The role of MRI in the management of patients with a histological diagnosis of B3 breast lesion after vacuum-assisted biopsy: A case report and a brief review of the literature
{"title":"The role of MRI in the management of patients with a histological diagnosis of B3 breast lesion after vacuum-assisted biopsy: A case report and a brief review of the literature","authors":"Valeria Liberto MD , Francesca Di Giuliano PhD , Eleni Chatelou MD , Paola Elda Gigliotti MD , Maria Volpe MD , Maria Pitaro MD , Glenda Antonelli MD , Ludovica Mancini MD , Chiara Adriana Pistolese PhD","doi":"10.1016/j.radcr.2025.03.036","DOIUrl":null,"url":null,"abstract":"<div><div>This case report and literature review examine the role of dynamic contrast enhanced magnetic resonance imaging (DCE-MRI) in managing of breast lesions diagnosed as B3 after vacuum-assisted biopsy (VAB). A 48-year-old female patient with first-degree family history of breast cancer, whose mammography, ultrasound, and magnetic resonance imaging (MRI) showed an area of parenchymal distortion in the left upper outer quadrant (UOQ), underwent a VAB, which revealed a B3 lesion (radial scar with atypia). She subsequently underwent a vacuum-assisted excision (VAE), and a 4-month follow-up MRI showed residual enhancement in the treated area; after a multidisciplinary discussion, she underwent surgery, which confirmed the complex sclerosing lesion (CLS) with atypia. The authors highlight the importance of MRI's high negative predictive value in excluding malignancy, especially in conjunction with VAE, which allows for more comprehensive tissue sampling and reduces the need for surgical excision in B3 cases. The multidisciplinary approach and correlation of radiological and pathological findings are emphasized as crucial for optimal patient management.</div></div>","PeriodicalId":53472,"journal":{"name":"Radiology Case Reports","volume":"20 7","pages":"Pages 3436-3441"},"PeriodicalIF":0.0000,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Radiology Case Reports","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1930043325002468","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
This case report and literature review examine the role of dynamic contrast enhanced magnetic resonance imaging (DCE-MRI) in managing of breast lesions diagnosed as B3 after vacuum-assisted biopsy (VAB). A 48-year-old female patient with first-degree family history of breast cancer, whose mammography, ultrasound, and magnetic resonance imaging (MRI) showed an area of parenchymal distortion in the left upper outer quadrant (UOQ), underwent a VAB, which revealed a B3 lesion (radial scar with atypia). She subsequently underwent a vacuum-assisted excision (VAE), and a 4-month follow-up MRI showed residual enhancement in the treated area; after a multidisciplinary discussion, she underwent surgery, which confirmed the complex sclerosing lesion (CLS) with atypia. The authors highlight the importance of MRI's high negative predictive value in excluding malignancy, especially in conjunction with VAE, which allows for more comprehensive tissue sampling and reduces the need for surgical excision in B3 cases. The multidisciplinary approach and correlation of radiological and pathological findings are emphasized as crucial for optimal patient management.
期刊介绍:
The content of this journal is exclusively case reports that feature diagnostic imaging. Categories in which case reports can be placed include the musculoskeletal system, spine, central nervous system, head and neck, cardiovascular, chest, gastrointestinal, genitourinary, multisystem, pediatric, emergency, women''s imaging, oncologic, normal variants, medical devices, foreign bodies, interventional radiology, nuclear medicine, molecular imaging, ultrasonography, imaging artifacts, forensic, anthropological, and medical-legal. Articles must be well-documented and include a review of the appropriate literature.