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Trends in frequency and outcome of high-risk breast lesions at core needle biopsy in women recalled at biennial screening mammography, a multi-institutional study

International Journal of Cancer Apr 25, 2019

Luiten JD, et al. - In a consecutive series of 376,519 screens of women who received biennial screening mammography, researchers determined the incidence, management and outcome of high-risk breast lesions from January 1, 2011 to December 31, 2016. They noted stability in the proportion of women who had core needle biopsy (CNB) after recall, with a range from 39.2% to 48.1%. During a 6-year period, they reported that the proportion of high-risk lesions at CNB tripled. They also noted a concomitant increased excision rate for these lesions during this time period. Since there was no increase in the proportion of surgical excisions demonstrating in-situ or invasive breast cancer, an increasing number of screened women had invasive surgical excision resulting in a benign outcome.

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