Radial scar tissue. Early studies advocated for the .
Radial scar tissue. For decades, mammography followed by stereotactic CNB has been utilized for the detection and diagnosis of radial scars. Radial scars are uncommon so they are not studied as much as other breast lesions. Radial scars are usually found by breast examination (feeling the breast). The name describes how it looks on a mammogram. These are done under general anesthesia. On mammogram, large radial scars can appear star-like with spikey borders. RS is a focus smaller than 10 mm while complex sclerosing lesion (CSL) refers to a lesion which is larger than 10 mm and which has more complex features [14, 18, 78]. Nov 11, 2024 · Radial Scar A radial scar, also known as a complex sclerosing lesion, is a star-shaped area of fibrosis in the breast. However, if they are found on needle biopsy, excision of the area may be recommended, because in some cases they may be associated with the presence of a worse abnormality in the breast. Dec 15, 2000 · Methods Literature review evaluating the management of various benign and high-risk lesions (including atypical ductal hyperplasia, lobular neoplasia, papillary lesions, radial scar and complex sclerosing lesions, fibroepithelial lesions, mucocele-like lesions, spindle cell lesions, and pseudoangiomatous stromal hyperplasia) identified on image-guided breast biopsies. . 17 In such cases, surgical excision is recommended to allow examination of the surrounding breast tissue, which is typically involved by the infiltrating Radial Scar and Complex Sclerosing Lesion Radial scars are tumorlike lesions that contain a stellate nidus of dense elastotic collagen associ-ated with entrapped epithelial elements and/or other proliferative lesions such as sclerosing adenosis. Both of these involve an excess growth of collagen that results in raised scar tissue. Radial scars and complex sclerosing lesions are also benign areas of hardened breast tissue. 6 to 3. What if my report says “radial scar” or “complex sclerosing lesion”? These findings are benign (non-cancerous). Jun 4, 2025 · A radial scar is also known as a radial sclerosing lesion or complex sclerosing lesion. The management of radial scars remains challenging due to associated upgrade to malig Dec 4, 2015 · Radial scar, the second most common benign lesion causing architectural distortion is seldom palpable, regardless of its size or location. They are fairly uncommon and occur most often in women between the ages of 40 and 60. Radial scars (RS) are benign proliferative lesions associated with an increased risk of subsequent breast cancer. To assess pathologic upgrade of radial scars diagnosed in needle core biopsy samples and identify a subset of patients who could benefit from conservative management. Radial scars can be concerning because they may resemble breast cancer on mammograms and other imaging studies. It is composed mostly of fibroblasts in recent scars and dense collagenous fibers in old scars. May 6, 2019 · Radial scars may indicate a disturbance in the breast tissue and more specifically between the stromal (supportive) and functional elements (lobules, ducts, etc), that can lead to the formation of scar tissue, or possibly to cancer. These are collections of milk ducts trapped in an area of twisted connective tissue. The need for surgical excision is supported by the concern of an associated high-grade lesion missed in the biopsy. Calcific tendinitis of the rotator cuff Jan 21, 2015 · Context. Nov 19, 2023 · A radial scar is a non-cancerous growth in the breast characterized by an increased number of glands and ducts around a central scar. On MRI, the morphologic features and contrast enhancement patterns of radial scars and complex sclerosing lesions cannot reliably differentiate a benign from malignant process. While Sep 21, 2023 · Introduction Radial sclerosing lesions (RSLs) are noncancerous breast lesions characterized by fibroelastosis with entrapment of epithelial elements in the stroma. However, radial scars can be associated with carcinoma in situ and/or small invasive carcinoma or even with multifocal invasive cancers. Jankharia is licensed under CC BY 2. They did find 2 new masses on the same breast measuring 12x8 assuming they mean mm. These lesions are made up of fibrous and glandular tissue and can be detected during breast imaging, such as mammography or ultrasound. A radial scar is not cancer. Surgery: Even in non-invasive forms, surgical removal of the tissue is recommended. Oct 9, 2025 · Radial scar, or complex sclerosing lesion, is a rosette-like proliferative breast lesion. On ultrasound, variable aspects can be detected the majority of pathologic radial scars are found incidentally in breast tissue removed for unrelated conditions. (A) Preoperative hypertrophic scar, (B) Intraoperative picture after Medical Needling, (C) Postoperative outcome after 3 medical needling treatments. She said they used to take out all radial scars, but newer data says it's not always necessary. [2] Radial scar is associated with atypia and/or malignancy and may be an independent risk factor for the development of carcinoma in either breast. What if my report says radial scar or complex sclerosing lesion? These findings are benign (non-cancerous). What are radial scars and complex sclerosing lesions? Radial scars and complex sclerosing lesions are benign (not cancerous) conditions. The purposes of this article are to place the controversy over the management of radial scars diagnosed at core biopsy in perspective and to define reasonable management options. Radial scars and complex sclerosing lesions are differentiated by their Postprocedural hematoma of breast Radial scar of breast Radial scar of left breast Radial scar of right breast Right breast duct occlusion Right breast hematoma Right breast radial scar Right pendulous breast Seroma of breast as complication of procedure Clinical Information Single or multiple, milk-containing nodules in the breast. This is not a complete Met with the breast surgeon yesterday. A radial scar or complex sclerosing lesion is not actually a scar. During the healing process, scar tissue sometimes adheres to other structures, restricting movement and causing pain. The epithelial Jun 2, 2022 · Patients with radial scars diagnosed on CNB should undergo immediate surgical excision Radial scars are benign sclerosing lesions of the breast characterized by a central fibroelastotic core. The etiology of radial scars is hypothesized to be a localized inflammatory reaction or chronic ischemia with subsequent slow infarction. Benign sclerosing lesions of the breast comprise primarily sclerosing adenosis and radial scar/complex sclerosing lesions (RS/CSL). Radial sclerosing lesions (RSLs) are non-malignant breast lesions characterized by entrapped benign epithelial elements distorted by fibroelastosis and hyalinized stroma (1). Radial scars often occur in both breasts, and more than one lesion is usually present in each breast. Although current literature suggests no premalignant potential of these lesions Oct 16, 2023 · What Are the Treatments Available for Radial Scars? The treatment for radial scars depends mainly on the progression and size of the scar. If you have questions or concerns about radial scars, talk with your health care provider. e. 9 Recent studies have demonstrated that radial scars are more conspicuous on DBT than on standard mammography. Postoperative hematoma of breast Postpartum subinvolution of breast Radial scar of breast Radial scar of left breast Radial scar of right breast Seroma Seroma Seroma following procedure Seroma of breast as complication of procedure Skin disorder of breast Subinvolution of breast Thelarche Traumatic hematoma of breast Usual ductal hyperplasia of Feb 26, 2019 · Radial scars (RS) are benign, tumor-like lesions which are most commonly an incidental finding during mammography. Feb 11, 1999 · The reason radial scars are associated with breast cancer is unclear but the authors speculate that radial scars may indicate a general disturbance in the breast tissue and more specifically between the stromal and epithelial elements, that leads to radial scars, cancer or both. Oct 14, 2023 · A radial scar is a growth that looks like a scar when the tissue is viewed under a microscope. This mammogram image shows the arrow pointing to a bicycle spoke pattern. She seemed more concerned with my extremely dense tissue and other risk factors. Apr 6, 2025 · Radial scars exhibit a complex association with malignancy, representing a diagnostic challenge in breast pathology; the risk of radial scars harboring malignant cells varies widely, from 0% to 30% in some studies; accurate assessment of radial scars is further complicated by the overlapping features they share with tubular carcinoma and invasive ductal carcinoma; therefore, radiological and Apr 19, 2018 · 'Radial Scar' published in 'Encyclopedia of Pathology'The definition of radial scars was given by Wellings as follows: a radial scar is a radially symmetric tissue formation up to about 1 cm in diameter; it is composed of a fibroelastic core that often entraps small epithelial tubules and is always surrounded by radiating ducts and lobules showing variable degrees of adenosis and epitheliosis Radial Scar (or Complex Sclerosing Lesion) are not scars and have nothing to do with trauma or injury. RSLs include both radial scars and complex sclerosing lesions (CSLs) that are differentiated by their histopathologic architecture and, by some authors, by their size. Jan 1, 2018 · Abstract Radial scars are benign lesions of the breast characterized pathologically by a fibroelastic core containing entrapped ducts and lobules that radiate outwards in a stellate pattern. AI generated definition based on: Diagnostic and Interventional Jun 19, 2018 · A radial scar is a benign (non-cancerous) breast lesion that can look like breast cancer on a mammogram or ultrasound. Sep 21, 2023 · Radial scars and complex sclerosing lesions frequently manifest as architectural distortion and are more frequently identified with digital breast tomosynthesis, and in the absence of atypia, upgra Radial scar (RS) is a benign, well recognised, radiological and pathological entity. Methods: Records for all patients undergoing diagnostic wire localized excisional breast biopsy from January 1993 to September 1999 were 4. Early studies advocated for the Abstract Introduction: Breast radial scar (RS) management remains controversial. However, the scar can mask cancer cells and increase one’s risk of developing breast cancer in the future. Shockwave therapy is a safe and effective evidence-based treatment for minimizing the restrictive effects of scar tissue. Pathologic radial scars are frequently found at the core needle biopsy of mammographic calcifications or mass on ultrasound, and less frequently by needle biopsy of enhancing areas on MRI. Radial scars have a central fibroelastic core with ducts A radial scar (RS) is a breast lesion characterized histologically by a fibrous, elastosic center with radially arranged tubes and lobules, often detected incidentally in mastectomy tissue or biopsies. They believe the pain is nerve related. Dec 12, 2024 · Hypertrophic scars and keloids Hypertrophic scars and keloids can also happen after mastectomy or lumpectomy. Postmortem studies indicate that What is a radial scar? A radial scar (RS), also known as complex sclerosing lesion (CSL), is a benign (non-cancerous) breast lesion that consists of a central fibroelastic core surrounded by radiating duct-like structures. Thereafter, surveillance is justified. Nov 23, 2023 · Using shockwave therapy to break up scar tissue is an effective way to promote healing and stimulate new, healthy tissue. These developed in little over a year. 1-2. According to the recent International Consensus Conference, a RS/CSL lesion, which is visible on imaging, should undergo therapeutic excision with VAB. If these findings are seen in an excision biopsy, no further action is needed. Aug 18, 2020 · Breast nonmalignant - Radial scar / complex sclerosing lesionBenign breast lesion comprised of a central fibroelastotic stromal core with radiating ducts and lobules with varying degrees of proliferative and cystic changes arranged in a stellate configuration May simulate invasive carcinoma mammographically, clinically, grossly and microscopically Atypia or malignancy may arise within or in Oct 3, 2025 · Complex sclerosing lesion, or radial scar, is a non-cancerous growth characterized by an increased number of glands and ducts around a central scar. It can however be a strong and potentially very confusing mimicker of breast malignancy. Yet, the impact of radial scar diagnosis in the management of patients continues to be controversial. Hypertrophic scars are more common than keloids. Objective. Despite its name, it is not a true scar but rather a growth pattern of breast tissue. It can mimic tubular carcinoma and is associated with carcinoma in situ or tubular invasive carcinoma in 10 to 30% of cases. Shah and B. The digital mammography and digital breast tomosynthesis appearances of RS are well documented, according to the literature. Radial scars do not cause breast lumps but may cause breast pain. Oct 21, 2025 · Scar tissue pain can be caused by damage to the nerves near the tissue and inflammation during healing. 0. May 5, 2019 · A radial scar is so-named because of the radiating/star-like appearance on a breast X-ray. The management of radial scars after image-guided core biopsy of the breast for diagnosis remains controversial. 20 The term “radial scar” is used for lesions < 1cm and the term “complex sclerosing” lesion is used for lesions > 1 cm in size. Some authors, however, reserve the latter term to lesions over 1 cm 5. This code falls under the category of diseases of the A benign (not cancer) area of hardened tissue in the breast that looks like a scar when viewed under a microscope. A benign (not cancer) area of hardened tissue in the breast that looks like a scar when viewed under a microscope. Differential Diagnosis: Radial scars consist of a region of parenchyma loss and scarring with retraction and distortion of the surrounding tissue. Generally, the term RS is assigned to such lesions less than 1 cm in Feb 15, 2023 · Radial Scar Radial scars are a star-shaped breast masses that are often benign but may be precancerous. 8,10 Historically, radial scars have been distinguished by size and defined as lesions ≤1 cm, and complex sclerosing lesions were We would like to show you a description here but the site won’t allow us. Complex sclerosing lesions are radial scars greater than 1 cm in greatest dimension. 7%) and represents a challenge both for radiologists and for pathologists. Your body forms scar tissue to repair soft tissue damage from ruptures, burns or surgical incisions. The radial scar is also known as a complex sclerosing lesion and consists of central scar-like tissue surrounded by irregular breast glands. Feb 11, 1999 · Radial scars are benign breast lesions of uncertain clinical significance. Jan 8, 2024 · Purpose of Review The objective of this review was to examine the current literature and clinical relevance of radial scars. Design Radial scars vary in appearance with different mammographic projections, presumably because of their planar configuration. We reviewed the characteristics of patients with radial scars to better understand these lesions and to determine the incidence of associated carcinoma. Radial scar and complex sclerosing lesion Radial scar (RS) is a breast lesion that may mimic invasive carcinoma because of its stellate configuration. According to Guenther, hypertrophic scars stay in the wound area and may diminish with time. Sep 17, 2023 · Radial scars are predominantly incidental findings during biopsy of breast tissue performed for other potential abnormalities observed on mammogram and/or ultrasound. Feb 3, 2022 · Tendonitis Patients who sought radial shockwave therapy for patellar tendonitis saw a 76 per cent improvement. However, if they are found on a needle biopsy, it isn’t so simple. Histologically, it is characterised by a fibroelastotic core with entrapped ducts and surrounding radiating ducts and lobules. The connective tissue forming a scar. I can’t find anything online about whether having more radial scars is cause for concern as far as the link to cancer. Findings indicative of a radial scar are often more conspicuous on sonography than on mammography; thus, sonography may have a INTRODUCTION Despite their name, radial scars (or complex sclerosing lesions) are idiopathic lesions of the breast unrelated to prior trauma or surgery. However, it remains unclear whether RS are an independent risk factor for breast cancer or whether their association with breast cancer It does not need to be completely removed or otherwise treated. Paramount in skin grafting is the choice of split- or full-thickness grafts and choosing a sufficient texture and pigmentation match for We would like to show you a description here but the site won’t allow us. We discuss the diagnostic workup of radial scars, factors impacting upgrade rates to malignancy, and current issues in management. Medical treatments for persistent scar pain include skin grafting, laser therapy, and injections. 7%-14% on For lesions that are larger or not entirely removed by the needle biopsy, more tissue from that area might need to be removed because sometimes radial scars are found near something more serious that may need to be treated. ICD-10 code N80212 is a specific code used to classify a noncancerous breast mass known as radial scar. Introduction Other Section Radial scars (RS), also known as complex sclerosing lesions, are benign proliferative breast lesions and are usually asymptomatic in healthy women. Feb 11, 2021 · Typically occurs within a radial scar / complex sclerosing lesion, nipple adenoma or juvenile papillomatosis Mild nuclear enlargement in radial scars Florid usual ductal hyperplasia within radial scars / complex sclerosing lesions can occasionally have more active appearing nuclei with mild nuclear enlargement Common teaching divides fibrocystic changes into two categories: nonproliferative (fibrosis, cysts, apocrine change, adenosis, and mild usual ductal hyperplasia) and proliferative (moderate or marked usual ductal hyperplasia, sclerosing adenosis, radial scar, and papilloma). Radial scars are not scarring – they are areas of hardened breast tissue with surrounding abnormal ducts and tissue structures. The significance of a radial scar is uncertain, although studies suggest there is an increase in the risk factor for breast cancer. A radial scar, formally radial scar of the breast, [1] is a benign breast lesion that can radiologically mimic malignancy, i. Going back in just over a week for biopsy. This chapter, highlighting radial scar as a cause of architectural distortion, reviews its imaging features and differential diagnosis on mammography, digital breast tomosynthesis, ultrasound, and MRI; its Background Also known as ,,dark star” image in breast pathology, the Radial Scar is not a scar, but a complex sclerosing lesion, considered benign, but with risk of associating adjacent tubular type neoplasm or otrher type of high risk histological modifications. So, this all adds up to me having five radial scars. Radial scars and complex sclerosing lesions are the same but are often referred to as radial scars when they’re smaller than 1 cm in size and CSL when larger than 1 cm INTRODUCTION Despite their name, radial scars (or complex sclerosing lesions) are idiopathic lesions of the breast unrelated to prior trauma or surgery. Most radial scars will never be felt as a lump Dec 23, 2021 · The need for routine surgical excision of a radial sclerosing lesions (RSL) of the breast identified on percutaneous biopsy remains controversial, as contemporary upgrade rates are lower than historically cited. Radial scars are benign sclerosing lesions that are routinely excised when diagnosed in a needle core biopsy. It is an idiopathic process with sclerosing Breast radial scars, also known as complex sclerosing lesions, are benign (non-cancerous) breast abnormalities which received this name due to their star-shaped scar-like appearance (they are not associated with scars related to surgery or trauma). 1 The prevalence of radial scars ranges from 0. The largest one was around 5mm. If your report mentions radial scars, talk with your doctor about what is best in your case. The aim of this study was to assess histologic upgrade rate after a percutaneous biopsy, to determine if vacuum assisted biopsy prevents the need for subsequent RS surgical resection and to evaluate Nov 23, 2012 · OBJECTIVE. Recent Findings Several guidelines exist with varying recommendations on the management of radial scars. Optimal management for patients with incidental and small (≤5 mm) radial scars is uncertain. Aug 16, 2017 · OBJECTIVE. Find information that will help you understand the medical language you might find in the pathology report from a breast biopsy for atypical hyperplasia. 3. May 23, 2023 · Radial scars are rare and histologically composed of a fibroelastic center with entrapped glandular elements, ducts, and lobules that radiate outward from the center and have associated proliferative changes. Learn in-depth information on Radial Scar of Breast, its causes, symptoms, diagnosis, complications, treatment, prevention, and prognosis. We would like to show you a description here but the site won’t allow us. They are similar to sclerosing adenosis, but they are usually larger and may look similar to breast cancer when seen on a mammogram. It is a benign (non-cancerous) lesion of the breast made up of scar-like tissue, ducts and glandular cells. The presence of atypia, level of enhancement on magnetic resonance imaging, and the method of tissue biopsy can impact the risk of upgrade. Other benign lesions which may become fibrosed and malignant tumours frequently associated with a sclerotic stromal reaction, may enter their differential diagnosis either radiologically or on pathological examination. Aug 19, 2018 · When the pathologists examined the tissue, they saw three radial scars. They are the same thing but are identified by size, with radial scars usually being smaller than 1cm and complex sclerosing lesions being more than 1cm. Background: Radial scar is a breast lesion with mammographic and histologic features similar to carcinoma. This may be done with an open surgical incision or a lumpectomy. Radial Pulse Wave Therapy (RPT) is an FDA approved break through therapy that penetrates radial pulse waves into chronically injured tissue breaking up scar tissue creating a re-vascularization (new blood supply) to heal naturally. CONCLUSION. Sep 2, 2015 · Radial scar/complex sclerosing lesion Radial scar (RS) is a pseudo-infiltrative lesion characterized by a fibroelastotic core with entrapped ducts and surrounding radiating ducts and lobules demonstrating a range of epithelial hyperplasia. It is usually found in mammograms or ultrasounds. It is an area of hardened breast tissue Oct 22, 2013 · On ultrasound, radial scars commonly present as a hypoechoic mass or parenchymal distortion that mimics malignancy. May 14, 2025 · A radial scar, sometimes referred to as a complex sclerosing lesion, is a type of breast mass that may be associated with a slightly increased risk of breast cancer. This image has been cropped from the original. Scar Fibrocystic changes: adenomyoepithelial adenosis adenosis apocrine adenosis / apocrine adenoma apocrine metaplasia columnar cell change / hyperplasia microcysts nonproliferative fibrocystic changes radial scar / complex sclerosing lesion sclerosing adenosis usual ductal hyperplasia Jun 1, 2024 · Radial scars are commonly detected during core needle biopsy (CNB) of the breast for an image-identified abnormality. At-home treatments for scar tissue pain include moisturizers, massage, and silicone gel. In particular, it is not known whether these lesions alter the risk of breast cancer in women with benign breast disease. Jan 28, 2024 · Update: I had my mammogram and ultrasound today. Jan 2, 2023 · Radial scar (RS) is a well-recognized radiological and pathological benign breast entity with specific characteristics. Skin Grafting Skin grafts provide many functional and aesthetic benefits when it comes to tissue repair. Radiologically, radial scars appear as structural distortion defined by a central radiolucency and radiating long thin spicules on mammography1, 2 Mar 27, 2025 · A radial scar is a breast growth that looks like a scar when its cells are viewed under a microscope. Oct 9, 2025 · A radial scar has a spiculated appearance similar to carcinoma, but the center tends to be a translucent, low-density area rather than a mass. Find information on the less common types of benign tumors and conditions that can be found in the breast including radial scars and lipomas. It is not related to surgical scarring. 0 per 1,000 screening mammograms and 1. 6. [3] Radial Scar and Complex Sclerosing Lesion Radial scars are tumorlike lesions that contain a stellate nidus of dense elastotic collagen associated with entrapped epithelial elements and/or other proliferative lesions such as sclerosing adenosis. This updated review focuses on the core Radial scar: Pictorial essay: Breast USG by G. They’re all pretty small. May 5, 2019 · Radial scar of the breast is a benign condition, but it can be difficult to diagnose mammographically and microscopically. Mar 20, 2021 · Radial scar (RS) or complex sclerosing lesions (CSL) if > 10 mm is a benign lesion with an increasing incidence of diagnosis (ranging from 0. Many radial scars are visible on sonography and, when visible, may present features virtually identical to those of carcinoma of the breast. We investigated the radiologic and clinical findings of radial scar and complex sclerosing lesions, and evaluated the rate of pathologic upgrade and predicting factors. We investigated the usefulness of sonography in revealing radial scars suspected on mammography. She took her time to explain everything to me and told me that there is a very low chance that the radial scar could be cancer (3-5%). The breast tissue behind the lesion is almost visible through the lesion. Scar tissue Radial shockwave therapy helps break down fibrous scar tissue by increasing blood circulation to the targeted area. Microscopic Findings: The typical radial scar forms a poorly defined, spiculated, firm to hard mass of white tissue. Mammographic radial scars are not infrequently due to ma-lignancy; pathologic radial scars Radial scars and complex sclerosing lesions are also benign areas of hardened breast tissue. From review of our institution’s database from January 2006 to December 2012, we Benign papillary and sclerosing lesions of the breast (intraductal papillomas, complex sclerosing lesions, radial scars) are considered high-risk lesions due to the potential for upgrade to carcinoma on subsequent surgical excision. 7%-14% on Summary Numerous factors contribute to the risk of upgrading radial scars to malignancy. Radial sclerosing lesions include both radial scars and complex sclerosing lesions and are often used interchangeably with these terms. In the pre-mammographic screening era, they usually presented as incidental findings in breast specimens that were surgically excised for unrelated conditions. Optimal clinical management of such lesions remains unclear due to … The proliferative phase of radial scar/complex sclerosing lesions may show adenosquamous proliferation that, when florid, may raise the suspicion of low‐grade adenosquamous carcinoma. Radial scar is a proliferative pseudo-lesion that causes cell hyperplasia in the breast ducts. Jun 4, 2025 · Radial scars are typically found alongside other breast conditions, which may explain these mixed findings [46]. Radial scars are benign fibrous tissue caused by inflammation but they grow in an environment that is favorable for cancer and can hide it. Radial scars without atypia and non-enhancement on MRI that are sampled with a vacuum-assisted device have low risks of upgrade and may be candidates for non-operative Jul 3, 2023 · With modern technological advances in imaging, radial scars are more frequently encountered in clinical practice. cancer. The area of pain around my scar came back normal with just scar tissue. When they are greater than 1 cm in diameter, they are referred to as complex Nov 16, 2020 · Post surgical breast scar is a benign complication that usually occurs following surgical intervention to breast tissue. People with chronic muscle, tendon, and connective tissue pain often have old patterns that have developed. yjfo fuk yrsnd 3olwl l5idp 0gdz iw9 nfaorx z5b0i id80j