Home > Journals > Minerva Medicolegale > Past Issues > Minerva Medicolegale 2012 December;132(4) > Minerva Medicolegale 2012 December;132(4):233-7





A Journal on Forensic Medicine




Minerva Medicolegale 2012 December;132(4):233-7

language: Italian

Medico-legal implications of short-term mammographic follow up

Olivetti L. 1, Tira A. 1, Bodini M. 1, Pescarini L. 2

1 Unità Operativa di Radiologia Azienda Ospedaliera Istituti Ospitalieri di Cremona, Cremona, Italia;
2 Unità Operativa di Senologia Istituto Oncologico Veneto IRCCS Dipartimento di Scienze Oncologiche e Chirurgiche, Università degli Studi di Padova Padova, Italia


BI-RADS category 3 (probably benign findings) suggests short interval follow-up. A small percentage of these lesions (up to 2%) will prove to be malignant. Therefore, there is the possibility of a delay in the diagnosis of breast cancer, with malpractice implications related to reduced treatment chances. We present one case which, although not received by the courts, led to a complaint to Court for patients’ rights. Also on the basis of that experience we develop some considerations on the radiologist’s risk in recommending short-interval follow up mammography rather than immediate biopsy. The application of BI-RADS category 3 should be restricted only to cases where, after a multimodal diagnostic approach and evaluation of risk factors, the radiologist is “reasonably sure” that the lesion has no possibility to evolve towards malignancy.

top of page

Publication History

Cite this article as

Corresponding author e-mail