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The management of papillary lesion of the breast by core needle biopsy.
Eur J Surg Oncol. 2009 Jan; 35(1):21-4.EJ

Abstract

BACKGROUND

The purpose of this study was to determine the accuracy of core needle biopsy (CNB) diagnoses of papillary breast lesions, and to identify the risk factors and histologic features, compared with excisional biopsy (EB).

METHOD

We retrospectively reviewed 1,682 sonographically guided core needle biopsies performed at one single medical center from January 2001 through December 2005, and identified 41 papillary lesions. Surgical correlation was available for 35 cases, 2 cases were loss follow-up and 4 cases diagnosed as papilloma by core needle biopsy were followed up with imaging for at least 24 months.

RESULTS

The pathologic diagnoses for the 35 papillary lesions obtained at core biopsy were benign in 24 cases, atypical in 7, and malignant in 4. Of those diagnosed as benign lesions at CNB, 7/24 turned out to be malignant. In the hyperplasia group, 5/7 were malignant. The total upgrade rate was 39%. The positive predict value was 100% and negative predict value was 61%.

CONCLUSION

All papillary lesions of the breast diagnosed by CNB should be excised because a substantial number of lesions were upgraded of diagnoses at excision.

Authors+Show Affiliations

Comprehensive Breast Cancer Center, Changhua Christian Hospital, Changhua, Taiwan.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

18640002

Citation

Tseng, H S., et al. "The Management of Papillary Lesion of the Breast By Core Needle Biopsy." European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology, vol. 35, no. 1, 2009, pp. 21-4.
Tseng HS, Chen YL, Chen ST, et al. The management of papillary lesion of the breast by core needle biopsy. Eur J Surg Oncol. 2009;35(1):21-4.
Tseng, H. S., Chen, Y. L., Chen, S. T., Wu, Y. C., Kuo, S. J., Chen, L. S., Wu, H. K., & Chen, D. R. (2009). The management of papillary lesion of the breast by core needle biopsy. European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology, 35(1), 21-4. https://doi.org/10.1016/j.ejso.2008.06.004
Tseng HS, et al. The Management of Papillary Lesion of the Breast By Core Needle Biopsy. Eur J Surg Oncol. 2009;35(1):21-4. PubMed PMID: 18640002.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The management of papillary lesion of the breast by core needle biopsy. AU - Tseng,H S, AU - Chen,Y L, AU - Chen,S T, AU - Wu,Y C, AU - Kuo,S J, AU - Chen,L S, AU - Wu,H K, AU - Chen,D R, Y1 - 2008/07/21/ PY - 2008/03/19/received PY - 2008/05/27/revised PY - 2008/06/02/accepted PY - 2008/7/22/pubmed PY - 2009/1/27/medline PY - 2008/7/22/entrez SP - 21 EP - 4 JF - European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology JO - Eur J Surg Oncol VL - 35 IS - 1 N2 - BACKGROUND: The purpose of this study was to determine the accuracy of core needle biopsy (CNB) diagnoses of papillary breast lesions, and to identify the risk factors and histologic features, compared with excisional biopsy (EB). METHOD: We retrospectively reviewed 1,682 sonographically guided core needle biopsies performed at one single medical center from January 2001 through December 2005, and identified 41 papillary lesions. Surgical correlation was available for 35 cases, 2 cases were loss follow-up and 4 cases diagnosed as papilloma by core needle biopsy were followed up with imaging for at least 24 months. RESULTS: The pathologic diagnoses for the 35 papillary lesions obtained at core biopsy were benign in 24 cases, atypical in 7, and malignant in 4. Of those diagnosed as benign lesions at CNB, 7/24 turned out to be malignant. In the hyperplasia group, 5/7 were malignant. The total upgrade rate was 39%. The positive predict value was 100% and negative predict value was 61%. CONCLUSION: All papillary lesions of the breast diagnosed by CNB should be excised because a substantial number of lesions were upgraded of diagnoses at excision. SN - 1532-2157 UR - https://www.unboundmedicine.com/medline/citation/18640002/The_management_of_papillary_lesion_of_the_breast_by_core_needle_biopsy_ DB - PRIME DP - Unbound Medicine ER -