Nerve pain or numbness if scar tissue forms around nerves. Having a radial scar causes concern because a large one looks like breast cancer when seen on a mammogram.
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When radial scars are large enough to be picked up by a mammogram they can look like breast cancer.
Breast cancer biopsy scar. A breast biopsy may be performed in combination with a mastectomy lumpectomy or a hidden scar surgery to determine if cancer cells have spread to your lymphatic system. Hidden scar breast cancer surgery. A biopsy is almost always needed but even under the microscope radial scars can mimic breast cancer particularly tubular carcinoma of the breast.
You have a choice in breast cancer surgery one that leaves no visible reminders. This is often the preferred type of biopsy if breast cancer is suspected because it removes more breast tissue than a fine needle aspiration fna and it doesnt require surgery. The lymphatic system is what your body uses to fight off infection viruses and cancer.
During this procedure the doctor uses a hollow needle to take out pieces of breast tissue from the area. Its difficult to properly diagnose a radial scar even with a biopsy because under a microscope the cell geometry closely resembles tubular carcinoma. A radial scar is a form of sclerosing duct hyperplasiathere is typically no solid dense central tumor corresponding to the size of the spicules.
Its also important to think about the long term effects after the cancer is gone. Radial scars may indicate a disturbance in the breast tissue and more. This typically benign breast mass sometimes has malignant tissue hiding behind it.
View larger version 188k fig. 7a 43 year old woman with pathologically proven radial scar seen on mammograms and mr images but not on ultrasound images. Although mammographic features suggest possibility of radial scar neither mammography nor ultrasound excluded possibility of breast cancer and biopsy is mandatory.
Scars that are larger than 6 7 millimeters mm have a better chance of containing cancer cells or atypical hyperplasia overgrowth of abnormal cells. Vacuum powered biopsy could spare women from breast cancer surgery. A scar is fibrous tissue made of collagen that replaces the injured skin.
Consider how your breasts will look after surgery their shape and scars. Its important to treat the disease and be cancer free. Biopsy is needed to tell radial scars apart from cancer.
Scar tissue can cause its own side effects. The following breast cancer treatments can cause scar tissue to form. However it can be difficult to determine whether an abnormality on the scan is live cancer or residual scar tissue.
To confuse matters even more there are sometimes cancerous cells hiding within a radial scar. But often there are translucent circular or oval regions in the center of the radiating structure that gives the radial scar a characteristic star like appearance. If other tests show you might have breast cancer your doctor might refer you for a core needle biopsy cnb.
Scar tissue forms as part of the healing process after a skin injury.
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