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A pure mucocele-like lesion of the breast diagnosed on ultrasonography-guided core-needle biopsy: is imaging follow-up sufficient?
Ultrasonography. 2015 Apr; 34(2):133-8.U

Abstract

PURPOSE

To evaluate the upgrade rate of ultrasonography (US)-guided core-needle biopsy (CNB) of the breast for a pure mucocele-like lesion (MLL), to evaluate the clinical and radiologic features, and to correlate the image-pathologic features further on to guide the management of MLL.

METHODS

Between January 2003 and February 2013, 14-gauge US-guided CNB was performed in 18,111 cases. Thirty-two cases associated with MLL were identified, and five cases of MLLs associated with breast carcinoma or with other high-risk breast lesions (i.e., atypical ductal hyperplasia [ADH], papillary lesions, lobular carcinoma in situ, and radial scar complex) were excluded. Among these 27 pure MLLs, 21 cases with surgical or vacuum-assisted excision (VAE) pathology were included in our study. Medical records, mammograms, and ultrasonograms were reviewed for the clinical and radiologic features of the cases.

RESULTS

Among the 21 cases with pure MLLs at CNB, the final pathology showed a 0% proportion of cases upgraded to malignancy. All the 21 cases with either surgical or VAE pathology were benign MLLs including three cases of focal involvement of ADH (14.3%). The common features were mammographic features of microcalcifications that were round in shape and had a grouped distribution. The US features included oval shape, circumscribed margin, parallel orientation, complex solid and cystic echo pattern, no posterior feature, and complex solid and cystic echoic masses. The predominant Breast Imaging Reporting and Data System (BIRADS) category was 4A. All the lesions showed image-pathologic concordance.

CONCLUSION

For pure MLL on US-guided CNB with image-pathologic concordance, close imaging follow-up might be considered instead of surgical excision.

Authors+Show Affiliations

Department of Radiology, Soonchunhyang University Seoul Hospital, Seoul, Korea.Department of Radiology, Research Institute of Radiological Science, Yonsei University College of Medicine, Seoul, Korea.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

25623052

Citation

Park, Yun Joo, and Eun-Kyung Kim. "A Pure Mucocele-like Lesion of the Breast Diagnosed On Ultrasonography-guided Core-needle Biopsy: Is Imaging Follow-up Sufficient?" Ultrasonography (Seoul, Korea), vol. 34, no. 2, 2015, pp. 133-8.
Park YJ, Kim EK. A pure mucocele-like lesion of the breast diagnosed on ultrasonography-guided core-needle biopsy: is imaging follow-up sufficient? Ultrasonography (Seoul, Korea). 2015;34(2):133-8.
Park, Y. J., & Kim, E. K. (2015). A pure mucocele-like lesion of the breast diagnosed on ultrasonography-guided core-needle biopsy: is imaging follow-up sufficient? Ultrasonography (Seoul, Korea), 34(2), 133-8. https://doi.org/10.14366/usg.14036
Park YJ, Kim EK. A Pure Mucocele-like Lesion of the Breast Diagnosed On Ultrasonography-guided Core-needle Biopsy: Is Imaging Follow-up Sufficient. Ultrasonography (Seoul, Korea). 2015;34(2):133-8. PubMed PMID: 25623052.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A pure mucocele-like lesion of the breast diagnosed on ultrasonography-guided core-needle biopsy: is imaging follow-up sufficient? AU - Park,Yun Joo, AU - Kim,Eun-Kyung, Y1 - 2014/12/27/ PY - 2014/08/19/received PY - 2014/12/12/revised PY - 2014/12/27/accepted PY - 2015/1/28/entrez PY - 2015/1/28/pubmed PY - 2015/1/28/medline KW - Biopsy, large-core needle KW - Breast neoplasms KW - Ultrasonography SP - 133 EP - 8 JF - Ultrasonography (Seoul, Korea) VL - 34 IS - 2 N2 - PURPOSE: To evaluate the upgrade rate of ultrasonography (US)-guided core-needle biopsy (CNB) of the breast for a pure mucocele-like lesion (MLL), to evaluate the clinical and radiologic features, and to correlate the image-pathologic features further on to guide the management of MLL. METHODS: Between January 2003 and February 2013, 14-gauge US-guided CNB was performed in 18,111 cases. Thirty-two cases associated with MLL were identified, and five cases of MLLs associated with breast carcinoma or with other high-risk breast lesions (i.e., atypical ductal hyperplasia [ADH], papillary lesions, lobular carcinoma in situ, and radial scar complex) were excluded. Among these 27 pure MLLs, 21 cases with surgical or vacuum-assisted excision (VAE) pathology were included in our study. Medical records, mammograms, and ultrasonograms were reviewed for the clinical and radiologic features of the cases. RESULTS: Among the 21 cases with pure MLLs at CNB, the final pathology showed a 0% proportion of cases upgraded to malignancy. All the 21 cases with either surgical or VAE pathology were benign MLLs including three cases of focal involvement of ADH (14.3%). The common features were mammographic features of microcalcifications that were round in shape and had a grouped distribution. The US features included oval shape, circumscribed margin, parallel orientation, complex solid and cystic echo pattern, no posterior feature, and complex solid and cystic echoic masses. The predominant Breast Imaging Reporting and Data System (BIRADS) category was 4A. All the lesions showed image-pathologic concordance. CONCLUSION: For pure MLL on US-guided CNB with image-pathologic concordance, close imaging follow-up might be considered instead of surgical excision. SN - 2288-5919 UR - https://www.unboundmedicine.com/medline/citation/25623052/A_pure_mucocele_like_lesion_of_the_breast_diagnosed_on_ultrasonography_guided_core_needle_biopsy:_is_imaging_follow_up_sufficient L2 - https://dx.doi.org/10.14366/usg.14036 DB - PRIME DP - Unbound Medicine ER -
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