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. Legendre & 12 others C. 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

7 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

Fingerprint

Breast
Breast Neoplasms
Large-Core Needle Biopsy
Biopsy
Calcinosis
Nipples
Vacuum
Mammary Ultrasonography
Mastodynia
Phyllodes Tumor
Carcinoma, Intraductal, Noninfiltrating
Mastitis
Eczema
Hyperplasia
Cicatrix
Necrosis

Keywords

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

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynaecology

Cite this

Tumeurs bénignes du sein : recommandations pour la pratique clinique du Collège national des gynécologues et obstétriciens francąis (CNGOF)-Texte court. / 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.; Legendre, G.; Mathelin, C.; Nadeau, C.; Thomassin Naggara, I.; Ngô, C.; Ouldamer, L.; Tabrizi, Arash Rafii; Roedlich, M. N.; Seror, J.; Seror, J. Y.; Touboul, C.; Uzan, C.; Daraï, E.

In: Journal de Gynecologie Obstetrique et Biologie de la Reproduction, Vol. 44, No. 10, 01.12.2015, p. 1049-1064.

Research output: Contribution to journalArticle

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, Legendre, G, Mathelin, C, Nadeau, C, Thomassin Naggara, I, Ngô, C, Ouldamer, L, Tabrizi, AR, Roedlich, MN, Seror, J, Seror, JY, Touboul, C, Uzan, C & 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, vol. 44, no. 10, pp. 1049-1064. https://doi.org/10.1016/j.jgyn.2015.09.033
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. ; Legendre, G. ; Mathelin, C. ; Nadeau, C. ; Thomassin Naggara, I. ; Ngô, C. ; Ouldamer, L. ; Tabrizi, Arash Rafii ; Roedlich, M. N. ; Seror, J. ; Seror, J. Y. ; Touboul, C. ; Uzan, C. ; Daraï, E. / Tumeurs bénignes du sein : recommandations pour la pratique clinique du Collège national des gynécologues et obstétriciens francąis (CNGOF)-Texte court. In: Journal de Gynecologie Obstetrique et Biologie de la Reproduction. 2015 ; Vol. 44, No. 10. pp. 1049-1064.
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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).",
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author = "V. Lavoue and X. Fritel and M. Antoine and F. Beltjens and S. Bendifallah and M. Boisserie-Lacroix and L. Boulanger and G. Canlorbe and S. Catteau-Jonard and N. Chabbert-Buffet and F. Chamming'S and E. Chereau and J. Chopier and C. Coutant and J. Demetz and N. Guilhen and R. Fauvet and O. Kerdraon and E. Laas and G. Legendre and C. Mathelin and C. Nadeau and {Thomassin Naggara}, I. and C. Ng{\^o} and L. Ouldamer and Tabrizi, {Arash Rafii} and Roedlich, {M. N.} and J. Seror and Seror, {J. Y.} and C. Touboul and C. Uzan and E. Dara{\"i}",
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T1 - Tumeurs bénignes du sein

T2 - recommandations pour la pratique clinique du Collège national des gynécologues et obstétriciens francąis (CNGOF)-Texte court

AU - Lavoue, V.

AU - Fritel, X.

AU - Antoine, M.

AU - Beltjens, F.

AU - Bendifallah, S.

AU - Boisserie-Lacroix, M.

AU - Boulanger, L.

AU - Canlorbe, G.

AU - Catteau-Jonard, S.

AU - Chabbert-Buffet, N.

AU - Chamming'S, F.

AU - Chereau, E.

AU - Chopier, J.

AU - Coutant, C.

AU - Demetz, J.

AU - Guilhen, N.

AU - Fauvet, R.

AU - Kerdraon, O.

AU - Laas, E.

AU - Legendre, G.

AU - Mathelin, C.

AU - Nadeau, C.

AU - Thomassin Naggara, I.

AU - Ngô, C.

AU - Ouldamer, L.

AU - Tabrizi, Arash Rafii

AU - Roedlich, M. N.

AU - Seror, J.

AU - Seror, J. Y.

AU - Touboul, C.

AU - Uzan, C.

AU - Daraï, E.

PY - 2015/12/1

Y1 - 2015/12/1

N2 - 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).

AB - 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).

KW - Benign breasttumour

KW - BI-RADS classification

KW - Mammogram

KW - Pathological analysis

KW - Sonography

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