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

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

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

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. Discuss why fibrous and spindle cell lesions have overlapping pathology. 2. Provide tools to improve communication between Radiologists and Pathologists to best diagnose breast masses. 3. Review management for fibrous and spindle cell lesions.

Present cases of fibrous and spindle breast lesions undergoing image guided biopsy Misdiagnosed sclerosed fibroadenoma as malignancy Sarcomatoid carcinoma Pseudoangiomatous stromal hyperplasia (PASH) Lymphocytic mastopathy Myoepithelial proliferation Review imaging and pathology findings in a case-based format with discussion of significant mimickers Discuss how to best determine concordance following biopsy 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 as well as management of the breast lesions

http://abstract.rsna.org/uploads/2014/14014393/14014393_tqyf.pdf

Beer, A, Paquette, C, Atkins, K, Rochman, C, Peppard, H, Harvey, J, Nicholson, B, The Pathology Showed What? Confounders in Breast Radiologic Pathology Correlation: Fibrous and Spindle Lesions.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14014393.html