pISSN 1738-6756   eISSN 2092-9900
Open Access, Peer-reviewed
    J Breast Cancer. 2007 Dec;10(4):269-272. Korean.
    Published online Dec 31, 2007.
    https://doi.org/10.4048/jbc.2007.10.4.269
    Copyright © 2007 Korean Breast Cancer Society
    Original Article

    Clinicopathologic Features of the Papillary Breast Lesions Diagnosed on Ultrasonography-guided Core Needle Biopsy

    Jung Hyun Park, Ja Seong Bae, Young Jin Suh, Woo Chan Park, Byung Joo Song, Jeong Soo Kim and Sang Seol Jung
    Received October 08, 2007; Accepted November 29, 2007.

    Abstract

    Purpose

    It is well recognized that distinguishing benign papillary lesions from malignant papillary lesions on core needle biopsy may pose difficult diagnostic problems. This study was conducted to define the potential role of ltrasoundguided core biopsy for the diagnosis of papillary lesions of the breast.

    Methods

    Twelve hundred and seventy nine women consecutively underwent 14-gauge core biopsy between January 2004 and December 2006. Of the 1,279 patients, 42 patients (3.2%) had papillary lesions of the breast on core needle biopsy. Of these 42 patients, 35 patients underwent surgical excision or sono-guided vacuum assisted excision. We compared the pathologic results of the excised specimens with the pathologic results on core needle biopsy.

    Results

    Of the 35 patients, 23 patients underwent surgical excision and 12 patients underwent sono-guided vacuum assisted excision. Three patients with intraductal papilloma without atypism on the core needle biopsy were confirmed to have intraductal papilloma accompanied with atypism by the final pathology. All 4 patients with papillomatosis or intraductal papilloma with atypism at core needle biopsy were confirmed to have intraductal papilloma with atypism by the final pathology. There were no patients identified to have breast cancer.

    Conclusion

    Our results revealed the accuracy of core needle biopsy for making the diagnosis of papillary lesions of the breast. Surgical excision may not always be necessary for papillary lesion of the breast that is diagnosed on core needle biopsy. Surgical excision is considered in patients with papillomatosis or papillary lesions with atypism seen on core needle biopsy.

    Keywords
    Papillary neoplasm; Core needle biopsy

    Tables

    Table 1
    Clinical characteristics of patients with papillary neoplasm

    Table 2
    Symptoms associated with papillary neoplasm

    Table 3
    Ultrasonographic findings of papillary lesion

    Table 4
    Relation between results of CNB and final pathologic results

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    MeSH Terms
    Biopsy
    Biopsy, Large-Core Needle*
    Breast Neoplasms
    Breast*
    Diagnosis
    Female
    Humans
    Papilloma
    Papilloma, Intraductal
    Pathology
    Vacuum
    Metrics
    Share
    Tables
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