Breast calcifications require surgery based on the specific morphology of the calcification**.
The detection of breast calcifications is primarily based on mammography. Types of breast calcifications on mammography include typical benign calcifications, intermediate calcifications, and high-grade malignant calcifications.
Typical benign calcifications: such as popcorn-like calcifications, circular hollow calcifications, annular calcifications, etc., benign calcifications generally do not require surgery**.
Intermediate calcification: including amorphous fuzzy calcification and rough heterogeneous calcification, amorphous fuzzy calcification is generally benign, calcification foci are small, and the typical features are not obvious. Rough heterogeneous calcification malignant and benign are both possible, the shape of the calcification foci is irregular, the judgment of benign and malignant generally needs to be combined with clinical practice, if it is benign, surgery is not required, if it is malignant, surgery is required.
High malignant calcification: polymorphic heterogeneous calcification, which varies in size and morphology, and can be clustered, pinpoint-like, and fine-salt-grained, mostly discontinuous calcifications, which usually require surgical resection
According to the comprehensive analysis of the above situation, if the mammography is evaluated as BI-RADS class 3 or less, it is necessary to recheck every 6-12 months. If the evaluation is BI-RADS class 4 or higher, pathologic diagnosis is often indicated. In particular, for cases of breast calcification lesions above BI-RADS class 4B, the possibility of malignancy cannot be ruled out, and further examination and pathological diagnosis are required as soon as possible.
The surgical methods of breast calcification include guidewire positioning surgical resection and the advanced three-dimensional stereotactic minimally invasive atherectomy of calcification. The author has carried out three-dimensional stereotactic minimally invasive rotary resection of calcification foci for many years, which can have the dual effect of resecting lesions, clarifying the pathological nature and cosmetic minimally invasive calcification foci with a small range and relatively concentrated calcifications.