Management of benign breast disease found on core-needle biopsy
| Type of lesion | Pathology | Management |
|---|---|---|
| Nonproliferative (Relative risk [RR] of subsequent breast cancer 1.2–1.4)28,29 | Simple cyst Usual ductal hyperplasia (mild) Columnar cell change Apocrine metaplasia | Observation or aspiration Observation Observation Observation |
| Proliferative without atypia (RR 1.7–2.1)28,29 | Rbroadenoma Radial scar Intraductal papilloma Usual ductal hyperplasia (moderate to florid) | Observation, consider excision if > 2 cm < 1 cm: observation if solitary ≥ 1 cm: surgical consultation Surgical consultation if > 1 cm, atypical, or multiple Observation |
| Proliferative with atypia (RR 4.2)28,29 | Atypical ductal hyperplasia Atypical lobular hyperplasia Lobular carcinoma in situ | Surgical consultation Observation, offer chemoprevention Surgical consultation |