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1. Correction to: Second International Consensus Conference on lesions of uncertain malignant potential in the breast (B3 lesions).

Author

Rageth, Christoph, OFlynn, Elizabeth, Pinker, Katja, Kubik-Huch, Rahel, Mundinger, Alexander, Decker, Thomas, Tausch, Christoph, Dammann, Florian, Baltzer, Pascal, Fallenberg, Eva, Foschini, Maria, Dellas, Sophie, Knauer, Michael, Malhaire, Caroline, Sonnenschein, Martin, Boos, Andreas, Varga, Zsuzsanna, and Morris, Elizabeth

Abstract

The article Second International Consensus Conference on lesions of uncertain malignant potential in the breast (B3 lesions), written by Christoph J Rageth, Elizabeth AM OFlynn, Katja Pinker, Rahel A Kubik-Huch, Alexander Mundinger, Thomas Decker, Christoph Tausch, Florian Dammann, Pascal A. Baltzer, Eva Maria Fallenberg, Maria P Foschini, Sophie Dellas, Michael Knauer, Caroline Malhaire, Martin Sonnenschein, Andreas Boos, Elisabeth Morris, Zsuzsanna Varga, was originally published electronically on the publishers internet portal (currently SpringerLink) on November 30, 2018 without open access.

Published
2019

2. Second International Consensus Conference on lesions of uncertain malignant potential in the breast (B3 lesions).

Author

Rageth, Christoph, OFlynn, Elizabeth, Pinker, Katja, Kubik-Huch, Rahel, Mundinger, Alexander, Decker, Thomas, Tausch, Christoph, Dammann, Florian, Baltzer, Pascal, Fallenberg, Eva, Foschini, Maria, Dellas, Sophie, Knauer, Michael, Malhaire, Caroline, Sonnenschein, Martin, Boos, Andreas, Varga, Zsuzsanna, and Morris, Elizabeth

Subjects
B3 lesions, Breast, Breast surgery, Consensus, Uncertain malignant potential, Vacuum-assisted biopsy, Biopsy, Large-Core Needle, Breast Neoplasms, Carcinoma, Intraductal, Noninfiltrating, Carcinoma, Lobular, Databases, Factual, Female, Humans, Image-Guided Biopsy, Minimally Invasive Surgical Procedures, Phyllodes Tumor, Population Surveillance, Practice Guidelines as Topic
Abstract

PURPOSE: The second International Consensus Conference on B3 lesions was held in Zurich, Switzerland, in March 2018, organized by the International Breast Ultrasound School to re-evaluate the consensus recommendations. METHODS: This study (1) evaluated how management recommendations of the first Zurich Consensus Conference of 2016 on B3 lesions had influenced daily practice and (2) reviewed current literature towards recommendations to biopsy. RESULTS: In 2018, the consensus recommendations for management of B3 lesions remained almost unchanged: For flat epithelial atypia (FEA), classical lobular neoplasia (LN), papillary lesions (PL) and radial scars (RS) diagnosed on core-needle biopsy (CNB) or vacuum-assisted biopsy (VAB), excision by VAB in preference to open surgery, and for atypical ductal hyperplasia (ADH) and phyllodes tumors (PT) diagnosed at VAB or CNB, first-line open surgical excision (OE) with follow-up surveillance imaging for 5 years. Analyzing the Database of the Swiss Minimally Invasive Breast Biopsies (MIBB) with more than 30,000 procedures recorded, there was a significant increase in recommending more frequent surveillance of LN [65% in 2018 vs. 51% in 2016 (p = 0.004)], FEA (72% in 2018 vs. 62% in 2016 (p = 0.005)), and PL [(76% in 2018 vs. 70% in 2016 (p = 0.04)] diagnosed on VAB. A trend to more frequent surveillance was also noted also for RS [77% in 2018 vs. 67% in 2016 (p = 0.07)]. CONCLUSIONS: Minimally invasive management of B3 lesions (except ADH and PT) with VAB continues to be appropriate as an alternative to first-line OE in most cases, but with more frequent surveillance, especially for LN.

Published
2019

4. Postoperative Bildgebung – was ist erforderlich, was überflüssig?

Author

Müller-Schimpfle, Markus, Bader, Werner, Bernathova, Maria, Bick, Ulrich, Fuchsjäger, Michael H., Golatta, Michael, Helbich, Thomas, Heywang-Köbrunner, Sylvia H., Mundinger, Alexander, Schulz-Wendtland, Rüdiger, Siegmann-Luz, Katja C., Solbach, Christine, Weigel, Stefanie, Wenkel, Evelyn, and Wunderlich, Petra

Published
2024
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6. First International Consensus Conference on lesions of uncertain malignant potential in the breast (B3 lesions).

Author

Rageth, Christoph, OFlynn, Elizabeth, Comstock, Christopher, Kurtz, Claudia, Kubik, Rahel, Madjar, Helmut, Lepori, Domenico, Kampmann, Gert, Mundinger, Alexander, Baege, Astrid, Decker, Thomas, Hosch, Stefanie, Tausch, Christoph, Delaloye, Jean-François, Morris, Elizabeth, and Varga, Zsuzsanna

Subjects
B3 lesions, Breast, Breast surgery, Consensus, Uncertain malignant potential, Vacuum-assisted biopsy, Biopsy, Large-Core Needle, Breast, Breast Neoplasms, Carcinoma, Intraductal, Noninfiltrating, Carcinoma, Lobular, Disease Management, Female, Humans, Image-Guided Biopsy, Mammography, Phyllodes Tumor, Population Surveillance, Practice Guidelines as Topic
Abstract

The purpose of this study is to obtain a consensus for the therapy of B3 lesions. The first International Consensus Conference on lesions of uncertain malignant potential in the breast (B3 lesions) including atypical ductal hyperplasia (ADH), flat epithelial atypia (FEA), classical lobular neoplasia (LN), papillary lesions (PL), benign phyllodes tumors (PT), and radial scars (RS) took place in January 2016 in Zurich, Switzerland organized by the International Breast Ultrasound School and the Swiss Minimally Invasive Breast Biopsy group-a subgroup of the Swiss Society of Senology. Consensus recommendations for the management and follow-up surveillance of these B3 lesions were developed and areas of research priorities were identified. The consensus recommendation for FEA, LN, PL, and RS diagnosed on core needle biopsy or vacuum-assisted biopsy (VAB) is to therapeutically excise the lesion seen on imaging by VAB and no longer by open surgery, with follow-up surveillance imaging for 5 years. The consensus recommendation for ADH and PT is, with some exceptions, therapeutic first-line open surgical excision. Minimally invasive management of selected B3 lesions with therapeutic VAB is acceptable as an alternative to first-line surgical excision.

Published
2016

7. Best Practice Guideline – Empfehlungen der DEGUM zur Durchführung und Beurteilung der Mammasonografie

Author

Vogel-Minea, Claudia Maria, primary, Bader, Werner, primary, Blohmer, Jens-Uwe, additional, Duda, Volker, additional, Eichler, Christian, additional, Fallenberg, Eva Maria, additional, Farrokh, André, additional, Golatta, Michael, additional, Gruber, Ines, additional, Hackelöer, Bernhard-Joachim, additional, Heil, Jörg, additional, Madjar, Helmut, additional, Marzotko, Ellen, additional, Merz, Eberhard, additional, Müller-Schimpfle, Markus, additional, Mundinger, Alexander, additional, Ohlinger, Ralf, additional, Peisker, Uwe, additional, Schäfer, Fritz KW, additional, Schulz-Wendtland, Ruediger, additional, Solbach, Christine, additional, Warm, Mathias, additional, Watermann, Dirk, additional, Wojcinski, Sebastian, additional, Dudwiesus, Heiko, additional, and Hahn, Markus, additional

Published
2023
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8. Radiology

Author

Junkermann, Hans, additional, Buchberger, Wolfgang, additional, Heywang-Köbrunner, Sylvia, additional, Michell, Michael, additional, Mundinger, Alexander, additional, Benn, Carol, additional, and Zackrisson, Sophia, additional

Published
2019
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10. Current Challenges and Perspectives in Breast Cancer in Elderly Women: The Senologic International Society (SIS) Survey

Author

Scheer, Louise, primary, Lodi, Massimo, additional, Özmen, Tolga, additional, Alghamdi, Khalid, additional, Anyanwu, Stanley, additional, Birendra, Joshi, additional, Boubnider, Mohsen, additional, Costa, Mauricio, additional, Dian, Darius, additional, Elder, Elisabeth, additional, Gebrim, Luiz Henrique, additional, Guo, Xiaojing, additional, Heitz, Damien, additional, Imoto, Shigeru, additional, Ioannidou-Mouzaka, Lydia, additional, Kaufman, Cary, additional, Liu, Hong, additional, Mbodj, Mamadou, additional, Meka, Esther, additional, Mundinger, Alexander, additional, Novelli, Jorge, additional, Ojuka, Daniel, additional, Orda, Ruben, additional, Ostapenko, Valerijus, additional, Pieńkowski, Tadeusz, additional, Podolski, Paula, additional, Vogel, Thomas, additional, Yin, Jian, additional, Özmen, Vahit, additional, Schneebaum, Schlomo, additional, and Mathelin, Carole, additional

Published
2023
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11. Current Challenges and Perspectives in Breast Cancer in Elderly Women: The Senologic International Society (SIS) Survey

Author

Scheer, Louise, Lodi, Massimo, Özmen, Tolga, Alghamdi, Khalid, Anyanwu, Stanley, Birendra, Joshi, Boubnider, Mohsen, Costa, Mauricio, Dian, Darius, Elder, Elisabeth, Gebrim, Luiz Henrique, Guo, Xiaojing, Heitz, Damien, Imoto, Shigeru, Ioannidou-Mouzaka, Lydia, Kaufman, Cary, Liu, Hong, Mbodj, Mamadou, Meka, Esther, Mundinger, Alexander, Novelli, Jorge, Ojuka, Daniel, Orda, Ruben, Ostapenko, Valerijus, Pieńkowski, Tadeusz, Podolski, Paula, Vogel, Thomas, Yin, Jian, Özmen, Vahit, Schneebaum, Schlomo, and Mathelin, Carole

Subjects
Original Article
Abstract

OBJECTIVE: Mammographic screening and management of breast cancer (BC) in elderly women are controversial and continue to be an important health problem. To investigate, through members of the Senologic International Society (SIS), the current global practices in BC in elderly women, highlighting topics of debate and suggesting perspectives. MATERIALS AND METHODS: The questionnaire was sent to the SIS network and included 55 questions on definitions of an elderly woman, BC epidemiology, screening, clinical and pathological characteristics, therapeutic management in elderly women, onco-geriatric assessment and perspectives. RESULTS: Twenty-eight respondents from 21 countries and six continents, representing a population of 2.86 billion, completed and submitted the survey. Most respondents considered women 70 years and older to be elderly. In most countries, BC was often diagnosed at an advanced stage compared to younger women, and age-related mortality was high. For this reason, participants recommended that personalized screening be continued in elderly women with a long life expectancy. In addition, this survey highlighted that geriatric frailty assessment tools and comprehensive geriatric evaluations needed to be used more and should be developed to avoid undertreatment. Similarly, multidisciplinary meetings dedicated to elderly women with BC should be encouraged to avoid under- and over-treatment and to increase their participation in clinical trials. CONCLUSION: Due to increased life expectancy, BC in elderly women will become a more important field in public health. Therefore, screening, personalized treatment, and comprehensive geriatric assessment should be the cornerstones of future practice to avoid the current excess of age-related mortality. This survey described, through members of the SIS, a global picture of current international practices in BC in elderly women.

Published
2023

16. Best Practice Guideline – Empfehlungen der DEGUM zur Durchführung und Beurteilung der Mammasonografie: TEIL II – Additive und fakultative Anwendungsmodalitäten, Qualitätssicherung.

Author

Vogel-Minea, Claudia Maria, Bader, Werner, Blohmer, Jens-Uwe, Duda, Volker, Eichler, Christian, Fallenberg, Eva Maria, Farrokh, André, Golatta, Michael, Gruber, Ines, Hackelöer, Bernhard-Joachim, Heil, Jörg, Madjar, Helmut, Marzotko, Ellen, Merz, Eberhard, Müller-Schimpfle, Markus, Mundinger, Alexander, Ohlinger, Ralf, Peisker, Uwe, Schäfer, Fritz KW, and Schulz-Wendtland, Ruediger

Published
2023
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17. Best Practice Guideline – Empfehlungen der DEGUM zur Durchführung und Beurteilung der Mammasonografie – TEIL I – Untersuchungstechnik, Ultraschall-DEGUM-Kriterien und deren Dokumentation

Author

Bader, Werner, primary, Vogel-Minea, Claudia Maria, primary, Blohmer, Jens-Uwe, additional, Duda, Volker, additional, Eichler, Christian, additional, Fallenberg, Eva, additional, Farrokh, André, additional, Golatta, Michael, additional, Gruber, Ines, additional, Hackelöer, Bernhard-Joachim, additional, Heil, Jörg, additional, Madjar, Helmut, additional, Marzotko, Ellen, additional, Merz, Eberhard, additional, Müller-Schimpfle, Markus, additional, Mundinger, Alexander, additional, Ohlinger, Ralf, additional, Peisker, Uwe, additional, Schäfer, Fritz K. W., additional, Schulz-Wendtland, Ruediger, additional, Solbach, Christine, additional, Warm, Mathias, additional, Watermann, Dirk, additional, Wojcinski, Sebastian, additional, and Hahn, Markus, additional

Published
2022
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18. The Senologic International Society Survey on Ductal Carcinoma In Situ: Present and Future

Author

Mathelin, Carole, Lodi, Massimo, Alghamdi, Khalid, Arboleda-Osorio, Bolivar, Avisar, Eli, Anyanwu, Stanley, Boubnider, Mohcen, Costa, Mauricio Maghales, Elder, Elisabeth, Elonge, Tony, Gebrim, Luiz, Hao, Xishan, Imoto, Shigeru, Meka, Esther, Mouelle, Michel, Mundinger, Alexander, Ostapenko, Valerijus, Özbaş, Serdar, Özmen, Tolga, Özmen, Vahit, Pienkowski, Tadeusz, Sarria, Gustavo, Selim, Ashraf, Semiglazov, Vladimir, and Schneebaum, Schlomo

Subjects
Original Article
Abstract

OBJECTIVE: Therapeutic management of ductal carcinoma in situ (DCIS) is heterogeneous among countries worldwide, and some treatment indications are still controversial. To investigate DCIS management in different countries; identify both consensual practices and controversial topics; and survey opinions about the future management of DCIS. MATERIALS AND METHODS: The Senologic International Society network members participated to an online survey using a questionnaire, between November 2021 and February 2022. RESULTS: Twenty-two responses from 20 different countries showed that organized breast cancer screening programs were present for 87% participants, and DCIS cases represented 13.7% of all breast cancers. Most participants used the grade classification (100%), the morphological classification (78%) and performed immunohistochemistry assays (73%). In case of conservative treatment, the mean re-excision rate was 10.3% and clear margins of mean 2.5 mm were considered healthy. Radical mastectomy rate was 35.5% with a breast reconstruction rate of 53%. Tumor bed boost indications were heterogeneous, and 73% of participants indicated hormone therapy for hormone-positive DCIS. Surgery and radiotherapy omission for some low-risk DCIS were considered by 73% of participants. Multigene assays were used by 43% of participants. Concerning future changes in DCIS management, participants mostly answered surgical de-escalation (48%), radiotherapy de-escalation (35) and/or active surveillance for some cases (22%). CONCLUSION: This survey provided an overview of the current practices of DCIS management worldwide. It showed that some areas are rather consensual: incidence increases over time, treatment in young women, pathological classifications, definition of healthy margins, the skin-sparing mastectomy and immediate breast reconstruction. However, some topics are still debated and result in heterogeneous practices, such as evolution in the age of diagnosis, the benefit of de-escalation in low-risk DCIS among elderly women, indications for hormone therapy, radiotherapy omission, or multigene assays. Further evidence is needed to reach consensus on these points, and innovative approaches are still under evaluation in clinical trials. The International Senologic Society, by its members, encourages precision medicine and personalized treatments for DCIS, to avoid overtreatment and overdiagnosis, and provide better healthcare to women with DCIS.

Published
2022

19. The Senologic International Society Survey on Ductal Carcinoma In Situ: Present and Future

Author

Mathelin, Carole, primary, Lodi, Massimo, additional, Alghamdi, Khalid, additional, Arboleda-Osorio, Bolivar, additional, Avisar, Eli, additional, Anyanwu, Stanley, additional, Boubnider, Mohcen, additional, Costa, Mauricio Maghales, additional, Elder, Elisabeth, additional, Elonge, Tony, additional, Gebrim, Luiz, additional, Hao, Xishan, additional, Imoto, Shigeru, additional, Meka, Esther, additional, Mouelle, Michel, additional, Mundinger, Alexander, additional, Ostapenko, Valerijus, additional, Özbaş, Serdar, additional, Özmen, Tolga, additional, Özmen, Vahit, additional, Pienkowski, Tadeusz, additional, Sarria, Gustavo, additional, Selim, Ashraf, additional, Semiglazov, Vladimir, additional, and Schneebaum, Schlomo, additional

Published
2022
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20. Konsensustreffen Mammadiagnostik 2021: Online-Austausch unter Pandemie-Bedingungen

Author

Müller-Schimpfle, Markus, additional, Bader, Werner, additional, Baltzer, Pascal A. T., additional, Bernathova, Maria, additional, Fuchsjäger, Michael H., additional, Golatta, Michael, additional, Helbich, Thomas, additional, Heywang-Köbrunner, Sylvia H., additional, Mundinger, Alexander, additional, Schulz-Wendtland, Rüdiger, additional, Siegmann-Luz, Katja C., additional, Solbach, Christine, additional, and Weigel, Stefanie, additional

Published
2022
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21. Best Practice Guideline – DEGUM Recommendations on Breast Ultrasound

Author

Bader, Werner, primary, Vogel-Minea, Claudia Maria, primary, Blohmer, Jens-Uwe, additional, Duda, Volker, additional, Eichler, Christian, additional, Fallenberg, Eva, additional, Farrokh, André, additional, Golatta, Michael, additional, Gruber, Ines, additional, Hackelöer, Bernhard-Joachim, additional, Heil, Jörg, additional, Madjar, Helmut, additional, Marzotko, Ellen, additional, Merz, Eberhard, additional, Müller-Schimpfle, Markus, additional, Mundinger, Alexander, additional, Ohlinger, Ralf, additional, Peisker, Uwe, additional, Schäfer, Fritz K. W., additional, Schulz-Wendtland, Ruediger, additional, Solbach, Christine, additional, Warm, Mathias, additional, Watermann, Dirk, additional, Wojcinski, Sebastian, additional, and Hahn, Markus, additional

Published
2021
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22. Best Practice Guideline – DEGUM Recommendations on Breast Ultrasound.

Author

Bader, Werner, Vogel-Minea, Claudia Maria, Blohmer, Jens-Uwe, Duda, Volker, Eichler, Christian, Fallenberg, Eva, Farrokh, André, Golatta, Michael, Gruber, Ines, Hackelöer, Bernhard-Joachim, Heil, Jörg, Madjar, Helmut, Marzotko, Ellen, Merz, Eberhard, Müller-Schimpfle, Markus, Mundinger, Alexander, Ohlinger, Ralf, Peisker, Uwe, Schäfer, Fritz K. W., and Schulz-Wendtland, Ruediger

Published
2022
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23. Breast Cancer Management During the COVID-19 Pandemic: The Senologic International Society Survey

Author

Mathelin, Carole, primary, Ame, Shanti, additional, Anyanwu, Stanley, additional, Avisar, Eli, additional, Boubnider, Wahib Mohcen, additional, Breitling, Katrin, additional, Anie, Hannah Ayettey, additional, Conceição, José Carlos, additional, Dupont, Veronique, additional, Elder, Elisabeth, additional, Elfgen, Constanze, additional, Elonge, Tony, additional, Iglesias, Edelmiro, additional, Imoto, Shigeru, additional, Ioannidou-Mouzaka, Lydia, additional, Kappos, Elisabeth A, additional, Kaufmann, Martin, additional, Knauer, Michael, additional, Luzuy, Franck, additional, Margaritoni, Marko, additional, Mbodj, Mamadou, additional, Mundinger, Alexander, additional, Orda, Ruben, additional, Ostapenko, Valerijus, additional, Özbaş, Serdar, additional, Özmen, Vahit, additional, Pagani, Olivia, additional, Pieńkowski, Tadeusz, additional, Schneebaum, Schlomo, additional, Shmalts, Ekaterina, additional, Selim, Ashraf, additional, Pavel, Zotov, additional, Lodi, Massimo, additional, and Maghales-Costa, Maurício, additional

Published
2021
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25. Correction to: Second International Consensus Conference on lesions of uncertain malignant potential in the breast (B3 lesions)

Author

Rageth, Christoph J; https://orcid.org/0000-0001-9117-2825, O'Flynn, Elizabeth A M, Pinker, Katja, Kubik-Huch, Rahel A, Mundinger, Alexander, Decker, Thomas, Tausch, Christoph, Dammann, Florian, Baltzer, Pascal A, Fallenberg, Eva Maria, Foschini, Maria P, Dellas, Sophie, Knauer, Michael, Malhaire, Caroline, Sonnenschein, Martin, Boos, Andreas, Morris, Elisabeth, Varga, Zsuzsanna, Rageth, Christoph J; https://orcid.org/0000-0001-9117-2825, O'Flynn, Elizabeth A M, Pinker, Katja, Kubik-Huch, Rahel A, Mundinger, Alexander, Decker, Thomas, Tausch, Christoph, Dammann, Florian, Baltzer, Pascal A, Fallenberg, Eva Maria, Foschini, Maria P, Dellas, Sophie, Knauer, Michael, Malhaire, Caroline, Sonnenschein, Martin, Boos, Andreas, Morris, Elisabeth, and Varga, Zsuzsanna

Abstract

The article Second International Consensus Conference on lesions of uncertain malignant potential in the breast (B3 lesions), written by Christoph J Rageth, Elizabeth AM O'Flynn, Katja Pinker, Rahel A Kubik-Huch, Alexander Mundinger, Thomas Decker, Christoph Tausch, Florian Dammann, Pascal A. Baltzer, Eva Maria Fallenberg, Maria P Foschini, Sophie Dellas, Michael Knauer, Caroline Malhaire, Martin Sonnenschein, Andreas Boos, Elisabeth Morris, Zsuzsanna Varga, was originally published electronically on the publisher's internet portal (currently SpringerLink) on November 30, 2018 without open access.

Published
2019

26. Second International Consensus Conference on lesions of uncertain malignant potential in the breast (B3 lesions)

Author

Rageth, Christoph J; https://orcid.org/0000-0001-9117-2825, O’Flynn, Elizabeth A M, Pinker, Katja, Kubik-Huch, Rahel A, Mundinger, Alexander, Decker, Thomas, Tausch, Christoph, Dammann, Florian, Baltzer, Pascal A, Fallenberg, Eva Maria, Foschini, Maria P, Dellas, Sophie, Knauer, Michael, Malhaire, Caroline, Sonnenschein, Martin, Boos, Andreas, Morris, Elisabeth, Varga, Zsuzsanna, Rageth, Christoph J; https://orcid.org/0000-0001-9117-2825, O’Flynn, Elizabeth A M, Pinker, Katja, Kubik-Huch, Rahel A, Mundinger, Alexander, Decker, Thomas, Tausch, Christoph, Dammann, Florian, Baltzer, Pascal A, Fallenberg, Eva Maria, Foschini, Maria P, Dellas, Sophie, Knauer, Michael, Malhaire, Caroline, Sonnenschein, Martin, Boos, Andreas, Morris, Elisabeth, and Varga, Zsuzsanna

Abstract

Purpose The second International Consensus Conference on B3 lesions was held in Zurich, Switzerland, in March 2018, organized by the International Breast Ultrasound School to re-evaluate the consensus recommendations. Methods This study (1) evaluated how management recommendations of the first Zurich Consensus Conference of 2016 on B3 lesions had influenced daily practice and (2) reviewed current literature towards recommendations to biopsy. Results In 2018, the consensus recommendations for management of B3 lesions remained almost unchanged: For flat epithelial atypia (FEA), classical lobular neoplasia (LN), papillary lesions (PL) and radial scars (RS) diagnosed on core-needle biopsy (CNB) or vacuum-assisted biopsy (VAB), excision by VAB in preference to open surgery, and for atypical ductal hyperplasia (ADH) and phyllodes tumors (PT) diagnosed at VAB or CNB, first-line open surgical excision (OE) with follow-up surveillance imaging for 5 years. Analyzing the Database of the Swiss Minimally Invasive Breast Biopsies (MIBB) with more than 30,000 procedures recorded, there was a significant increase in recommending more frequent surveillance of LN [65% in 2018 vs. 51% in 2016 (p = 0.004)], FEA (72% in 2018 vs. 62% in 2016 (p = 0.005)), and PL [(76% in 2018 vs. 70% in 2016 (p = 0.04)] diagnosed on VAB. A trend to more frequent surveillance was also noted also for RS [77% in 2018 vs. 67% in 2016 (p = 0.07)]. Conclusions Minimally invasive management of B3 lesions (except ADH and PT) with VAB continues to be appropriate as an alternative to first-line OE in most cases, but with more frequent surveillance, especially for LN.

Published
2019

27. Consensus Meeting of Breast Imaging: BI-RADS® and Beyond

Author

Müller-Schimpfle, Markus, primary, Bader, Werner, additional, Baltzer, Pascal, additional, Bernathova, Maria, additional, Fuchsjäger, Michael, additional, Golatta, Michael, additional, Helbich, Thomas H., additional, Hellerhoff, Karin, additional, Heywang-Köbrunner, Sylvia H., additional, Kurtz, Claudia, additional, Mundinger, Alexander, additional, Siegmann-Luz, Katja C., additional, Skaane, Per, additional, Solbach, Chistine, additional, and Weigel, Stefanie, additional

Published
2019
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29. Second International Consensus Conference on lesions of uncertain malignant potential in the breast (B3 lesions)

Author

Rageth, Christoph J., primary, O’Flynn, Elizabeth A. M., additional, Pinker, Katja, additional, Kubik-Huch, Rahel A., additional, Mundinger, Alexander, additional, Decker, Thomas, additional, Tausch, Christoph, additional, Dammann, Florian, additional, Baltzer, Pascal A., additional, Fallenberg, Eva Maria, additional, Foschini, Maria P., additional, Dellas, Sophie, additional, Knauer, Michael, additional, Malhaire, Caroline, additional, Sonnenschein, Martin, additional, Boos, Andreas, additional, Morris, Elisabeth, additional, and Varga, Zsuzsanna, additional

Published
2018
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30. Evaluation of the nationwide DEGUM breast ultrasound training program

Author

Würstlein, Rachel, Degenhardt, Friedrich, Duda, Volker, Madjar, Helmut, Merz, Eberhard, Mundinger, Alexander, Ohlinger, Ralf, Peisker, Uwe, Schulz-Wendtland, Rüdiger, Warm, Mathias, and Hahn, Markus

Subjects
ddc:610
Abstract

Ziel: Die Evaluation der DEGUM-Mammasonografiekurse nach objektivierbaren Kriterien war Ziel dieser Arbeit. Damit sollte die Qualität der Kurse überprüft werden, um eine flächendeckende Fort- und Weiterbildung auf hohem Niveau anzubieten. Material und Methoden: 10 Qualitätskriterien, orientierend an den Vorgaben der KBV-Ultraschallvereinbarungen wurden als Qualitätsparameter definiert. Alle Kursleiter des Arbeitskreises Mammasonografie der DEGUM wurden angeschrieben. Dabei wurden die 10 definierten Qualitätskriterien überprüft. Ergebnisse: Alle Kurse erfüllten die Voraussetzungen bezüglich der Qualität des Kursleiters, der Kursdauer und Unterrichtseinheiten sowie der Anzahl an Kursteilnehmern pro Ultraschallgerät. In 1 von 9 Kursen wurde die Zeit der praktischen Übungen, gefordert sind 50 %, unterschritten. Die Voraussetzungen für den Abschlusskurs (200 selbst durchgeführte und dokumentierte Fälle) sind in den Kursankündigungen zum Teil nicht klar definiert. Ein strukturierter Lehrkatalog fehlt. Schlussfolgerung: Die DEGUM-Mammasonografiekurse werden auf hohem Niveau angeboten und erfüllen zum größten Teil die Anforderungen der KBV. Trotz der hohen Qualität der DEGUM-Kurse sind Optimierungsoptionen im Bereich Kursankündigung und strukturierter Lehrkatalog möglich. Purpose: The aim of this study was to evaluate the quality standard of the nationwide breast ultrasound training program of the German Society of Ultrasound in Medicine (DEGUM) through objective parameters. Materials and methods: 10 quality criteria, based on the recommendations of The National Association of Statutory Health Insurance Physicians (KBV), were defined for this study. All training units of the DEGUM received a questionnaire. The questionnaires and training material were analyzed. Results: All units met the required criteria pertaining to the trainer's qualification, duration per training course and the maximum number of participants per ultrasound machine. Only 1 course did not fulfill the required 50 % practical training time. The requirements to participate in the graduate course (200 self-made and documented cases) were not clearly conceived and a defined training log could be improved. Conclusion: DEGUM breast ultrasound training offers trainees a high level of education based on the requirements of the KBV. Despite the high quality of training, the content of course announcements could be improved and an official and structured educational index could be meaningful.

Published
2014

38. The effect of contrast media on the synovial membrane

Author

Papacharalampous, Xenophon, primary, Patsouris, Efstratios, additional, Mundinger, Alexander, additional, Beck, Andreas, additional, Kouloulias, Vasilios, additional, Primetis, Elias, additional, Koureas, Andreas, additional, and Vlahos, Lambros, additional

Published
2005
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42. Best Practice Guideline - DEGUM Recommendations on Breast Ultrasound.

Author

Vogel-Minea CM, Bader W, Blohmer JU, Duda V, Eichler C, Fallenberg EM, Farrokh A, Golatta M, Gruber I, Hackelöer BJ, Heil J, Madjar H, Marzotko E, Merz E, Müller-Schimpfle M, Mundinger A, Ohlinger R, Peisker U, Schäfer FK, Schulz-Wendtland R, Solbach C, Warm M, Watermann D, Wojcinski S, Dudwiesus H, and Hahn M

Subjects
Female, Humans, Ultrasonography, Mammary, Mammography methods
Abstract

Alongside mammography, breast ultrasound is an important and well-established method in assessment of breast lesions. With the "Best Practice Guideline", the DEGUM Breast Ultrasound (in German, "Mammasonografie") working group, intends to describe the additional and optional application modalities for the diagnostic confirmation of breast findings and to express DEGUM recommendations in this Part II, in addition to the current dignity criteria and assessment categories published in Part I, in order to facilitate the differential diagnosis of ambiguous lesions.The present "Best Practice Guideline" has set itself the goal of meeting the requirements for quality assurance and ensuring quality-controlled performance of breast ultrasound. The most important aspects of quality assurance are explained in this Part II of the Best Practice Guideline., Competing Interests: Die Autorinnen/Autoren geben an, dass kein Interessenkonflikt besteht., (Thieme. All rights reserved.)

Published
2023
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43. Best Practice Guideline - DEGUM Recommendations on Breast Ultrasound.

Author

Bader W, Vogel-Minea CM, Blohmer JU, Duda V, Eichler C, Fallenberg E, Farrokh A, Golatta M, Gruber I, Hackelöer BJ, Heil J, Madjar H, Marzotko E, Merz E, Müller-Schimpfle M, Mundinger A, Ohlinger R, Peisker U, Schäfer FKW, Schulz-Wendtland R, Solbach C, Warm M, Watermann D, Wojcinski S, and Hahn M

Subjects
Female, Humans, Ultrasonography, Mammary methods, Mammography methods, Medicine, Breast Neoplasms diagnostic imaging
Abstract

For many years, breast ultrasound has been used in addition to mammography as an important method for clarifying breast findings. However, differences in the interpretation of findings continue to be problematic 1 2. These differences decrease the diagnostic accuracy of ultrasound after detection of a finding and complicate interdisciplinary communication and the comparison of scientific studies 3. In 1999, the American College of Radiology (ACR) created a working group (International Expert Working Group) that developed a classification system for ultrasound examinations based on the established BI-RADS classification of mammographic findings under consideration of literature data 4. Due to differences in content, the German Society for Ultrasound in Medicine (DEGUM) published its own BI-RADS-analogue criteria catalog in 2006 3. In addition to the persistence of differences in content, there is also an issue with formal licensing with the current 5th edition of the ACR BI-RADS catalog, even though the content is recognized by the DEGUM as another system for describing and documenting findings. The goal of the Best Practice Guideline of the Breast Ultrasound Working Group of the DEGUM is to provide colleagues specialized in senology with a current catalog of ultrasound criteria and assessment categories as well as best practice recommendations for the various ultrasound modalities., Competing Interests: Die Autorinnen/Autoren geben an, dass kein Interessenkonflikt besteht., (Thieme. All rights reserved.)

Published
2022
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