• Surgery Not Needed With All Abnormal Breast Lesions

    Observation OK with concordant radiologic-pathologic correlations of ALH or LCIS at core biopsy
    WEDNESDAY, July 31 (HealthDay News) -- Women with atypical lobular hyperplasia (ALH) or lobular carcinoma in situ (LCIS) biopsy findings can be safely observed when careful radiologic-pathologic correlation for concordance is established, according to research published online July 30 in Radiology.
    Kristen A. Atkins, M.D., from the University of Virginia in Charlottesville, and colleagues searched a pathology database (2000 to 2010) and identified 50 cases from 49 women (mean age, 59 years) who had core biopsies yielding ALH or LCIS without any additional lesion that independently necessitated excision. All cases underwent surgical excision or had a minimum of two years of imaging follow-up. All biopsy-related images were compared with the histologic findings at core biopsy while blinded to subsequent follow-up information, and each core biopsy finding was designated as imaging-histologic concordant or discordant.
    The researchers found that none of the 43 benign concordant core biopsy findings were upgraded at surgery (38 cases) or during extended follow-up (five cases). Five of the seven discordant biopsy findings were upgraded to ductal carcinoma in situ at surgery, while none of the two discordant cases were upgraded during follow-up.
    "When careful radiologic-pathologic correlation is performed and concordance is achieved, women with ALH or LCIS at core biopsy can be observed," the authors write.
    Abstract (http://radiology.rsna.org/content/early/2013/07/12/radiol.13121730.abstract )Full Text (subscription or payment may be required) (http://radiology.rsna.org/content/early/2013/07/12/radiol.13121730.full )
  • LiveWell personal health survey

    How healthy are you really? Find out – free.Learn more

    It's time to stop guessing. If you want to make some changes but just aren't sure how, the free personal health survey from LiveWell is a great place to start.

  • HeartSHAPE Spotlight

    At risk for a heart attack? Learn more

    Fight heart disease and prevent heart attacks. HeartSHAPE® is a painless, non-invasive test that checks pictures of your heart for early-stage coronary disease.

  • Calories and Energy Needs

    Calorie NeedsLearn more

    How many calories do you need to eat each day to maintain your weight and fuel your physical activity? Enter a few of your stats into this calculator to find out.

  • Ideal Body Weight

    Ideal Body WeightLearn more

    Using body mass index as a reference, this calculator determines your ideal body weight range. All you need to do is enter your height.

  • Body Mass Index

    Body Mass IndexLearn more

    This tool considers your height and weight to assess your weight status.

  • Can we help answer your questions?

    Wellmont Nurse Connection is your resource for valuable health information any time, 24 hours a day, seven days a week. Speak to a Nurse any time, day or night, at (423) 723-6877 or toll-free at 1-877-230-NURSE.