Is surgery required for a BI-RADS 4A category lesion?

Nov 12, 2024 Source: Cainiu Health
Dr. Lv Dapeng
Introduction
BI-RADS category 4A refers to breast nodules that are classified as subcategory 4A within the BI-RADS 4 classification system based on ultrasound or mammography findings, indicating that the breast nodule is relatively irregular and has the potential for malignancy. If a BI-RADS category 4A nodule is benign and small, surgery is generally not required; however, if it is malignant or suspected of malignancy, or if it is a large benign nodule, surgical removal is typically recommended.

Generally speaking, if a BI-RADS 4A breast nodule is benign and small, surgery is usually not required. However, if it is malignant or suspected to be malignant, or if it is a large benign nodule, surgical removal is generally recommended. If any abnormalities are detected, timely medical consultation is advised. Detailed analysis is as follows:

BI-RADS 4A classification refers to breast nodules categorized as subtype 4A within the BI-RADS category 4 according to ultrasound or mammography grading. This indicates that the breast nodule is relatively irregular and may present with certain blood flow signals, microcalcifications, and a potential risk of malignancy. If a BI-RADS 4A nodule is diagnosed as benign, is small in size, and does not cause obvious discomfort or symptoms, surgery is generally not necessary.

If a BI-RADS 4A breast nodule is diagnosed as malignant, suspected of being malignant, or is a large benign nodule, doctors usually recommend surgical treatment to prevent further progression of the condition. Surgical options may include traditional open surgery, breast-conserving surgery, or mastectomy.

Patients should maintain good lifestyle habits and follow a healthy, balanced diet in daily life, actively improving their physical condition, which can enhance treatment effectiveness when managing the disease.

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