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Is surgical excision of core biopsy proven benign papillomas of the breast necessary?
Acad Radiol. 2010 May; 17(5):553-7.AR

Abstract

RATIONALE AND OBJECTIVES

The aim of this study was to determine if core biopsy-proven benign papillomas of the breast need to be surgically excised.

MATERIALS AND METHODS

Mammographic and pathologic database review from January 1994 to January 2004 revealed 178 papillary lesions diagnosed by core biopsy in 176 women (mean age, 59 years). All lesions had >or=24 months of imaging follow-up (n = 75) or surgical correlation (n = 103). Details regarding core biopsy technique, lesion appearance, pathologic results, imaging-histopathologic concordance, and follow-up imaging were recorded. Core and surgical pathologic results were correlated.

RESULTS

Of the 178 papillary lesions diagnosed at core needle biopsy, 120 (67%) were initially diagnosed as benign without atypia. The core biopsy diagnoses of benignity were confirmed for all 120 lesions by either surgical excision (n = 45) or stability after >or=2 years of imaging follow-up (n = 75). Of the remaining 58 papillary lesions, 50 were found to be atypical at core needle biopsy; 15 of those 50 (29%) were upgraded to malignancies at surgical excision. Eight of the 178 lesions (5%) were initially diagnosed as malignant papillary lesions at core needle biopsy. Seven of these eight (88%) were confirmed malignant at excision. None of the surgically proven cancers was diagnosed as benign at core biopsy.

CONCLUSIONS

Close imaging follow-up rather than excision of core biopsy-proven benign papillomas was adequate given careful imaging-histopathologic correlation and excision of all atypical and discordant lesions. Individual centers should evaluate their own data and tailor their practices accordingly.

Authors+Show Affiliations

Northside Radiology Associates, Atlanta, GA, USA.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

20223685

Citation

Bennett, Lisa E., et al. "Is Surgical Excision of Core Biopsy Proven Benign Papillomas of the Breast Necessary?" Academic Radiology, vol. 17, no. 5, 2010, pp. 553-7.
Bennett LE, Ghate SV, Bentley R, et al. Is surgical excision of core biopsy proven benign papillomas of the breast necessary? Acad Radiol. 2010;17(5):553-7.
Bennett, L. E., Ghate, S. V., Bentley, R., & Baker, J. A. (2010). Is surgical excision of core biopsy proven benign papillomas of the breast necessary? Academic Radiology, 17(5), 553-7. https://doi.org/10.1016/j.acra.2010.01.001
Bennett LE, et al. Is Surgical Excision of Core Biopsy Proven Benign Papillomas of the Breast Necessary. Acad Radiol. 2010;17(5):553-7. PubMed PMID: 20223685.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Is surgical excision of core biopsy proven benign papillomas of the breast necessary? AU - Bennett,Lisa E, AU - Ghate,Sujata V, AU - Bentley,Rex, AU - Baker,Jay A, Y1 - 2010/03/11/ PY - 2009/12/04/received PY - 2010/01/04/revised PY - 2010/01/05/accepted PY - 2010/3/13/entrez PY - 2010/3/13/pubmed PY - 2010/7/22/medline SP - 553 EP - 7 JF - Academic radiology JO - Acad Radiol VL - 17 IS - 5 N2 - RATIONALE AND OBJECTIVES: The aim of this study was to determine if core biopsy-proven benign papillomas of the breast need to be surgically excised. MATERIALS AND METHODS: Mammographic and pathologic database review from January 1994 to January 2004 revealed 178 papillary lesions diagnosed by core biopsy in 176 women (mean age, 59 years). All lesions had >or=24 months of imaging follow-up (n = 75) or surgical correlation (n = 103). Details regarding core biopsy technique, lesion appearance, pathologic results, imaging-histopathologic concordance, and follow-up imaging were recorded. Core and surgical pathologic results were correlated. RESULTS: Of the 178 papillary lesions diagnosed at core needle biopsy, 120 (67%) were initially diagnosed as benign without atypia. The core biopsy diagnoses of benignity were confirmed for all 120 lesions by either surgical excision (n = 45) or stability after >or=2 years of imaging follow-up (n = 75). Of the remaining 58 papillary lesions, 50 were found to be atypical at core needle biopsy; 15 of those 50 (29%) were upgraded to malignancies at surgical excision. Eight of the 178 lesions (5%) were initially diagnosed as malignant papillary lesions at core needle biopsy. Seven of these eight (88%) were confirmed malignant at excision. None of the surgically proven cancers was diagnosed as benign at core biopsy. CONCLUSIONS: Close imaging follow-up rather than excision of core biopsy-proven benign papillomas was adequate given careful imaging-histopathologic correlation and excision of all atypical and discordant lesions. Individual centers should evaluate their own data and tailor their practices accordingly. SN - 1878-4046 UR - https://www.unboundmedicine.com/medline/citation/20223685/Is_surgical_excision_of_core_biopsy_proven_benign_papillomas_of_the_breast_necessary L2 - https://linkinghub.elsevier.com/retrieve/pii/S1076-6332(10)00002-4 DB - PRIME DP - Unbound Medicine ER -