Association of breast cancer with papillary lesions identified at percutaneous image-guided breast biopsy

Gendler, Leah S; Feldman, Sheldon; Balassanian, Ronald; Riker, Mary A.; Frencher, Stanley K.; Whelan, Denise B.; Anne, Shalini; Gross, Joshua; Cohen, Jean‐Marc; Boolbol, Susan K.

doi:10.1016/j.amjsurg.2004.06.026

Cited by 69 publications

(31 citation statements)

References 14 publications

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“…The location of the papillary lesion is another widely studied risk factor. Some studies reported a tendency for the papillary lesion to be malignant if it was located at the periphery of the breast (19,20), whereas no such association was found in many other studies, including the present study (3,6,8).…”

Section: Discussioncontrasting

confidence: 80%

“…Reported upgrading rates from benign papillary lesions diagnosed by CNB to malignant papillary lesions diagnosed on subsequent surgical excision range from 0% to 29% (2)(3)(4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15). Some investigators have suggested that benign papillary lesions without atypia diagnosed by CNB, in combination with concordant imaging findings, can be safely followed without further surgery (2-7).…”

mentioning

confidence: 99%

“…Some investigators have suggested that benign papillary lesions without atypia diagnosed by CNB, in combination with concordant imaging findings, can be safely followed without further surgery (2-7). However, many recent studies advocate the complete excision of any papillary lesion diagnosed by CNB (1,(8)(9)(10)(11)(12)(13)(14)(15)(16)(17).…”

mentioning

confidence: 99%

“…There is a consensus that this diagnosis warrants complete surgical excision. A significant number of CNB-diagnosed benign papillary lesions are upgraded to atypical papillary lesions on subsequent surgery (2,(8)(9)(10)12).…”

mentioning

confidence: 99%

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Upgrading rate of papillary breast lesions diagnosed by core-needle biopsy

Wiratkapun

Keeratitragoon²,

Lertsithichai³

et al. 2013

Diagn Interv Radiol

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ORIGINAL ARTICLE PURPOSE We aimed to estimate the upgrading rate of core-needle biopsy (CNB)-diagnosed papillary breast lesions to atypical or malignant papillary lesions on subsequent surgery. MATERIALS AND METHODSWe performed a retrospective review of medical records and imaging findings of patients diagnosed by CNB as having papillary lesions from January 1, 2005 to May 31, 2011. Outcomes were determined by pathology findings from surgical excision or by imaging findings at 12 months follow-up. RESULTSOf 130 papillary lesions in 127 patients, the upgrading rates were 0% for benign papillary lesion to malignancy, 19% for benign papillary lesion to atypical papillary lesion, and 31% for atypical lesion to malignancy. Most of the malignancies were ductal carcinoma in situ. The presence of malignant lesions was related to specific symptoms (palpable mass or nipple discharge; P = 0.020) and to a higher Breast Imaging Reporting and Data System (BIRADS) category (P = 0.017). CONCLUSION CNB is accurate in the diagnosis of benign papillary lesions. If no atypical cells are present, no malignancy is found. The presence of atypia on CNB strongly indicates a need for surgical excision.

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Section: Discussioncontrasting

confidence: 80%

mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Upgrading rate of papillary breast lesions diagnosed by core-needle biopsy

Wiratkapun

Keeratitragoon²,

Lertsithichai³

et al. 2013

Diagn Interv Radiol

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“…Same may be the problem with trucut biopsy of the lesion. The incidence of malignancy at surgical excision for papillary lesions found on percutaneous core biopsy ranges from 17 % to 34 % in some studies [4,5]. Hence excision biopsy of all papillary lesions should be done due to the high upgrade rate of malignancy.…”

Section: Discussionmentioning

confidence: 99%

Papillary Carcinoma of the Breast- Case Reports and Review of Literature Regarding Management Guidelines

et al. 2012

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Papillary carcinoma of the breast is a very rare entity accounting for approx 1 % of all breast carcinomas. The diagnosis is difficult due to different clinical and radiological features. Pathological diagnosis is conclusive. Being aware of the diagnostic difficulties and differences in management from the more commonly reported IDC, makes it easier to treat these patients. Because this is an uncommon disease, we report here 2 cases recently diagnosed and treated in our hospital. We have also reviewed the literature regarding the diagnosis, treatment and prognosis of these patients.

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Differentiation Between Benign and Malignant Papillary Lesions of Breast: Excisional Biopsy or Stereotactic Vacuum-Assisted Biopsy (Methodology)

Tang

Tse

Lam

Methods of Cancer Diagnosis, Therapy and Prognosis

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Association of breast cancer with papillary lesions identified at percutaneous image-guided breast biopsy

Cited by 69 publications

References 14 publications

Upgrading rate of papillary breast lesions diagnosed by core-needle biopsy

Upgrading rate of papillary breast lesions diagnosed by core-needle biopsy

Papillary Carcinoma of the Breast- Case Reports and Review of Literature Regarding Management Guidelines

Differentiation Between Benign and Malignant Papillary Lesions of Breast: Excisional Biopsy or Stereotactic Vacuum-Assisted Biopsy (Methodology)

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