suarez, Israel ; Cruz-Cruz, Veronica</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c200t-be13fd57c1afa97205a766472f45b6a16043b630f20c61e5e39ac05da91bf5763</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Biopsy</topic><topic>Breast Imaging (Haydee Ojeda-Fournier and Azadeh Elmi</topic><topic>Diagnosis</topic><topic>Distortion</topic><topic>Imaging</topic><topic>Lesions</topic><topic>Mammography</topic><topic>Medical imaging</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Radiology</topic><topic>Section Editors</topic><toplevel>online_resources</toplevel><creatorcontrib>Rodriguez-Suarez, Israel</creatorcontrib><creatorcontrib>Cruz-Cruz, Veronica</creatorcontrib><collection>CrossRef</collection><jtitle>Current radiology reports (Philadelphia, PA )</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rodriguez-Suarez, Israel</au><au>Cruz-Cruz, Veronica</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Architectural Distortion of the Breast: Imaging Approach and Management</atitle><jtitle>Current radiology reports (Philadelphia, PA )</jtitle><stitle>Curr Radiol Rep</stitle><date>2024</date><risdate>2024</risdate><volume>12</volume><issue>9</issue><spage>87</spage><epage>95</epage><pages>87-95</pages><issn>2167-4825</issn><eissn>2167-4825</eissn><abstract>Purpose of Review
Architectural distortion (AD) of the breast is a problematic imaging finding because it is difficult to perceive since it mimics the fibroglandular tissue. AD is the third most common form of presentation of breast cancer in mammography, only preceded by masses and calcifications. Once AD is detected and determined to be a candidate for a biopsy, it is necessary to know the biopsy options available, with the preferred biopsy method being image-guided biopsy. Furthermore, the differential diagnosis for AD is broad, and it is crucial to perform pathology-radiological correlation post-biopsy.
Recent Findings
There is controversy regarding the management of AD when the histopathological diagnosis is a radial scar or complex sclerosing lesion. An option for management includes recommendations based on the size of the lesion and the presence or absence of atypia.
Summary
This article will review the spectrum of imaging presentation of breast AD, biopsy recommendations, and management options.</abstract><cop>New York</cop><pub>Springer US</pub><doi>10.1007/s40134-024-00429-4</doi><tpages>9</tpages></addata></record> |
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subjects | Biopsy Breast Imaging (Haydee Ojeda-Fournier and Azadeh Elmi Diagnosis Distortion Imaging Lesions Mammography Medical imaging Medicine Medicine & Public Health Radiology Section Editors |
title | Architectural Distortion of the Breast: Imaging Approach and Management |
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