Underestimation Rate in the Percutaneous Diagnosis of Radial Scar/Complex Sclerosing Lesion of the Breast: Systematic Review

To evaluate the underestimation rate in breast surgical biopsy after the diagnosis of radial scar/complex sclerosing lesion through percutaneous biopsy.  A systematic review was performed following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) recommendations. The P...

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Bibliographic Details
Published in:Revista Brasileira de ginecologia e obstetrícia 2022-01, Vol.44 (1), p.67-73
Main Authors: Zanon, Ana Beatrice Bonganha, Maesaka, Jonathan Yugo, Chequin, Bruna Bello, Santos, Ana Gabriela de Siqueira, Baracat, Edmund Chada, Filassi, José Roberto
Format: Article
Language:English
Subjects:
Biopsy
Breast - pathology
breast diseases
Breast Neoplasms - pathology
breast neoplasms/diagnosis
Cicatrix
Female
Humans
image-guided biopsy
Mastectomy
OBSTETRICS & GYNECOLOGY
Review
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Summary:To evaluate the underestimation rate in breast surgical biopsy after the diagnosis of radial scar/complex sclerosing lesion through percutaneous biopsy.  A systematic review was performed following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) recommendations. The PubM: ed, SciELO, Cochrane, and Embase databases were consulted, with searches conducted through November 2020, using specific keywords ( OR: , , AND/OR: ).  Study selection was conducted by two researchers experienced in preparing systematic reviews. The eight selected articles were fully read, and a comparative analysis was performed.  A total of 584 studies was extracted, 8 of which were selected. One of them included women who had undergone a percutaneous biopsy with a histological diagnosis of radial scar/complex sclerosing lesion and subsequently underwent surgical excision; the results were used to assess the underestimation rate of atypical and malignant lesions.  The overall underestimation rate in the 8 studies ranged from 1.3 to 40% and the invasive lesion underestimation rate varied from 0 to 10.5%.  The histopathological diagnosis of a radial scar/complex sclerosing lesion on the breast is not definitive, and it may underestimate atypical and malignant lesions, which require a different treatment, making surgical excision an important step in diagnostic evaluation.
ISSN:0100-7203
1806-9339
1806-9339
DOI:10.1055/s-0041-1741409