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Lesions of “uncertain malignant potential” in the breast (B3) identified with mammography screening

Overview of attention for article published in BMC Cancer, August 2018
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Title
Lesions of “uncertain malignant potential” in the breast (B3) identified with mammography screening
Published in
BMC Cancer, August 2018
DOI 10.1186/s12885-018-4742-6
Pubmed ID
Authors

Christiane Richter-Ehrenstein, Katharina Maak, Sonja Röger, Tilman Ehrenstein

Abstract

Core needle biopsy (CNB) is a standard diagnostic procedure in the setting of breast cancer screening. However, CNB may result in the borderline diagnoses of lesion of uncertain malignant potential (B3). The aim of this study was to access the outcome of lesions diagnosed as B3 category in a large series of screen-detected cases to evaluate the rates of malignancy for the different histological subtypes. We identified all CNBs over a six-year period (2009-2015) in a breast cancer screening unit in Germany. A total of 8.388 CNB's were performed for screen detected breast lesions. B3 diagnosis comprised 4.5% (376/8.388). Of the 376 patients who were diagnosed as B3, 299 underwent subsequent excision biopsy with final excision histology. Out of 376 patients diagnosed with B3 lesions, the prevalence of different histopathology showed 161 (42.8%) patients with atypical ductal hyperplasia (ADH), 98 (26.1%) with flat epithelial atypia (FEA), 50 women (13.3%) showed lobular neoplasia (LN), in 40 (10.6%) patients papillary findings and in 27 patients (7.2%) a radial scar complex. Final excision histology was benign in 74% (221/299) and malignant in 26% (78/299) of the patients. Lesion specific positive predictive values (PPV) for a subsequent diagnosis of in situ or invasive carcinoma were as follows: ADH 40%, FEA 20.5%, papillary lesion 13.5%, radial scar 16.6%, LN 0%. Our results show that approximately one-third of core needle biopsies of screen detected breast lesions classified as B3 are premalignant or malignant on excision. Lesions of uncertain malignant potential of the breast (B3) are heterogeneous in respect to risk of malignancy.

Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 45 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 45 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 4 9%
Other 4 9%
Student > Doctoral Student 3 7%
Student > Master 3 7%
Researcher 3 7%
Other 10 22%
Unknown 18 40%
Readers by discipline Count As %
Medicine and Dentistry 16 36%
Nursing and Health Professions 5 11%
Engineering 2 4%
Social Sciences 1 2%
Physics and Astronomy 1 2%
Other 0 0%
Unknown 20 44%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 17 August 2018.
All research outputs
#20,530,891
of 23,100,534 outputs
Outputs from BMC Cancer
#6,550
of 8,385 outputs
Outputs of similar age
#263,703
of 301,794 outputs
Outputs of similar age from BMC Cancer
#105
of 138 outputs
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We're also able to compare this research output to 138 others from the same source and published within six weeks on either side of this one. This one is in the 1st percentile – i.e., 1% of its contemporaries scored the same or lower than it.