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Table 5
Proposal for « borderland » epithelial proliferative lesions which correlates morphological structure with clinical management
|
Lesion |
Clinical
significance |
|
|
|
|
Epithelial
hyperplasia |
|
Usual Type
|
Follow
up not appropriate |
|
|
|
|
Lobular
Neoplasia |
Risk
factor |
|
Atypical
ductal hyperplasia |
Follow
up only required |
|
Ductal
carcinoma in situ |
No
specific therapy |
Low grade
< or = 3 mm
|
|
|
|
|
Low grade
> 3 mm
|
Excellent
prognosis lesions |
Intermediate
grade
|
Complete
excision required |
High grade
|
|
|
(Microinvasive
carcinoma) |
+/-
axillary dissection |
|
« Small »
invasive carcinomas |
+/-
local irradiation |
|
< 15 mm special type grade I |
no
systemic therapy |
|
|
|
|
Invasive
carcinoma |
Local
and systemic therapy based on evaluation of prognostic factors |
Copyright 2000, The Author(s) and/or The Publisher(s)
| Organisation: FORPATH asbl  |
Coordination: Dr Bernard Van den Heule |
Host: Labo CMP |