HL7 WorkbenchBetaParser

MarginCS

MarginCodeSystem

draftBreast Radiology0.2.0complete12 concepts

Margin code system.

Metadata

Canonical URL: http://hl7.org/fhir/us/breast-radiology/CodeSystem/MarginCS
ID: MarginCS
Version: 0.2.0
Publisher: Hl7 - Clinical Interoperability Council
Case Sensitive: Yes

Concepts (12)

Code	Display	Definition
`AngularMargin`	Angular margin	Some or all of the margin has sharp corners, often forming acute angles. The margin of the mass is not circumscribed. Valid for the following modalities: US.
`CircumscribedMargin`	Circumscribed margin	A circumscribed margin is one that is well defined, with an abrupt transition between the lesion and the surrounding tissue. For US, to describe a mass as circumscribed, its entire margin must be sharply defined. Most circumscribed lesions have round or oval shapes. [Breast Imaging Reporting and Data System—Mammography, Fifth Edition page 49] Valid for the following modalities: MG US MRI.
`IndistinctMargin`	Indistinct margin	There is no clear demarcation of the entire margin, or of any portion of the margin, from the surrounding tissue. For mammography, this descriptor should not be used when the interpreting physician believes it is likely due to immediately adjacent breast tissue. Use of this descriptor usually implies a suspicious finding. [Breast Imaging Reporting and Data System—Ultrasound, Second Edition page 23] Valid for the following modalities: MG US.
`IntraductalExtension`	Intraductal extension	Intraductal tumor extension is a characteristic feature of primary breast carcinoma, and is an important consideration in patients undergoing breast conservative surgery. [https://www.ncbi.nlm.nih.gov/pubmed/8630874] Valid for the following modalities: US.
`IrregularMargin`	Irregular margin	Edges around the soft tissue that don't look smooth. Indicative of some sort of growth or mass rather than a cyst. Valid for the following modalities: MG US MRI.
`LobulatedMargin`	Lobulated margin	The edge of the mass has broad bulges. Much like a 6 or 8 leaf clover. The edge of all of the leaves would be considered lobulated. Valid for the following modalities: US.
`MacrolobulatedMargin`	Macrolobulated margin	Smooth margin with distinct separation between the mass and the surrounding border. Macrolobulaed margins are oval-shaped and have a wide rather than tall formation. Valid for the following modalities: MG.
`MicrolobulatedMargin`	Microlobulated margin	The margin is characterized by short-cycle undulations or scalloped appearance,and the margin of the mass is not circumscribed. [Breast Imaging Reporting and Data System—Mammography, Fifth Edition page 54] Valid for the following modalities: MG US.
`NonCircumscribedMargin`	Non circumscribed margin	The mass has one or more of the following features: indistinct, angular, microlobulated, or spiculated in any portion of the margin There is not a clear demarcation between the mass and the surrounding tissue. [Breast Imaging Reporting and Data System—Mammography, Fifth Edition page 153] Valid for the following modalities: US MRI.
`ObscuredMagin`	Obscured magin	It is hidden by superimposed or adjacent fibroglandular tissue. This is used primarily when some of the margin of the mass is circumscribed, but the rest (more than 25%) is hidden. Valid for the following modalities: MG.
`SmoothMargin`	Smooth margin	The edges of the mass have a smooth appearance and distinct separation between the mass and surrounding tissue. Valid for the following modalities: US MRI.
`SpiculatedMargin`	Spiculated margin	The margin is characterized by sharp lines radiating from the mass, often a sign of malignancy, but the significant feature is that the margin of the mass is not circumscribed. [Breast Imaging Reporting and Data System—Mammography, Fifth Edition page 55] Valid for the following modalities: MG US MRI.