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Papillary breast lesions diagnosed by percutaneous needle biopsy: management approach

Papillary breast lesions are a heterogeneous group of neoplasms of diverse imagenological, clinical and morphological presentation that display different behaviour, prognosis and, therefore, controversial diagnosis and management. The aim of this study is to propose an algorithm for the management o...

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Autores principales: Fuentes, Jorge Andrés Pérez, Martínez, Carmen Elena Marín, Casadiego, Ana Karina Ramírez, Freites, Víctor Francisco Acosta, Marín, Víctor Arturo Acosta, Castellano, Ariana Cecilia Ruiz
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cancer Intelligence 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6390833/
https://www.ncbi.nlm.nih.gov/pubmed/30915160
http://dx.doi.org/10.3332/ecancer.2019.902
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author Fuentes, Jorge Andrés Pérez
Martínez, Carmen Elena Marín
Casadiego, Ana Karina Ramírez
Freites, Víctor Francisco Acosta
Marín, Víctor Arturo Acosta
Castellano, Ariana Cecilia Ruiz
author_facet Fuentes, Jorge Andrés Pérez
Martínez, Carmen Elena Marín
Casadiego, Ana Karina Ramírez
Freites, Víctor Francisco Acosta
Marín, Víctor Arturo Acosta
Castellano, Ariana Cecilia Ruiz
author_sort Fuentes, Jorge Andrés Pérez
collection PubMed
description Papillary breast lesions are a heterogeneous group of neoplasms of diverse imagenological, clinical and morphological presentation that display different behaviour, prognosis and, therefore, controversial diagnosis and management. The aim of this study is to propose an algorithm for the management of mammary lesions. MATERIALS AND METHODS: We show a retrospective review of breast imaging reporting, percutaneous needle biopsy information, histological-pathological reports and subsequent management. RESULTS: A total of 7,920 biopsies were reviewed. Only 136 biopsies from 130 patients with papillary lesions met the inclusion criteria. There was a correlation between the pathologic findings from percutaneous biopsy and the final surgical histologic result in patients with surgery recommendation in all but 2 (2.12%) cases in which the surgery results were upgraded to a malignant disease. CONCLUSIONS: The algorithm proposed in this paper for the management of mammary lesions significantly reduces the possibilities of upgrading and favours decision making between follow-ups or surgery in patients with papillary lesions of the breast.
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spelling pubmed-63908332019-03-26 Papillary breast lesions diagnosed by percutaneous needle biopsy: management approach Fuentes, Jorge Andrés Pérez Martínez, Carmen Elena Marín Casadiego, Ana Karina Ramírez Freites, Víctor Francisco Acosta Marín, Víctor Arturo Acosta Castellano, Ariana Cecilia Ruiz Ecancermedicalscience Research Papillary breast lesions are a heterogeneous group of neoplasms of diverse imagenological, clinical and morphological presentation that display different behaviour, prognosis and, therefore, controversial diagnosis and management. The aim of this study is to propose an algorithm for the management of mammary lesions. MATERIALS AND METHODS: We show a retrospective review of breast imaging reporting, percutaneous needle biopsy information, histological-pathological reports and subsequent management. RESULTS: A total of 7,920 biopsies were reviewed. Only 136 biopsies from 130 patients with papillary lesions met the inclusion criteria. There was a correlation between the pathologic findings from percutaneous biopsy and the final surgical histologic result in patients with surgery recommendation in all but 2 (2.12%) cases in which the surgery results were upgraded to a malignant disease. CONCLUSIONS: The algorithm proposed in this paper for the management of mammary lesions significantly reduces the possibilities of upgrading and favours decision making between follow-ups or surgery in patients with papillary lesions of the breast. Cancer Intelligence 2019-02-05 /pmc/articles/PMC6390833/ /pubmed/30915160 http://dx.doi.org/10.3332/ecancer.2019.902 Text en © the authors; licensee ecancermedicalscience. http://creativecommons.org/licenses/by/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research
Fuentes, Jorge Andrés Pérez
Martínez, Carmen Elena Marín
Casadiego, Ana Karina Ramírez
Freites, Víctor Francisco Acosta
Marín, Víctor Arturo Acosta
Castellano, Ariana Cecilia Ruiz
Papillary breast lesions diagnosed by percutaneous needle biopsy: management approach
title Papillary breast lesions diagnosed by percutaneous needle biopsy: management approach
title_full Papillary breast lesions diagnosed by percutaneous needle biopsy: management approach
title_fullStr Papillary breast lesions diagnosed by percutaneous needle biopsy: management approach
title_full_unstemmed Papillary breast lesions diagnosed by percutaneous needle biopsy: management approach
title_short Papillary breast lesions diagnosed by percutaneous needle biopsy: management approach
title_sort papillary breast lesions diagnosed by percutaneous needle biopsy: management approach
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6390833/
https://www.ncbi.nlm.nih.gov/pubmed/30915160
http://dx.doi.org/10.3332/ecancer.2019.902
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