Core Needle Biopsy of the Breast: An Evaluation of Contemporary Data

Abstract

Benign and atypical lesions associated with breast cancer risk are often encountered in core needle biopsies (CNBs) of the breast. For these lesions, the rate of "upgrade" to carcinoma in excision specimens varies widely in the literature. Many CNB studies are limited by a lack of radiological-pathological correlation, consistent criteria for excision, and clinical follow-up for patients who forego excision. This article highlights contemporary diagnostic criteria and outcome data that would support an evidence-based approach to the management of these nonmalignant lesions of the breast diagnosed on CNB.

Keywords: Atypical ductal hyperplasia; Atypical lobular hyperplasia; Flat epithelial atypia; Lobular carcinoma in situ; Lobular neoplasia; Papilloma; Radial scar.