Tags

Type your tag names separated by a space and hit enter

[Non-palpable breast lesions: radio-pathologic correlations on open excisional biopsies. Significance of the choice of technique for minimal excisional biopsy].
Gynecol Obstet Fertil. 2000 Dec; 28(12):888-95.GO

Abstract

OBJECTIVE

To decrease the number of open excisional breast biopsies, percutaneous breast biopsies have been developed to perform the histologic diagnosis of non-palpable breast lesions. Some techniques allow a complete removal of small radiologic lesions. To evaluate the accuracy of a pathologic analysis performed only on the radiologic findings, we studied the radiologic and histologic correlation on open excisional biopsy (OEB) specimens. The aim of our study was to determine how many carcinomas were found distant from the radiologic findings.

MATERIAL AND METHODS

Non-palpable breast lesions have been excised after preoperative localization. The radiologic findings were classified in microcalcifications, masses, architectural distortion and in sonographic masses. The correlation between the radiologic and pathologic findings was studied and all the lesions incidentally discovered on histology with no correlation with the imaging findings or distant from the radiologic findings were described. One hundred and twenty-nine lesions have been evaluated in 99 patients. Radiologic findings included 79 clusters of microcalcifications, 30 masses, six architectural distortions and 14 sonographic lesions.

RESULTS

The histopathological results were benign in 41.9%, malignant in 49.6% and atypical hyperplasia lesions were discovered in 8.5%. All benign lesions were correlated to radiologic findings. No malignant lesion was found at a distance. In three cases atypical hyperplasia lesions were coexistent with the radiologic findings correlated with benign lesions and in three cases they were found at a distance. All but two malignant lesions were correlated with radiologic findings. In two cases a microinvasive carcinoma and foci of labular carcinoma in situ were found coexistent with benign lesions. The subgroup of small lesions lesser than 10 mm included 31 benign lesions. A complete removal of these lesions should be obtained with percutaneous biopsies.

CONCLUSION

A pathologic analysis targeted on radiologic findings is accurate. Numerous open excisional biopsies performed for benign pathology should be avoided.

Authors+Show Affiliations

Services de radiologie, de gynécologie obsétrique et d'anatomo-pathologie, hôpital Tenon, 4, rue de la chine, 75020 Paris, France. jocelyne.chopier@wanadoo.frNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

fre

PubMed ID

11192195

Citation

Chopier, J, et al. "[Non-palpable Breast Lesions: Radio-pathologic Correlations On Open Excisional Biopsies. Significance of the Choice of Technique for Minimal Excisional Biopsy]." Gynecologie, Obstetrique & Fertilite, vol. 28, no. 12, 2000, pp. 888-95.
Chopier J, Antoine M, Duffaut C, et al. [Non-palpable breast lesions: radio-pathologic correlations on open excisional biopsies. Significance of the choice of technique for minimal excisional biopsy]. Gynecol Obstet Fertil. 2000;28(12):888-95.
Chopier, J., Antoine, M., Duffaut, C., Bazot, M., Annani, T., Kadoch, O., Bigot, J. M., & Uzan, S. (2000). [Non-palpable breast lesions: radio-pathologic correlations on open excisional biopsies. Significance of the choice of technique for minimal excisional biopsy]. Gynecologie, Obstetrique & Fertilite, 28(12), 888-95.
Chopier J, et al. [Non-palpable Breast Lesions: Radio-pathologic Correlations On Open Excisional Biopsies. Significance of the Choice of Technique for Minimal Excisional Biopsy]. Gynecol Obstet Fertil. 2000;28(12):888-95. PubMed PMID: 11192195.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Non-palpable breast lesions: radio-pathologic correlations on open excisional biopsies. Significance of the choice of technique for minimal excisional biopsy]. AU - Chopier,J, AU - Antoine,M, AU - Duffaut,C, AU - Bazot,M, AU - Annani,T, AU - Kadoch,O, AU - Bigot,J M, AU - Uzan,S, PY - 2001/2/24/pubmed PY - 2001/3/3/medline PY - 2001/2/24/entrez SP - 888 EP - 95 JF - Gynecologie, obstetrique & fertilite JO - Gynecol Obstet Fertil VL - 28 IS - 12 N2 - OBJECTIVE: To decrease the number of open excisional breast biopsies, percutaneous breast biopsies have been developed to perform the histologic diagnosis of non-palpable breast lesions. Some techniques allow a complete removal of small radiologic lesions. To evaluate the accuracy of a pathologic analysis performed only on the radiologic findings, we studied the radiologic and histologic correlation on open excisional biopsy (OEB) specimens. The aim of our study was to determine how many carcinomas were found distant from the radiologic findings. MATERIAL AND METHODS: Non-palpable breast lesions have been excised after preoperative localization. The radiologic findings were classified in microcalcifications, masses, architectural distortion and in sonographic masses. The correlation between the radiologic and pathologic findings was studied and all the lesions incidentally discovered on histology with no correlation with the imaging findings or distant from the radiologic findings were described. One hundred and twenty-nine lesions have been evaluated in 99 patients. Radiologic findings included 79 clusters of microcalcifications, 30 masses, six architectural distortions and 14 sonographic lesions. RESULTS: The histopathological results were benign in 41.9%, malignant in 49.6% and atypical hyperplasia lesions were discovered in 8.5%. All benign lesions were correlated to radiologic findings. No malignant lesion was found at a distance. In three cases atypical hyperplasia lesions were coexistent with the radiologic findings correlated with benign lesions and in three cases they were found at a distance. All but two malignant lesions were correlated with radiologic findings. In two cases a microinvasive carcinoma and foci of labular carcinoma in situ were found coexistent with benign lesions. The subgroup of small lesions lesser than 10 mm included 31 benign lesions. A complete removal of these lesions should be obtained with percutaneous biopsies. CONCLUSION: A pathologic analysis targeted on radiologic findings is accurate. Numerous open excisional biopsies performed for benign pathology should be avoided. SN - 1297-9589 UR - https://www.unboundmedicine.com/medline/citation/11192195/[Non_palpable_breast_lesions:_radio_pathologic_correlations_on_open_excisional_biopsies__Significance_of_the_choice_of_technique_for_minimal_excisional_biopsy]_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1297958900000278 DB - PRIME DP - Unbound Medicine ER -