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Suspicious breast calcifications undergoing stereotactic biopsy in women ages 70 and over: Breast cancer incidence by BI-RADS descriptors.

Publication ,  Journal Article
Grimm, LJ; Johnson, DY; Johnson, KS; Baker, JA; Soo, MS; Hwang, ES; Ghate, SV
Published in: Eur Radiol
June 2017

OBJECTIVES: To determine the malignancy rate overall and for specific BI-RADS descriptors in women ≥70 years who undergo stereotactic biopsy for calcifications. METHODS: We retrospectively reviewed 14,577 consecutive mammogram reports in 6839 women ≥70 years to collect 231 stereotactic biopsies of calcifications in 215 women. Cases with missing images or histopathology and calcifications associated with masses, distortion, or asymmetries were excluded. Three breast radiologists determined BI-RADS descriptors by majority. Histology, hormone receptor status, and lymph node status were correlated with BI-RADS descriptors. RESULTS: There were 131 (57 %) benign, 22 (10 %) atypia/lobular carcinomas in situ, 55 (24 %) ductal carcinomas in situ (DCIS), and 23 (10 %) invasive diagnoses. Twenty-seven (51 %) DCIS cases were high-grade. Five (22 %) invasive cases were high-grade, two (9 %) were triple-negative, and three (12 %) were node-positive. Malignancy was found in 49 % (50/103) of fine pleomorphic, 50 % (14/28) of fine linear, 25 % (10/40) of amorphous, 20 % (3/15) of round, 3 % (1/36) of coarse heterogeneous, and 0 % (0/9) of dystrophic calcifications. CONCLUSIONS: Among women ≥70 years that underwent stereotactic biopsy for calcifications only, we observed a high rate of malignancy. Additionally, coarse heterogeneous calcifications may warrant a probable benign designation. KEY POINTS: • Cancer rates of biopsied calcifications in women ≥70 years are high • Radiologists should not dismiss suspicious calcifications in older women • Coarse heterogeneous calcifications may warrant a probable benign designation.

Duke Scholars

Published In

Eur Radiol

DOI

EISSN

1432-1084

Publication Date

June 2017

Volume

27

Issue

6

Start / End Page

2275 / 2281

Location

Germany

Related Subject Headings

  • Retrospective Studies
  • Nuclear Medicine & Medical Imaging
  • Mammography
  • Incidence
  • Humans
  • Female
  • Carcinoma, Lobular
  • Carcinoma, Intraductal, Noninfiltrating
  • Calcinosis
  • Breast Neoplasms
 

Citation

APA
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ICMJE
MLA
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Grimm, L. J., Johnson, D. Y., Johnson, K. S., Baker, J. A., Soo, M. S., Hwang, E. S., & Ghate, S. V. (2017). Suspicious breast calcifications undergoing stereotactic biopsy in women ages 70 and over: Breast cancer incidence by BI-RADS descriptors. Eur Radiol, 27(6), 2275–2281. https://doi.org/10.1007/s00330-016-4617-7
Grimm, Lars J., David Y. Johnson, Karen S. Johnson, Jay A. Baker, Mary Scott Soo, E Shelley Hwang, and Sujata V. Ghate. “Suspicious breast calcifications undergoing stereotactic biopsy in women ages 70 and over: Breast cancer incidence by BI-RADS descriptors.Eur Radiol 27, no. 6 (June 2017): 2275–81. https://doi.org/10.1007/s00330-016-4617-7.
Grimm LJ, Johnson DY, Johnson KS, Baker JA, Soo MS, Hwang ES, et al. Suspicious breast calcifications undergoing stereotactic biopsy in women ages 70 and over: Breast cancer incidence by BI-RADS descriptors. Eur Radiol. 2017 Jun;27(6):2275–81.
Grimm, Lars J., et al. “Suspicious breast calcifications undergoing stereotactic biopsy in women ages 70 and over: Breast cancer incidence by BI-RADS descriptors.Eur Radiol, vol. 27, no. 6, June 2017, pp. 2275–81. Pubmed, doi:10.1007/s00330-016-4617-7.
Grimm LJ, Johnson DY, Johnson KS, Baker JA, Soo MS, Hwang ES, Ghate SV. Suspicious breast calcifications undergoing stereotactic biopsy in women ages 70 and over: Breast cancer incidence by BI-RADS descriptors. Eur Radiol. 2017 Jun;27(6):2275–2281.
Journal cover image

Published In

Eur Radiol

DOI

EISSN

1432-1084

Publication Date

June 2017

Volume

27

Issue

6

Start / End Page

2275 / 2281

Location

Germany

Related Subject Headings

  • Retrospective Studies
  • Nuclear Medicine & Medical Imaging
  • Mammography
  • Incidence
  • Humans
  • Female
  • Carcinoma, Lobular
  • Carcinoma, Intraductal, Noninfiltrating
  • Calcinosis
  • Breast Neoplasms