Browse the corpus

©2013 UpToDate ® Print Email Management algorithm for patients with abnormal mammograms This algorithm helps to guide management of the patient who presents with an abnormal mammogram, whether it is performed at your institution or outside. BIRADS 4 is a broad category that includes patients with a probability of malignancy that ranges from 2 to 95 percent. The management of more suspicious lesions (>50 percent probability) should include surgical evaluation before percutaneous biopsy. The designation often implies lower suspicion of malignancy. Also, some patients and some lesions are not appropriate candidates for percutaneous biopsy. BI-RADS: Breast Imaging Reporting and Data System. * A situation in which it may be useful to incorporate staging MRI. FNA: fine-needle aspiration. Adapted from: Esserman, L, et al. Current Oncology Reports 2000; 2:572.