Breast Radiology Reporting - 1st for comment ballot

This page is part of the Breast Radiology Report (v0.1.0: Comment Draft) based on FHIR R4. . For a full list of available versions, see the Directory of published versions

MarginVS

MarginVS ValueSet

When breast cancer is surgically removed (during a surgical biopsy, lumpectomy or mastectomy), a rim of normal tissue surrounding the tumor is also removed. This rim is called a margin. Margins help show whether or not all of the tumor was removed.

Defining URL:http://hl7.org/fhir/us/breast-radiology/ValueSet/breastrad-MarginVS
Version:0.1.0
Name:MarginVS
Definition:

When breast cancer is surgically removed (during a surgical biopsy, lumpectomy or mastectomy), a rim of normal tissue surrounding the tumor is also removed. This rim is called a margin. Margins help show whether or not all of the tumor was removed.

Publisher:Hl7 - Clinical Interoperability Council
Source Resource:XML / JSON / Turtle
Downloads: XML, JSON, Turtle

Expansion

This value set contains 12 concepts

Expansion based on http://hl7.org/fhir/us/breast-radiology/CodeSystem/breastrad-MarginCS version 0.1.0

All codes from system http://hl7.org/fhir/us/breast-radiology/CodeSystem/breastrad-MarginCS

CodeDisplayDefinition
AngularMarginAn 'angular margin' is simply a pronounced 'angled-off' projection from the mass. Any kind of irregular or jagged projection at the margin is suspcious of malignancy.An 'angular margin' is simply a pronounced 'angled-off' projection from the mass. Any kind of irregular or jagged projection at the margin is suspcious of malignancy.
CircumscribedMarginAt least 75%% of the margin is sharply demarcated, with an abrupt transition between the lesion and surrounding tissue.At least 75%% of the margin is sharply demarcated, with an abrupt transition between the lesion and surrounding tissue.
IndistinctMarginNo clear demarcation of the entire margin or any portion of it from the surrounding tissue.No clear demarcation of the entire margin or any portion of it from the surrounding tissue.
IntraductalExtensionIntraductal tumor extension is a characteristic feature of primary breast carcinoma, and is an important consideration in patients undergoing breast conservative surgery. However, there have been no reports of studies of intraductal extension within the mammary ductal tree.Intraductal tumor extension is a characteristic feature of primary breast carcinoma, and is an important consideration in patients undergoing breast conservative surgery. However, there have been no reports of studies of intraductal extension within the mammary ductal tree.
IrregularMarginCircumscribed oval and round masses are usually benign. An irregular shape suggests a greater likelihood of malignancy. The margins can be described as circumscribed, microlobulated, obscured (partially hidden by adjacent tissue), indistinct (ill-defined), or spiculated (characterized by lines radiating from the mass).Circumscribed oval and round masses are usually benign. An irregular shape suggests a greater likelihood of malignancy. The margins can be described as circumscribed, microlobulated, obscured (partially hidden by adjacent tissue), indistinct (ill-defined), or spiculated (characterized by lines radiating from the mass).
LobulatedMarginThe margin of the lesion reflects the demarcation of the mass with surrounding tissue. It can be smooth, micro lobulated, irregular or spiculated. Gentle bilobulate or Tri lobulated margins are considered smooth.The margin of the lesion reflects the demarcation of the mass with surrounding tissue. It can be smooth, micro lobulated, irregular or spiculated. Gentle bilobulate or Tri lobulated margins are considered smooth.
MacrolobulatedMarginNo Definition found.No Definition found.
MicrolobulatedMarginA margin characterized by short-cycle undulations.A margin characterized by short-cycle undulations.
NonCircumscribedMarginNo definition found.No definition found.
ObscuredMarginObscuredMarginObscuredMargin
SmoothMarginSmooth: A benign lesion usually has clear and smooth margin, which is well defined with the surrounding breast tissues. ... Similar to mammography, some early breast cancer with small foci can presents benign appearance even under high-resolution MRI.Smooth: A benign lesion usually has clear and smooth margin, which is well defined with the surrounding breast tissues. ... Similar to mammography, some early breast cancer with small foci can presents benign appearance even under high-resolution MRI.
SpiculatedMarginMargin is characterized by lines radiating from the mass.Margin is characterized by lines radiating from the mass.

References

This value set is used by the following logical models, profiles and extensions: