Tumeurs bénignes du sein: recommandations pour la pratique clinique du Collège national des gynécologues et obstétriciens francąis (CNGOF)-Texte court

Translated title of the contribution: Benign breast tumors: Recommendations of Collège National des Gynécologues Obstétriciens Francąis (CNGOF)-Short text

V. Lavoue, X. Fritel, M. Antoine, F. Beltjens, S. Bendifallah, M. Boisserie-Lacroix, L. Boulanger, G. Canlorbe, S. Catteau-Jonard, N. Chabbert-Buffet, F. Chamming'S, E. Chereau, J. Chopier, C. Coutant, J. Demetz, N. Guilhen, R. Fauvet, O. Kerdraon, E. Laas, G. LegendreC. Mathelin, C. Nadeau, I. Thomassin Naggara, C. Ngô, L. Ouldamer, Arash Rafii Tabrizi, M. N. Roedlich, J. Seror, J. Y. Seror, C. Touboul, C. Uzan, E. Daraï

Research output: Contribution to journalArticle

8 Citations (Scopus)

Abstract

Breast sonography is required with mammogram to explore clinical breast mass(grade B), colored unipore breast nipple discharge (grade C), or mastitis (grade C). Bi-RADSsystem is recommended to describe and classify breast-imaging abnormalities. For breastabscess, a percutaneous biopsy is recommended in case of mass or persistent symptoms(grade C). For mastodynia, when breast imaging is normal, no MRI neither breast biopsy is classificationrecommended (grade C). Percutaneous biopsy is recommended for BI-RADS 4-5 mass (grade B).For persistent erythematous breast nipple or atypical eczema lesion, a nipple biopsy is recom-mended (grade C). For distortion and asymmetry, a vacuum core needle biopsy is recommendedbecause of the risk of underestimation by simple core needle biopsy (grade C). For BI-RADS4-5 microcalcifications without ultrasound signal, a vacuum core needle biopsy of at least11 gauges is recommended (grade B); in the absence of microcalcifications on radiograph car-rots, additional samples are recommended (grade B). For atypical ductal hyperplasia, atypicallobular hyperplasia, lobular carcinoma in situ, flat epithelial with atypia, radial scar, mucocelewith atypia, surgical excision is commonly recommended (grade C). Expectant managementis feasible after multidisciplinary concertation. For these lesions, when excision is not insano, no new excision is recommended except for pleomorphic or with necrosis CLIS (grade C).For grade 1 phyllode tumour, in sano surgical resection is recommended; for grade 2 phyllode,10-mm margins are recommended (grade C). For breast papillary without atypia, completedisappearance of the radiologic signal is recommended (grade C). For breast papillary withatypia, complete surgical excision is recommended (grade C).

Original languageFrench
Pages (from-to)1049-1064
Number of pages16
JournalJournal de Gynecologie Obstetrique et Biologie de la Reproduction
Volume44
Issue number10
DOIs
Publication statusPublished - 1 Dec 2015
Externally publishedYes

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Keywords

  • Benign breasttumour
  • BI-RADS classification
  • Mammogram
  • Pathological analysis
  • Sonography

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynaecology

Cite this

Lavoue, V., Fritel, X., Antoine, M., Beltjens, F., Bendifallah, S., Boisserie-Lacroix, M., Boulanger, L., Canlorbe, G., Catteau-Jonard, S., Chabbert-Buffet, N., Chamming'S, F., Chereau, E., Chopier, J., Coutant, C., Demetz, J., Guilhen, N., Fauvet, R., Kerdraon, O., Laas, E., ... Daraï, E. (2015). Tumeurs bénignes du sein: recommandations pour la pratique clinique du Collège national des gynécologues et obstétriciens francąis (CNGOF)-Texte court. Journal de Gynecologie Obstetrique et Biologie de la Reproduction, 44(10), 1049-1064. https://doi.org/10.1016/j.jgyn.2015.09.033