Tumors of female reproductive systemTumors of female reproductive systemОпухоли женской репродуктивной системы1994-40981999-8627Publishing House ABV Press84310.17650/1994-4098-2021-17-2-46-57MAMMOLOGY. REVIEWSМАММОЛОГИЯ. ОБЗОРНЫЕ СТАТЬИLesions of the breast with uncertain malignant potentialПоражения молочной железы с неопределенным злокачественным потенциаломhttps://orcid.org/0000-0001-8814-636XVуsotskayaI. V.ВысоцкаяИ. В.
Russian Federation

Build. 2, 8 Trubetskaya St., Moscow 119991, Russia

Россия, 119991 Москва, ул. Трубецкая, 8, стр. 2

https://orcid.org/0000-0002-2481-0791GladilinaI. A.ГладилинаИ. А.
Russian Federation

24 Kashirskoe Shosse, Moscow 115478, Russia

Россия, 115478 Москва, Каширское шоссе, 24

https://orcid.org/0000-0003-0040-3136KirsanovV. Yu.КирсановВ. Ю.
Russian Federation

Build. 2, 8 Trubetskaya St., Moscow 119991, Russia

Россия, 119991 Москва, ул. Трубецкая, 8, стр. 2

https://orcid.org/0000-0002-8047-3523PonedelnikovaN. V.ПонедельниковаН. В.
Russian Federation

24 Kashirskoe Shosse, Moscow 115478, Russia

Россия, 115478 Москва, Каширское шоссе, 24

https://orcid.org/0000-0003-4893-8770KimE. A.КимЕ. А.
Russian Federation

Build. 2, 8 Trubetskaya St., Moscow 119991, Russia

Россия, 119991 Москва, ул. Трубецкая, 8, стр. 2

helene-kim@yandex.ruhttps://orcid.org/0000-0003-0153-3311PonomarevV. E.ПономаревВ. Е.
Russian Federation

Build. 2, 8 Trubetskaya St., Moscow 119991, Russia

Россия, 119991 Москва, ул. Трубецкая, 8, стр. 2

I.M. Sechenov First Moscow State Medical University (Sechenov University), Ministry of Health of RussiaФГАОУ ВО «Первый Московский государственный медицинский университет им. И. М. Сеченова (Сеченовский Университет)» Минздрава РоссииN.N. Blokhin National Medical Research Center of Oncology, Ministry of Health of RussiaФГБУ «Национальный медицинский исследовательский центр онкологии им. Н. Н. Блохина» Минздрава России200920211721809202118092021https://ojrs.abvpress.ru/ojrs/article/view/843

The article deals with a peculiar group of breast diseases, which belongs to the B3 category according to the BI-RADS classification, the so-called lesions with undefined malignant potential. The basic information concerning their biological behavior and modern tactical approaches to the management of patients with similar changes in the mammary gland are presented. The possibility of conservative management, as well as the minimization of surgical aid, in cases of indications for it, up to vacuum aspiration biopsy is being considered. In addition, the significance of these diseases for the subsequent development of pre-invasive and infiltrative cancer is discussed.

В статье рассматривается своеобразная группа заболеваний молочной железы, относящаяся к категории В3 по классификации BI-RADS, – так называемые поражения с неопределенным злокачественным потенциалом. Приводятся основные сведения, касающиеся их биологического поведения и современных тактических подходов к ведению пациенток с подобными изменениями в молочной железе. Рассматривается возможность консервативного ведения, а также минимализация хирургического пособия в случаях показаний к нему – до вакуумной аспирационной биопсии. Помимо этого обсуждается значимость данных заболеваний для последующего развития преинвазивного и инфильтративного рака.

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