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US-guided vacuum-assisted percutaneous excision for management of benign papilloma without atypia diagnosed at US-guided 14-gauge core needle biopsy.
Ann Surg Oncol. 2012 Mar; 19(3):922-8.AS

Abstract

PURPOSE

To assess the diagnostic accuracy of ultrasound (US)-guided vacuum-assisted excision (VAE) for the postbiopsy management of benign papilloma without atypia after US-guided 14-gauge core needle biopsy (CNB).

METHODS

This was an institutional review board-approved retrospective study, with a waiver of informed consent. After a review of the histologic results and postbiopsy management of US-guided CNB performed from January 2007 through April 2009, 122 benign papillomas without atypia were diagnosed at CNB and excised percutaneously with US-guided VAE. Among them, a total of 67 papillomas having surgical excision (n = 5) or at least 2 years' US follow-up (n = 62) after VAE were enrolled onto this study. We reviewed the medical records, US findings, and pathologic results obtained before and after VAE. Over the follow-up period, whether any malignancy at the site of the VAE was diagnosed was evaluated.

RESULTS

The pathologic results of 67 VAEs were benign in 63 (94%) and atypical in four (6%). None of 63 benign lesions proved to be malignant after surgical excision (n = 1) or US follow-up (n = 62). Of four atypical lesions, however, one was upgraded to ductal carcinoma-in-situ (25%) after surgical excision. Of 62 benign VAE results having US follow-up, 56 (90.3%) showed no residual lesion at the site of the VAE.

CONCLUSIONS

For the postbiopsy management of benign papilloma without atypia after US-guided CNB, US-guided VAE was accurate and could be alternative to surgery. In cases of diagnosis of atypical lesion at VAE, however, surgery should be performed for a definitive diagnosis.

Authors+Show Affiliations

Department of Radiology, Research Institute of Radiological Science, Yonsei University College of Medicine, Seoul, South Korea.No 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

21863359

Citation

Youk, Ji Hyun, et al. "US-guided Vacuum-assisted Percutaneous Excision for Management of Benign Papilloma Without Atypia Diagnosed at US-guided 14-gauge Core Needle Biopsy." Annals of Surgical Oncology, vol. 19, no. 3, 2012, pp. 922-8.
Youk JH, Kim MJ, Son EJ, et al. US-guided vacuum-assisted percutaneous excision for management of benign papilloma without atypia diagnosed at US-guided 14-gauge core needle biopsy. Ann Surg Oncol. 2012;19(3):922-8.
Youk, J. H., Kim, M. J., Son, E. J., Kwak, J. Y., & Kim, E. K. (2012). US-guided vacuum-assisted percutaneous excision for management of benign papilloma without atypia diagnosed at US-guided 14-gauge core needle biopsy. Annals of Surgical Oncology, 19(3), 922-8. https://doi.org/10.1245/s10434-011-2033-4
Youk JH, et al. US-guided Vacuum-assisted Percutaneous Excision for Management of Benign Papilloma Without Atypia Diagnosed at US-guided 14-gauge Core Needle Biopsy. Ann Surg Oncol. 2012;19(3):922-8. PubMed PMID: 21863359.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - US-guided vacuum-assisted percutaneous excision for management of benign papilloma without atypia diagnosed at US-guided 14-gauge core needle biopsy. AU - Youk,Ji Hyun, AU - Kim,Min Jung, AU - Son,Eun Ju, AU - Kwak,Jin Young, AU - Kim,Eun-Kyung, Y1 - 2011/08/24/ PY - 2011/06/07/received PY - 2011/8/25/entrez PY - 2011/8/25/pubmed PY - 2012/6/13/medline SP - 922 EP - 8 JF - Annals of surgical oncology JO - Ann Surg Oncol VL - 19 IS - 3 N2 - PURPOSE: To assess the diagnostic accuracy of ultrasound (US)-guided vacuum-assisted excision (VAE) for the postbiopsy management of benign papilloma without atypia after US-guided 14-gauge core needle biopsy (CNB). METHODS: This was an institutional review board-approved retrospective study, with a waiver of informed consent. After a review of the histologic results and postbiopsy management of US-guided CNB performed from January 2007 through April 2009, 122 benign papillomas without atypia were diagnosed at CNB and excised percutaneously with US-guided VAE. Among them, a total of 67 papillomas having surgical excision (n = 5) or at least 2 years' US follow-up (n = 62) after VAE were enrolled onto this study. We reviewed the medical records, US findings, and pathologic results obtained before and after VAE. Over the follow-up period, whether any malignancy at the site of the VAE was diagnosed was evaluated. RESULTS: The pathologic results of 67 VAEs were benign in 63 (94%) and atypical in four (6%). None of 63 benign lesions proved to be malignant after surgical excision (n = 1) or US follow-up (n = 62). Of four atypical lesions, however, one was upgraded to ductal carcinoma-in-situ (25%) after surgical excision. Of 62 benign VAE results having US follow-up, 56 (90.3%) showed no residual lesion at the site of the VAE. CONCLUSIONS: For the postbiopsy management of benign papilloma without atypia after US-guided CNB, US-guided VAE was accurate and could be alternative to surgery. In cases of diagnosis of atypical lesion at VAE, however, surgery should be performed for a definitive diagnosis. SN - 1534-4681 UR - https://www.unboundmedicine.com/medline/citation/21863359/US_guided_vacuum_assisted_percutaneous_excision_for_management_of_benign_papilloma_without_atypia_diagnosed_at_US_guided_14_gauge_core_needle_biopsy_ L2 - https://dx.doi.org/10.1245/s10434-011-2033-4 DB - PRIME DP - Unbound Medicine ER -