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Diagnosing papillary lesions using vacuum-assisted breast biopsy: should conservative or surgical management follow?
Onkologie. 2008 Dec; 31(12):653-6.O

Abstract

BACKGROUND

This study evaluates the underestimation rate of papilloma lesions diagnosed with vacuum-assisted breast biopsy (VABB), taking into consideration the greater volume excised.

PATIENTS AND METHODS

56 women with a diagnosis of a papilloma lesion after VABB (Mammotest; Fischer Imaging, Denver, CO, USA) were evaluated. At least 24 cores were excised in all cases (mean 74, range 24-96 cores) and a preoperative diagnosis was established. Subsequently, open surgery using hook-wire localization followed. A second, postoperative diagnosis was independently and blindly made. The association between the pathological types and Breast Imaging Report and Data System (BI-RADS) classification, as well as the discrepancy between preoperative and postoperative diagnoses, was evaluated.

RESULTS

The underestimation rate of papillary lesions was 3.6%. When the papillary lesions did not coexist preoperatively with any other precursor breast lesions, the underestimation rate was 0%. The underestimation rate did not differ with age, BI-RADS category or type of lesion.

CONCLUSION

Conservative management of patients with a papillary lesion diagnosis may follow when the extended VABB protocol is adopted and a great tissue volume is excised. However, when diagnosing a coexisting papillary lesion with a precursor breast lesion, open surgery should follow, given the high probability of a postoperative cancer diagnosis.

Authors+Show Affiliations

Breast Unit, 1st Department of Propaedeutic Surgery, Hippokratio Hospital, Athens, Greece. gzografo@med.uoa.grNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article

Language

eng

PubMed ID

19060502

Citation

Zografos, George C., et al. "Diagnosing Papillary Lesions Using Vacuum-assisted Breast Biopsy: Should Conservative or Surgical Management Follow?" Onkologie, vol. 31, no. 12, 2008, pp. 653-6.
Zografos GC, Zagouri F, Sergentanis TN, et al. Diagnosing papillary lesions using vacuum-assisted breast biopsy: should conservative or surgical management follow? Onkologie. 2008;31(12):653-6.
Zografos, G. C., Zagouri, F., Sergentanis, T. N., Nonni, A., Michalopoulos, N. V., Kontogianni, P., Koulocheri, D., Dimitriadis, I. E., Bramis, J., & Patsouris, E. (2008). Diagnosing papillary lesions using vacuum-assisted breast biopsy: should conservative or surgical management follow? Onkologie, 31(12), 653-6. https://doi.org/10.1159/000165053
Zografos GC, et al. Diagnosing Papillary Lesions Using Vacuum-assisted Breast Biopsy: Should Conservative or Surgical Management Follow. Onkologie. 2008;31(12):653-6. PubMed PMID: 19060502.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Diagnosing papillary lesions using vacuum-assisted breast biopsy: should conservative or surgical management follow? AU - Zografos,George C, AU - Zagouri,Flora, AU - Sergentanis,Theodoros N, AU - Nonni,Aphrodite, AU - Michalopoulos,Nikolaos V, AU - Kontogianni,Panagiota, AU - Koulocheri,Dimitra, AU - Dimitriadis,Irene E, AU - Bramis,John, AU - Patsouris,Effstratios, Y1 - 2008/11/20/ PY - 2008/12/9/pubmed PY - 2009/2/3/medline PY - 2008/12/9/entrez SP - 653 EP - 6 JF - Onkologie JO - Onkologie VL - 31 IS - 12 N2 - BACKGROUND: This study evaluates the underestimation rate of papilloma lesions diagnosed with vacuum-assisted breast biopsy (VABB), taking into consideration the greater volume excised. PATIENTS AND METHODS: 56 women with a diagnosis of a papilloma lesion after VABB (Mammotest; Fischer Imaging, Denver, CO, USA) were evaluated. At least 24 cores were excised in all cases (mean 74, range 24-96 cores) and a preoperative diagnosis was established. Subsequently, open surgery using hook-wire localization followed. A second, postoperative diagnosis was independently and blindly made. The association between the pathological types and Breast Imaging Report and Data System (BI-RADS) classification, as well as the discrepancy between preoperative and postoperative diagnoses, was evaluated. RESULTS: The underestimation rate of papillary lesions was 3.6%. When the papillary lesions did not coexist preoperatively with any other precursor breast lesions, the underestimation rate was 0%. The underestimation rate did not differ with age, BI-RADS category or type of lesion. CONCLUSION: Conservative management of patients with a papillary lesion diagnosis may follow when the extended VABB protocol is adopted and a great tissue volume is excised. However, when diagnosing a coexisting papillary lesion with a precursor breast lesion, open surgery should follow, given the high probability of a postoperative cancer diagnosis. SN - 1423-0240 UR - https://www.unboundmedicine.com/medline/citation/19060502/Diagnosing_papillary_lesions_using_vacuum_assisted_breast_biopsy:_should_conservative_or_surgical_management_follow L2 - https://www.karger.com?DOI=10.1159/000165053 DB - PRIME DP - Unbound Medicine ER -