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Sonographically-guided 14-gauge core needle biopsy for papillary lesions of the breast.
Korean J Radiol. 2007 May-Jun; 8(3):206-11.KJ

Abstract

OBJECTIVE

We wanted to assess the need for surgical excising papillary lesions of the breast that were diagnosed upon sonographically guided 14-gauge core needle biopsy.

MATERIALS AND METHODS

Sixty-nine women (age range: 25-74 years, mean age: 51.7 years) with 69 papillary lesions (4.9%) were diagnosed and followed after performing sonographically guided 14-gauge core needle biopsies. Surgical excision was performed for 44 (64%) of 69 papillary lesions, and 25 lesions were followed with imaging studies (range: 6-46 months, mean: 17.9 months). The histologic findings upon core biopsy were compared with the surgical, imaging and follow-up findings.

RESULTS

Core needle biopsies of 69 lesions yielded tissue that was classified as benign for 43 lesions, atypical for 18 lesions and malignant for eight lesions. Of the 43 lesions that yielded benign papilloma upon core needle biopsy, one had intraductal papillary carcinoma found upon surgery. An immediate surgical biopsy was recommended for this lesion because of the imaging-histologic discordance. No additional carcinoma was found during the imaging follow-up. Surgical excision was performed for 17 atypical papillary lesions, and this revealed intraductal (n = 6) or invasive (n = 2) papillary carcinoma in 8 (47%) lesions. Of the seven intraductal papillary carcinomas, surgery revealed invasive papillary carcinoma in one (14%).

CONCLUSION

Our results suggest that papillary lesions of the breast that are diagnosed as benign upon sonographically guided 14-gauge core needle biopsy can be followed when the results are concordant with the imaging findings.

Authors+Show Affiliations

Department of Radiology, Seoul National University College of Medicine, Institute of Radiation Medicine, Seoul National University Medical Research Center, Seoul, Korea.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

17554187

Citation

Ko, Eun Sook, et al. "Sonographically-guided 14-gauge Core Needle Biopsy for Papillary Lesions of the Breast." Korean Journal of Radiology, vol. 8, no. 3, 2007, pp. 206-11.
Ko ES, Cho N, Cha JH, et al. Sonographically-guided 14-gauge core needle biopsy for papillary lesions of the breast. Korean J Radiol. 2007;8(3):206-11.
Ko, E. S., Cho, N., Cha, J. H., Park, J. S., Kim, S. M., & Moon, W. K. (2007). Sonographically-guided 14-gauge core needle biopsy for papillary lesions of the breast. Korean Journal of Radiology, 8(3), 206-11.
Ko ES, et al. Sonographically-guided 14-gauge Core Needle Biopsy for Papillary Lesions of the Breast. Korean J Radiol. 2007 May-Jun;8(3):206-11. PubMed PMID: 17554187.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Sonographically-guided 14-gauge core needle biopsy for papillary lesions of the breast. AU - Ko,Eun Sook, AU - Cho,Nariya, AU - Cha,Joo Hee, AU - Park,Jeong Seon, AU - Kim,Sun Mi, AU - Moon,Woo Kyung, PY - 2007/6/8/pubmed PY - 2007/8/19/medline PY - 2007/6/8/entrez SP - 206 EP - 11 JF - Korean journal of radiology JO - Korean J Radiol VL - 8 IS - 3 N2 - OBJECTIVE: We wanted to assess the need for surgical excising papillary lesions of the breast that were diagnosed upon sonographically guided 14-gauge core needle biopsy. MATERIALS AND METHODS: Sixty-nine women (age range: 25-74 years, mean age: 51.7 years) with 69 papillary lesions (4.9%) were diagnosed and followed after performing sonographically guided 14-gauge core needle biopsies. Surgical excision was performed for 44 (64%) of 69 papillary lesions, and 25 lesions were followed with imaging studies (range: 6-46 months, mean: 17.9 months). The histologic findings upon core biopsy were compared with the surgical, imaging and follow-up findings. RESULTS: Core needle biopsies of 69 lesions yielded tissue that was classified as benign for 43 lesions, atypical for 18 lesions and malignant for eight lesions. Of the 43 lesions that yielded benign papilloma upon core needle biopsy, one had intraductal papillary carcinoma found upon surgery. An immediate surgical biopsy was recommended for this lesion because of the imaging-histologic discordance. No additional carcinoma was found during the imaging follow-up. Surgical excision was performed for 17 atypical papillary lesions, and this revealed intraductal (n = 6) or invasive (n = 2) papillary carcinoma in 8 (47%) lesions. Of the seven intraductal papillary carcinomas, surgery revealed invasive papillary carcinoma in one (14%). CONCLUSION: Our results suggest that papillary lesions of the breast that are diagnosed as benign upon sonographically guided 14-gauge core needle biopsy can be followed when the results are concordant with the imaging findings. SN - 1229-6929 UR - https://www.unboundmedicine.com/medline/citation/17554187/Sonographically_guided_14_gauge_core_needle_biopsy_for_papillary_lesions_of_the_breast_ L2 - https://www.kjronline.org/DOIx.php?id=10.3348/kjr.2007.8.3.206 DB - PRIME DP - Unbound Medicine ER -