Amanda Jeanne Beer MD, Presenter: Nothing to Disclose

Cherie Paquette MD, Abstract Co-Author: Nothing to Disclose

Kristen Atkins MD, Abstract Co-Author: Nothing to Disclose

Heather Renee Peppard MD, Abstract Co-Author: Consultant, Siemens AG Research Grant, Hologic, Inc

Carrie Margaret Rochman MD, Abstract Co-Author: Nothing to Disclose

Jennifer A. Harvey MD, Abstract Co-Author: Researcher, Hologic, Inc Researcher, VuCOMP, Inc Researcher, Volpara Solutions, Ltd Shareholder, Volpara Solutions, Ltd Shareholder, Hologic, Inc

Brandi Tamara Nicholson MD, Abstract Co-Author: Stockholder, Hologic, Inc

The purpose of this exhibit is: 1. Show how to best determine concordance after biopsy demonstrates predominately benign fatty tissue. 2. Provide tools to improve communication between Radiologists and Pathologists to prevent radiology pathology discordance in breast lesions undergoing biopsy. 3. Discuss lesions that have a classic radiologic appearance but overlapping pathologic findings such as lipoma, angiolipoma, and hamartoma. 4. Review recommendations for management, specifically on to excise or accept as benign concordant, after radiology pathology concordance is determined.

Present cases of breast lesions which can have predominately fat on histology Discordant breast biopsy showing fat Lipoma Angiolipoma Fat necrosis versus invasive carcinoma Hamartoma versus fibroadenoma Review imaging and pathology findings in a case-based format with discussion of significant mimickers Discuss how to best determine concordance with focus on the following: Communication between radiology and pathology Confidence in accuracy of biopsy Histology interpretation by pathologist Image review with pathology results by radiologist Summarize recommendations for improved teamwork between Radiologist and Pathologist  

http://abstract.rsna.org/uploads/2014/14014321/14014321_ib1d.pdf

Beer, A, Paquette, C, Atkins, K, Peppard, H, Rochman, C, Harvey, J, Nicholson, B, The Breast Biopsy Shows Predominately Fat, Now What? Managing Radiology Pathology Concordance.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14014321.html