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Sonographically-Guided 14-Gauge Core Needle Biopsy for Papillary Lesions of the Breast

OBJECTIVE: We wanted to assess the need for surgical excising papillary lesions of the breast that were diagnosed upon sonographically guided 14-gauge core needle biopsy. MATERIALS AND METHODS: Sixty-nine women (age range: 25-74 years, mean age: 51.7 years) with 69 papillary lesions (4.9%) were diag...

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Autores principales: Ko, Eun Sook, Cho, Nariya, Cha, Joo Hee, Park, Jeong Seon, Kim, Sun Mi, Moon, Woo Kyung
Formato: Texto
Lenguaje:English
Publicado: The Korean Radiological Society 2007
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2627411/
https://www.ncbi.nlm.nih.gov/pubmed/17554187
http://dx.doi.org/10.3348/kjr.2007.8.3.206
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author Ko, Eun Sook
Cho, Nariya
Cha, Joo Hee
Park, Jeong Seon
Kim, Sun Mi
Moon, Woo Kyung
author_facet Ko, Eun Sook
Cho, Nariya
Cha, Joo Hee
Park, Jeong Seon
Kim, Sun Mi
Moon, Woo Kyung
author_sort Ko, Eun Sook
collection PubMed
description OBJECTIVE: We wanted to assess the need for surgical excising papillary lesions of the breast that were diagnosed upon sonographically guided 14-gauge core needle biopsy. MATERIALS AND METHODS: Sixty-nine women (age range: 25-74 years, mean age: 51.7 years) with 69 papillary lesions (4.9%) were diagnosed and followed after performing sonographically guided 14-gauge core needle biopsies. Surgical excision was performed for 44 (64%) of 69 papillary lesions, and 25 lesions were followed with imaging studies (range: 6-46 months, mean: 17.9 months). The histologic findings upon core biopsy were compared with the surgical, imaging and follow-up findings. RESULTS: Core needle biopsies of 69 lesions yielded tissue that was classified as benign for 43 lesions, atypical for 18 lesions and malignant for eight lesions. Of the 43 lesions that yielded benign papilloma upon core needle biopsy, one had intraductal papillary carcinoma found upon surgery. An immediate surgical biopsy was recommended for this lesion because of the imaging-histologic discordance. No additional carcinoma was found during the imaging follow-up. Surgical excision was performed for 17 atypical papillary lesions, and this revealed intraductal (n = 6) or invasive (n = 2) papillary carcinoma in 8 (47%) lesions. Of the seven intraductal papillary carcinomas, surgery revealed invasive papillary carcinoma in one (14%). CONCLUSION: Our results suggest that papillary lesions of the breast that are diagnosed as benign upon sonographically guided 14-gauge core needle biopsy can be followed when the results are concordant with the imaging findings.
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spelling pubmed-26274112009-02-17 Sonographically-Guided 14-Gauge Core Needle Biopsy for Papillary Lesions of the Breast Ko, Eun Sook Cho, Nariya Cha, Joo Hee Park, Jeong Seon Kim, Sun Mi Moon, Woo Kyung Korean J Radiol Original Article OBJECTIVE: We wanted to assess the need for surgical excising papillary lesions of the breast that were diagnosed upon sonographically guided 14-gauge core needle biopsy. MATERIALS AND METHODS: Sixty-nine women (age range: 25-74 years, mean age: 51.7 years) with 69 papillary lesions (4.9%) were diagnosed and followed after performing sonographically guided 14-gauge core needle biopsies. Surgical excision was performed for 44 (64%) of 69 papillary lesions, and 25 lesions were followed with imaging studies (range: 6-46 months, mean: 17.9 months). The histologic findings upon core biopsy were compared with the surgical, imaging and follow-up findings. RESULTS: Core needle biopsies of 69 lesions yielded tissue that was classified as benign for 43 lesions, atypical for 18 lesions and malignant for eight lesions. Of the 43 lesions that yielded benign papilloma upon core needle biopsy, one had intraductal papillary carcinoma found upon surgery. An immediate surgical biopsy was recommended for this lesion because of the imaging-histologic discordance. No additional carcinoma was found during the imaging follow-up. Surgical excision was performed for 17 atypical papillary lesions, and this revealed intraductal (n = 6) or invasive (n = 2) papillary carcinoma in 8 (47%) lesions. Of the seven intraductal papillary carcinomas, surgery revealed invasive papillary carcinoma in one (14%). CONCLUSION: Our results suggest that papillary lesions of the breast that are diagnosed as benign upon sonographically guided 14-gauge core needle biopsy can be followed when the results are concordant with the imaging findings. The Korean Radiological Society 2007 2007-06-20 /pmc/articles/PMC2627411/ /pubmed/17554187 http://dx.doi.org/10.3348/kjr.2007.8.3.206 Text en Copyright © 2007 The Korean Radiological Society http://creativecommons.org/licenses/by-nc/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Ko, Eun Sook
Cho, Nariya
Cha, Joo Hee
Park, Jeong Seon
Kim, Sun Mi
Moon, Woo Kyung
Sonographically-Guided 14-Gauge Core Needle Biopsy for Papillary Lesions of the Breast
title Sonographically-Guided 14-Gauge Core Needle Biopsy for Papillary Lesions of the Breast
title_full Sonographically-Guided 14-Gauge Core Needle Biopsy for Papillary Lesions of the Breast
title_fullStr Sonographically-Guided 14-Gauge Core Needle Biopsy for Papillary Lesions of the Breast
title_full_unstemmed Sonographically-Guided 14-Gauge Core Needle Biopsy for Papillary Lesions of the Breast
title_short Sonographically-Guided 14-Gauge Core Needle Biopsy for Papillary Lesions of the Breast
title_sort sonographically-guided 14-gauge core needle biopsy for papillary lesions of the breast
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2627411/
https://www.ncbi.nlm.nih.gov/pubmed/17554187
http://dx.doi.org/10.3348/kjr.2007.8.3.206
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