My name is Dr. Alice Kim. I'm an assistant professor at New York University. Classification four means a suspicious lesion and a biopsy is recommended. We have women go back for spot compression views where we spread the tissue out. And anyone with a first degree relative or multiple family members with breast cancer.
Radial scars can present at architectural distortion.
When we diagnose a radial scar mammographically it should be completely excised, because you can miss underlying early breast cancer and it is associated with tubular cancers. A stellate lesion is the appearance that you can see with radial scars. Stellate lesions are also the appearance you can see with invasive breast cancers. There is no evidence for decreased mortality in screening women under the age of 40. The purpose of starting screening mammography early in the 40s is to detect early breast cancer.