EP 678 A Retrospective Audit of Surveillance Practices of Screen-Detected B3 Lesions in a Tertiary Breast Unit

Clicks: 6
ID: 323873
2026
Free PDF
Article Quality & Performance Metrics
Overall Quality
Not rated
Combines reader engagement with the AI quality analysis. This article has not been analysed, so there is no overall score — reader engagement is measured and shown alongside.
AI Quality Assessment
Not analyzed
Readership in this journal
Emerging

Ranked #204 of 432 articles by views in the british journal of surgery

Most read Least read

Bar heights use a square-root scale. Only the 120 most-read articles are drawn; the journal has 432 in total.

Mint this article as an NFT
Not yet minted

Create a permanent, verifiable on-chain record of this article on the Scimatic Network. The NFT is held in your Journament account, and you can withdraw it to your own wallet at any time.

5 SUSD one-off · no wallet required
Sign in to mint
Abstract
Abstract Background Surveillance of breast lesions with uncertain malignant potential (B3) detected through the NHS breast screening programme (NHSBSP) has been updated. Previous guidelines recommended five-year annual mammography for screen-detected B3 lesions with atypia post-excision - latest guidance replaces this with a return to routine screening. Aims: This audit retrospectively evaluates a breast unit’s practice regarding screen-detected B3 lesions to determine the impact of the new guidance. Methods This registered audit (PLA_54) involved data collection including B3 lesion histopathology and surveillance from electronic records (Cerner) from 1 January to 31 October 2025. Results Prior to the new NHSBSP guidelines, 69 patients with a mean age of 58.9 ± 6.55 years were identified as having screen-detected B3 lesions. 13 patients were excluded from the analysis after vacuum-assisted/surgical excision – 5 patients had cancer and 8 patients self-discharged. Of 56 patients, 53 patients had a vacuum-assisted excision and 3 patients had surgery. Most common initial diagnosis was intraductal papilloma (n=14), complex sclerosing lesion (n=13) and atypical intraductal epithelial proliferation (n=8). 64% (36/56) of patients were referred for five-year annual mammograms. Concordance to mammographic surveillance referrals in the previous NHSBSP guidelines was at 86% (48/56, p>0.05). With the new guidance, 57% (32/56) of patients would not meet the requirements for five-year mammographic surveillance – with a mammographic cost reduction of £288/patient. Conclusion Adherence to historical NHSBSP guidance about annual five-year mammographic surveillance in our tertiary unit prior to introduction of the new guidelines was 86%. Our practice will be re-audited after an educational intervention.
Reference Key
openalex_W7172515502 Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Chien Lin Soh, Ken Ho, Daniel Leff
Journal the british journal of surgery
Year 2026
DOI
10.1093/bjs/znag087.642
URL
https://doi.org/10.1093/bjs/znag087.642
Keywords Keywords not found

Citations

No citations found. To add a citation, contact the admin at info@scimatic.org

Comments

No comments yet. Be the first to comment on this article.