Abstract:

Objective

To study the clinical and pathological features and treatment methods of breast radial scar(RS).

Methods

The clinical and pathological data of 31 patients of breast RS treated in Tianjin Cancer Hospital between June 2003 and July 2008 were retrospectively analyzed.

Results

The median age of the RS patients was 48 years(range,23-75).Twelve patients were admitted for breast mass.Of the 31 patients,only 2(6.5%)had simple RS;14(45.2%)had RS with benign lesions,and 15(48.4%)had RS with breast cancer.Among the 16 patients of RS and RS with benign lesions,the misdiagnosis rate was 10/16 in clinical practice(5/11 by ultrasound and 9/14 by mammography);the detection rate was 16/16 by frozen pathology.The 15 patients of RS with breast cancer were all diagnosed as breast cancer by all auxillary examinations.All patients received surgery.After a median follow-up time of 34 months(6 to 66 months)after surgery,no patients had recurrence or secondary tumors and all patients were survived without disease at the end of the follow-up period.

Conclusion

Breast RS is usually accompanied with other breast diseases.Preoperative auxiliary examinations are not accurate or reliable,which often provide misdiagnosis of breast cancer.Local excision is a safe and effective method of diagnosis and treatment.

Key words: Breast neoplasms, Radial scar, Diagnosis, Therapy