Atypical ductal hyperplasia: breast DCE-MRI can be used to reduce unnecessary open surgical excision

ConclusionAfter a percutaneous biopsy diagnosis of ADH, malignancy can be ruled out in most of the cases, if no suspicious enhancement is present in the biopsy area at DCE-MRI. Breast DCE-MRI may be used to avoid surgery in more than half of the patients with final benign diagnosis.Key Points• Breast DCE-MRI can safely rule out malignancy if no suspicious enhancement is present in the biopsy area after a percutaneous biopsy diagnosis of ADH.• All cases of upgrade to high-grade DCIS and invasive cancers can be identified at breast DCE-MRI after a percutaneous biopsy diagnosis of ADH.• Breast DCE-MRI may be used to avoid surgery in more than half of the patients with final benign diagnosis.
Source: European Radiology - Category: Radiology Source Type: research