Breast imaging-reporting and data system (BI-RADS) assessment category 5
Citation, DOI, disclosures and article data
At the time the article was created Craig Hacking had no recorded disclosures.
View Craig Hacking's current disclosuresAt the time the article was last revised Mohammad Taghi Niknejad had no financial relationships to ineligible companies to disclose.
View Mohammad Taghi Niknejad's current disclosures- BIRADS-V lesion
- BIRADS 5 lesion
- BIRADS V
- BI-RADS V
- BI-RADS 5
- BIRADS 5
BI-RADS 5 lesions under the BI-RADS (breast imaging reporting and data system) refer to breast lesions that are highly suspicious for malignancy, requiring appropriate action to be taken (i.e. biopsy and management as appropriate). BI-RADS 5 lesions have the characteristic morphology of breast cancer with a ≥95% chance of being malignant1.
The implication of a BI-RADS 5 finding, in contrast to BI-RADS 4, is that if the histology is benign, it should be considered discordant with imaging findings, and lesion excision is still advised.
Radiographic features
Mammography
A BI-RADS 5 lesion has the typical imaging features of breast malignancy. On a mammogram, any two of the following features are demonstrated:
spiculated or irregular mass
high density
fine linear or linear branching segmental calcifications
Nipple retraction, skin thickening and evidence of interval growth, if present, would support the diagnosis.
References
- 1. ACR. ACR BI-RADS Atlas. AMER COLLEGE OF RADIOLOGY. ISBN:155903016X. Read it at Google Books - Find it at Amazon
Incoming Links
- Breast imaging-reporting and data system (BI-RADS) assessment category 3
- Breast calcifications
- Stereotactic breast biopsy
- Background parenchymal enhancement (breast MRI)
- Breast calcifications (an approach)
- Ultrasound guided breast biopsy
- Breast imaging-reporting and data system (BI-RADS)
- Suspicious breast calcifications
- Invasive ductal carcinoma of the breast
- Invasive breast carcinoma
- Intraductal papilloma of breast
- Invasive breast carcinoma
- Invasive breast canrcinoma
- Invasive ductal breast carcinoma
- Breast mass - BI-RADS 5
- Invasive ductal carcinoma
- Breast cancer - BI-RADS 5
- Ductal carcinoma in situ
- Bilateral breast masses (BI-RADS 5 and 4)
- Breast mass (BI-RADS 5)
- Breast mass (BI-RADS 5)
- Breast mass (BI-RADS 5)
- Breast mass (BI-RADS 5)
- Breast mass (BI-RADS 5)
- Breast mass (BI-RADS 5)
- Breast mass (BI-RADS 5)
- Breast mass (BI-RADS 5)
- Male breast cancer
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