Follow up after Benign Biopsy Overview
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So the next thing we tend to see on our
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diagnostic service is the patient who
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is following up after a benign biopsy.
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And our protocol, we recognize that
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different practices practice differently.
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Our Hopkins protocol is to follow up with a
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diagnostic evaluation in one year and then
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return to screening if everything looks fine.
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We usually follow up with the
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modality that was used for biopsy.
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So if it was an ultrasound-guided
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biopsy, we'll do ultrasound for follow-up
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was a mammogram-guided biopsy.
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We use mammogram to follow.
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And it's interesting to note that the literature
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really does not advise six-month diagnostic
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follow-up after benign biopsy, unless there's
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a separate BI-RADS three finding for follow-up.
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So sometimes we might have.
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You know, two masses.
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We biopsied one.
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It was benign.
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The other one is similar, appearing maybe
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slightly smaller, and we're recommending
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that for follow-up on the BI-RADS 3 pathway.
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Or maybe there are multiple
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similar groups of calcifications.
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The most concerning one was biopsied and found
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to be benign, and we're following the other.
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Um, calcifications, that would be a reason
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to do a six-month follow-up, but we don't
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routinely do a six-month follow-up biopsy.
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And there's some references here at the
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bottom of the slide discussing the lack of
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utility of six-month follow-up as a routine.
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We also know that some practices go right
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back to screening after a benign biopsy
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and don't do any specific follow-up.
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Um, I think that's, you know,
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a little bit challenging, especially
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for ultrasound-guided biopsies.
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You know, if a mass is surrounded by
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relatively dense tissue, we may not be able
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to assess its size on a routine screening.
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So we typically will do the
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diagnostic evaluation one year later.
Lisa Ann Mullen, MD
Assistant Professor; Breast Imaging Fellowship Director
Johns Hopkins Medicine
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