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Standards for the management of patients with lesions such as atypical ductal hyperplasia, atypical lobular hyperplasia, and lobular carcinoma <jats:italic>in\u00a0situ<\/jats:italic>, as well as other benign lesions, are not well defined, and recommendations for surgical biopsy or continued clinical and radiological follow\u2010up are inconsistent. The frequency with which these lesions are \u2018upgraded\u2019 to carcinoma in excision specimens is widely variable in the literature. Many <jats:styled-content style=\"fixed-case\">CNB<\/jats:styled-content> studies lack careful radiological\u2013pathological correlation, clear criteria for excision, and clinical follow\u2010up for patients on whom excision was not performed. This review of the recent literature emphasizes studies with radiological\u2013pathological correlation, with the goal of developing a contemporary, evidence\u2010based approach to the management of non\u2010malignant lesions of the breast diagnosed on <jats:styled-content style=\"fixed-case\">CNB<\/jats:styled-content>. The data supporting an emerging consensus on which lesions may not require excision are highlighted. The management of non\u2010malignant lesions diagnosed on magnetic resonance imaging\u2010guided <jats:styled-content style=\"fixed-case\">CNB<\/jats:styled-content> is also discussed.<\/jats:p>","DOI":"10.1111\/his.12852","type":"journal-article","created":{"date-parts":[[2015,12,22]],"date-time":"2015-12-22T10:20:26Z","timestamp":1450779626000},"page":"138-151","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":49,"title":["Recommendations for excision following core needle biopsy of the breast: a contemporary evaluation of the literature"],"prefix":"10.1111","volume":"68","author":[{"given":"Benjamin C","family":"Calhoun","sequence":"first","affiliation":[{"name":"Department of Pathology Cleveland Clinic Cleveland OH USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura C","family":"Collins","sequence":"additional","affiliation":[{"name":"Department of Pathology Beth Israel Deaconess Medical Center and Harvard Medical School Boston MA USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2015,12,4]]},"reference":[{"key":"e_1_2_14_2_1","first-page":"907","article-title":"Stereotactic breast biopsy: indications and results","volume":"12","author":"Dershaw DD","year":"1998","journal-title":"Oncology (Williston Park)"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.281.17.1638"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/00125480-200007010-00005"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.2214\/ajr.174.5.1741191"},{"key":"e_1_2_14_6_1","first-page":"259","article-title":"Do prognostic marker studies on core needle biopsy specimens of breast carcinoma accurately reflect the marker status of the tumor?","volume":"11","author":"Jacobs TW","year":"1998","journal-title":"Mod. 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