Tags

Type your tag names separated by a space and hit enter

Atypical papilloma diagnosed by sonographically guided 14-gauge core needle biopsy of breast mass.
AJR Am J Roentgenol. 2010 May; 194(5):1397-402.AA

Abstract

OBJECTIVE

The purpose of this study was to evaluate the surgical outcome of atypical papilloma diagnosed by sonographically guided 14-gauge core needle biopsy of the breast mass and to determine whether clinical and radiologic features of this lesion could be used to predict an upgrade to malignancy.

MATERIALS AND METHODS

We retrospectively reviewed the pathologic results of sonographically guided 14-gauge core needle biopsy for solid breast masses. A total of 30 atypical papillomas diagnosed by this procedure and surgically excised were included in this study. For each lesion, medical records, mammograms, and sonograms were reviewed, and clinical and radiologic variables were coded. The sonographic features were determined, and the BI-RADS assessment category was noted. We compared the rate of upgrade to malignancy among the collected variables.

RESULTS

The results of surgical excision in 30 atypical papillomas were malignant in seven (23.3%) cases. In comparison of rates of upgrade to malignancy among clinical and radiologic variables, multiple lesions, increased vascularity, and higher sonographic BI-RADS category showed significantly higher upgrade rate.

CONCLUSION

Atypical papilloma diagnosed by use of sonographically guided 14-gauge core needle biopsy showed a high upgrade rate after surgical excision. Although some sonographic features may be helpful to predict an upgrade to malignancy, atypical papilloma should be excised surgically in any case.

Links

Publisher Full Text

Authors+Show Affiliations

Youk JH
Department of Radiology, Research Institute of Radiological Science, Yonsei University College of Medicine, Seodaemun-ku, Shinchon-dong 134, Seoul 120-752, South Korea.
Kim EK
No affiliation info available
Kwak JY
No affiliation info available
Son EJ
No affiliation info available

MeSH

AdultAgedBiopsy, NeedleBreast NeoplasmsFemaleHumansMiddle AgedPapillomaReproducibility of ResultsSensitivity and SpecificityUltrasonography, InterventionalUltrasonography, Mammary

Pub Type(s)

Journal Article

Language

eng

PubMed ID

20410431

Citation

Youk, Ji Hyun, et al. "Atypical Papilloma Diagnosed By Sonographically Guided 14-gauge Core Needle Biopsy of Breast Mass." AJR. American Journal of Roentgenology, vol. 194, no. 5, 2010, pp. 1397-402.
Youk JH, Kim EK, Kwak JY, et al. Atypical papilloma diagnosed by sonographically guided 14-gauge core needle biopsy of breast mass. AJR Am J Roentgenol. 2010;194(5):1397-402.
Youk, J. H., Kim, E. K., Kwak, J. Y., & Son, E. J. (2010). Atypical papilloma diagnosed by sonographically guided 14-gauge core needle biopsy of breast mass. AJR. American Journal of Roentgenology, 194(5), 1397-402. https://doi.org/10.2214/AJR.09.3699
Youk JH, et al. Atypical Papilloma Diagnosed By Sonographically Guided 14-gauge Core Needle Biopsy of Breast Mass. AJR Am J Roentgenol. 2010;194(5):1397-402. PubMed PMID: 20410431.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Atypical papilloma diagnosed by sonographically guided 14-gauge core needle biopsy of breast mass. AU - Youk,Ji Hyun, AU - Kim,Eun-Kyung, AU - Kwak,Jin Young, AU - Son,Eun Ju, PY - 2010/4/23/entrez PY - 2010/4/23/pubmed PY - 2010/5/25/medline SP - 1397 EP - 402 JF - AJR. American journal of roentgenology JO - AJR Am J Roentgenol VL - 194 IS - 5 N2 - OBJECTIVE: The purpose of this study was to evaluate the surgical outcome of atypical papilloma diagnosed by sonographically guided 14-gauge core needle biopsy of the breast mass and to determine whether clinical and radiologic features of this lesion could be used to predict an upgrade to malignancy. MATERIALS AND METHODS: We retrospectively reviewed the pathologic results of sonographically guided 14-gauge core needle biopsy for solid breast masses. A total of 30 atypical papillomas diagnosed by this procedure and surgically excised were included in this study. For each lesion, medical records, mammograms, and sonograms were reviewed, and clinical and radiologic variables were coded. The sonographic features were determined, and the BI-RADS assessment category was noted. We compared the rate of upgrade to malignancy among the collected variables. RESULTS: The results of surgical excision in 30 atypical papillomas were malignant in seven (23.3%) cases. In comparison of rates of upgrade to malignancy among clinical and radiologic variables, multiple lesions, increased vascularity, and higher sonographic BI-RADS category showed significantly higher upgrade rate. CONCLUSION: Atypical papilloma diagnosed by use of sonographically guided 14-gauge core needle biopsy showed a high upgrade rate after surgical excision. Although some sonographic features may be helpful to predict an upgrade to malignancy, atypical papilloma should be excised surgically in any case. SN - 1546-3141 UR - https://www.unboundmedicine.com/medline/citation/20410431/Atypical_papilloma_diagnosed_by_sonographically_guided_14_gauge_core_needle_biopsy_of_breast_mass_ L2 - https://www.ajronline.org/doi/10.2214/AJR.09.3699 DB - PRIME DP - Unbound Medicine ER -