Mona Michel El Khoury MD, Presenter: Nothing to Disclose

Lucie Lalonde MD, Abstract Co-Author: Nothing to Disclose

Maude Labelle MD, Abstract Co-Author: Nothing to Disclose

Julie David MD, Abstract Co-Author: Nothing to Disclose

Isabelle Trop MD, MPH, Abstract Co-Author: Nothing to Disclose

The purpose of this exhibit will be to: 1- Review the range of high risk lesions that might be encountered at percutaneous imaging guided biopsies, including atypical ductal hyperplasia (ADH), lobular neoplasia (Atypical lobular hyperplasia (ALH) and Lobular carcinoma in situ (LCIS)), flat epithelial atypia (FEA), papilloma, mucocele-like lesions, radial scar and phyllodes. 2- Illustrate the imaging presentation of these high risk lesions 3- Discuss the importance of radio-pathologic correlation 4- Propose the optimal management for each of these lesions based on the most recent literature.  

1- Through clinical cases, each high risk entity will be discussed in terms of its: a. Pathophysiology b. Imaging presentation (mammography, sonography, MRI) c. Radiopathologic correlation d. Management approaches  

To this day, high-risk lesions remain challenging in terms of diagnosis and management. Through clinical and radiologic examples, the different high-risk lesions of the breast will be described, with an emphasis on radiopathologic correlation with the goal that the clinical team can propose a plan for subsequent optimal management.  

El Khoury, M, Lalonde, L, Labelle, M, David, J, Trop, I, Revisiting High Risk Breast Lesions: Radiopathologic Correlation and Management through Clinical Vignettes?.  Radiological Society of North America 2013 Scientific Assembly and Annual Meeting, December 1 - December 6, 2013 ,Chicago IL. http://archive.rsna.org/2013/13018891.html