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Table 1 Consensus recommendations for the management of B3 lesions

From: High-risk lesions of the breast: concurrent diagnostic tools and management recommendations

High-risk lesion

Management

Lobular Neoplasia (LN)

Surgical excision or VAE

If after VAB, the lesion has been radiologically removed, imaging follow-up is recommended

Atypical Intraductal Epithelial Proliferation (AIDEP)

Surgical excision or VAE

VAE is suggested in unifocal ADH in small lesions

If the lesion has been removed completely and only focal ADH with calcifications exists, imaging follow-up recommended

Flat Epithelial Atypia (FEA)

VAE

If after VAB, the lesion has been radiologically removed, imaging follow-up

Papillary Lesion (PL)

 

 With atypia

Surgical excision and imaging follow-up

 Without atypia

VAE

Phyllodes Tumor (PT)

Surgical Excision

Radial Scar (RS)

 

 With atypia

VAE and imaging follow-up

 Without atypia

VAE

  1. Modified from Rageth CJ et al. Breast Cancer Res Treat (2018) [5] and reprinted under a Creative Commons Attribution 4.0 International License