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Atypical ductal hyperplasia of the breast diagnosed by 11-gauge directional vacuum-assisted biopsy.
Am J Surg. 2002 Dec; 184(6):534-7; discussion 537.AJ

Abstract

BACKGROUND

Small nonpalpable mammographic abnormalities are frequently diagnosed by percutaneous stereotactically guided core needle biopsy. The reliability of the histologic diagnosis of atypical ductal hyperplasia (ADH) made from tissue obtained by 11-gauge directional, vacuum-assisted biopsy of these nonpalpable breast lesions is unknown.

METHODS

The records of 31 patients who were found to have ADH by 11-gauge directional vacuum-assisted biopsy were reviewed. All of these patients subsequently underwent surgical excision with needle localization biopsy of the ADH and they are the subjects of this retrospective study.

RESULTS

Eleven of the 31 patients with ADH on 11-gauge directional vacuum-assisted biopsy were upgraded to ductal carcinoma in situ or infiltrating carcinoma by the excisional biopsy. This was a 35% underestimation of malignancy in our patients.

CONCLUSIONS

When the histologic diagnosis of ADH is made from tissue harvested by an 11-gauge directional vacuum assisted biopsy, surgical excision of the entire abnormality is recommended to avoid underdiagnosis of breast cancer.

Authors+Show Affiliations

Rao A
Surgery Education Department, Exempla Saint Joseph Hospital, Denver, CO, USA.
Parker S
No affiliation info available
Ratzer E
No affiliation info available
Stephens J
No affiliation info available
Fenoglio M
No affiliation info available

MeSH

Biopsy, NeedleBreastBreast DiseasesBreast NeoplasmsCarcinoma, Ductal, BreastCarcinoma, Intraductal, NoninfiltratingCarcinoma, LobularDiagnostic ErrorsFemaleHumansHyperplasiaPrecancerous ConditionsRetrospective StudiesStereotaxic TechniquesVacuum

Pub Type(s)

Journal Article

Language

eng

PubMed ID

12488158

Citation

Rao, Arvin, et al. "Atypical Ductal Hyperplasia of the Breast Diagnosed By 11-gauge Directional Vacuum-assisted Biopsy." American Journal of Surgery, vol. 184, no. 6, 2002, pp. 534-7; discussion 537.
Rao A, Parker S, Ratzer E, et al. Atypical ductal hyperplasia of the breast diagnosed by 11-gauge directional vacuum-assisted biopsy. Am J Surg. 2002;184(6):534-7; discussion 537.
Rao, A., Parker, S., Ratzer, E., Stephens, J., & Fenoglio, M. (2002). Atypical ductal hyperplasia of the breast diagnosed by 11-gauge directional vacuum-assisted biopsy. American Journal of Surgery, 184(6), 534-7; discussion 537.
Rao A, et al. Atypical Ductal Hyperplasia of the Breast Diagnosed By 11-gauge Directional Vacuum-assisted Biopsy. Am J Surg. 2002;184(6):534-7; discussion 537. PubMed PMID: 12488158.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Atypical ductal hyperplasia of the breast diagnosed by 11-gauge directional vacuum-assisted biopsy. AU - Rao,Arvin, AU - Parker,Steve, AU - Ratzer,Erick, AU - Stephens,Janet, AU - Fenoglio,Michael, PY - 2002/12/19/pubmed PY - 2003/1/23/medline PY - 2002/12/19/entrez SP - 534-7; discussion 537 JF - American journal of surgery JO - Am J Surg VL - 184 IS - 6 N2 - BACKGROUND: Small nonpalpable mammographic abnormalities are frequently diagnosed by percutaneous stereotactically guided core needle biopsy. The reliability of the histologic diagnosis of atypical ductal hyperplasia (ADH) made from tissue obtained by 11-gauge directional, vacuum-assisted biopsy of these nonpalpable breast lesions is unknown. METHODS: The records of 31 patients who were found to have ADH by 11-gauge directional vacuum-assisted biopsy were reviewed. All of these patients subsequently underwent surgical excision with needle localization biopsy of the ADH and they are the subjects of this retrospective study. RESULTS: Eleven of the 31 patients with ADH on 11-gauge directional vacuum-assisted biopsy were upgraded to ductal carcinoma in situ or infiltrating carcinoma by the excisional biopsy. This was a 35% underestimation of malignancy in our patients. CONCLUSIONS: When the histologic diagnosis of ADH is made from tissue harvested by an 11-gauge directional vacuum assisted biopsy, surgical excision of the entire abnormality is recommended to avoid underdiagnosis of breast cancer. SN - 0002-9610 UR - https://www.unboundmedicine.com/medline/citation/12488158/Atypical_ductal_hyperplasia_of_the_breast_diagnosed_by_11_gauge_directional_vacuum_assisted_biopsy_ DB - PRIME DP - Unbound Medicine ER -