What is a complex sclerosing lesion?

Complex sclerosing lesion (CSL) is a non-cancerous growth that develops when there is an increase in the number of glands and ducts surrounding an area of altered connective tissue called a scar in the breast.

How common are complex sclerosing lesions?

These stellate lesions are frequently identified on screening mammography and, with the introduction of population-based screening programs; their incidence has increased to 0.03%–0.09% of all core needle biopsies (CNB).

What is the difference between a radial scar and complex sclerosing lesion?

Radial scars and complex sclerosing lesions are benign (not cancerous) conditions. They are the same thing but are identified by size, with radial scars usually being smaller than 1cm and complex sclerosing lesions being more than 1cm. A radial scar or complex sclerosing lesion is not actually a scar.

What does sclerosing lesion mean?

A sclerosing lesion of the breast is a benign (not cancer) area of hardened breast tissue. You may also hear it called ‘sclerosis of the breast’. The most common types of sclerosing lesion of the breast are: • sclerosing adenosis. • radial scar/complex sclerosing lesion.

What does a lesion on your breast mean?

Lesions occur due to any disease or injury. They are an abnormal change in a tissue or organ. Benign breast lesions grow in non-cancerous areas where breast cells grow abnormally and rapidly. These cells form lumps but do not lead to cancer.

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Do breast lesions go away?

These lumps are one of the most common breast lumps in young women. Many times, they will shrink and disappear with no treatment. In other cases, doctors can remove them.

What percentage of radial scars are cancerous?

The radiologically detected radial scar associated malignancy rate ranged from 10.0 to 41.0% on excision [11]. However, recent studies with carefully performed correlations between radiological and pathology findings suggest that upgrade to carcinoma on core biopsy occurs in less than 2.0% [12,13,14,15].

Is sclerosing Adenosis common?

Sclerosing adenosis (SA) is a common, but poorly understood benign breast lesion demonstrating increased numbers of distorted lobules accompanied by stromal fibrosis.

Are radial scars painful?

Radial scars don’t usually cause symptoms. A radial scar in breast tissue usually won’t cause a lump that you can feel, nor will it make breast skin dimple or discolor. In some cases, they may cause some breast pain.

Should you remove a radial scar?

Scars that are larger than 6-7 millimeters (mm) have a better chance of containing cancer cells or atypical hyperplasia (overgrowth of abnormal cells). Biopsy is needed to tell radial scars apart from cancer. In almost all cases, doctors will remove them, since they are known to sometimes include cancer cells.

What is radial scar complex sclerosing lesion?

A radial scar or complex sclerosing lesion is not actually a scar. It is an area of hardened breast tissue. Most women will not notice any symptoms and these conditions are often only found incidentally on a mammogram or during investigation of an unrelated breast condition.

Is a radial scar a tumor?

Radial Scar Diagnosis and Management. Radial scars (RS) are benign, tumor-like lesions which are most commonly an incidental finding during mammography. When they are greater than 1 cm in diameter, they are referred to as complex sclerosing lesions.

Is papilloma a benign tumor?

Papillomas are benign growths. This means that they do not grow aggressively and they do not spread around the body. The growths only form in certain types of tissue, although these tissues occur all over the body. Papillomas are often known as warts and verrucae when they reach the skin.

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What are lesions?

A lesion is any damage or abnormal change in the tissue of an organism, usually caused by disease or trauma. Lesion is derived from the Latin laesio injury. Lesions may occur in plants as well as animals.

What does high risk benign mean?

High-risk benign breast abnormalities are conditions that may increase your risk for developing cancer in the future. If you have a high-risk benign tumor or lesion, your physician may recommend surgical removal.

What causes a breast lesion?

Common causes of noncancerous breast lumps include: Changes in breast tissue (fibrocystic breast changes). Breast infection (mastitis) Scar tissue from a breast injury.

Can breast lesions be benign?

Benign breast diseases constitute a heterogeneous group of lesions arising in the mammary epithelium or in other mammary tissues, and they may also be linked to vascular, inflammatory or traumatic pathologies. Most lesions found in women consulting a physician are benign.

Can benign breast lesions become malignant?

Although usually benign, some phyllodes tumors can become cancerous (malignant). Doctors usually recommend that these be removed.

Are breast lesions normal?

Most breast lesions found will be benign, or non-cancerous, in nature.

Is a 5 mm breast lesion small?

T1mi is a tumor that is 1 mm or smaller. T1a is a tumor that is larger than 1 mm but 5 mm or smaller. T1b is a tumor that is larger than 5 mm but 10 mm or smaller. T1c is a tumor that is larger than 10 mm but 20 mm or smaller.

Are all breast lesions cancerous?

Although any lump formed by body cells may be referred to technically as a tumor. Not all tumors are malignant (cancerous). Most breast lumps – 80% of those biopsied – are benign (non-cancerous).

Do radial scars enhance on MRI?

[27] found a similar upgrade rate of 23.1% (3/13 radial scars upgraded) for MRI biopsy–diagnosed radial scars.

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Are radial scars common?

Epidemiology. The reported prevalence of radial scar is 0.1-2.0 per 1,000 screening mammograms. The radial scar is very rare in women younger than 40 years and older than 60 years. Most often in women between 41-60 years 12 13.

Do radial scars recur?

The histologic characteristics suggest that radial scars represent a reparative phenomenon occurring in response to tissue damage and loss, but this suggestion remains only hypothetical. The reported incidence of radial scars varies from 1.7% to 43%.

Is sclerosing Adenosis a high risk lesion?

Although not considered a pre-malignant lesion, sclerosing adenosis is considered an independent risk factor for the development of subsequent breast cancer 3 , 5. Studies suggest that women with sclerosing adenosis may have approximately 1.5-2 times as high a risk of developing breast cancer.

Is Adenosis a tumor?

Adenosis tumor is an unusual palpable breast mass that can be clinically and histologically confused with breast carcinoma, especially at the time of frozen section. The lesion occurs in a wide age range, from 20 to 67years (mean, 37years). The average size of adenosis tumor is approximately 2.5cm.

What does Adenosis mean?

(A-deh-NOH-sis) A disease or abnormal change in a gland. Breast adenosis is a benign condition in which the lobules are larger than usual.

Can breast scar tissue become cancerous?

Breast cancer developing from a surgical scar is rare; this type of malignancy has been reported in only 12 cases to date.

Can ultrasound show radial scars?

Sixty-eight per cent of radial scars are visible on ultrasound, most commonly seen as hypoechoic areas/masses. Parenchymal distortion without a hypoechoic mass was seen in 22%. In 8%, the lesion was appreciably better visualized by ultrasound when compared with mammography.

Can breast biopsy cause scar tissue?

If you experience swelling or bruising, it should go away in a few weeks. Scar tissue that forms after the biopsy site heals can make breast self-exams challenging, so ask your doctor how you’ll be able to tell the difference between the feel of scar tissue and the feel of new breast changes.