Expert consensus proposes management framework for symptomatic high-risk (B3) breast lesions

New expert consensus framework for symptomatic B3 breast lesions: assess concordance, lower excision threshold for discordant/palpable lesions, conservative management for concordant non-atypical lesions, and risk-based surveillance for atypia.

• First dedicated recommendations for symptomatic B3 lesions, addressing a gap from screening-based guidelines.
• Palpable or radiologic-pathologic discordant lesions warrant a lower threshold for additional sampling or excision; concordant non-atypical lesions may be managed conservatively.
• Long-term risk-based surveillance is advised for lesions with epithelial atypia.

Automated summary

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