Papillary carcinoma of the breast: imaging findings.

Soo, Mary Scott; Williford, Margaret E.; Walsh, Ruth; Bentley, Rex C.; Kornguth, Phyllis J.

doi:10.2214/ajr.164.2.7839962

Cited by 108 publications

(95 citation statements)

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“…Between January 1995 and March 1997, 14-gauge cutting needles had been used while the patients were in an upright unit. The average number of vacuum-assisted biopsy specimens taken per patient was 11 (range, [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20][21][22].…”

Section: Methodsmentioning

confidence: 99%

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Accuracy of core needle biopsy diagnosis in assessing papillary breast lesions: histologic predictors of malignancy

et al. 2004

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The purpose of this study was to determine the accuracy of core needle biopsy (CNB) diagnosis of papillary breast lesions and to identify histologic features that can predict malignancy. We retrospectively reviewed 2876 CNB performed at MD Anderson Cancer Center (01/95-08/02) and identified 50 papillary lesions: 30 papillomas, eight atypical papillomas and 12 papillary carcinomas. Histopathological parameters were evaluated and radiographic findings were reviewed. When available, the CNB was compared with the excisional biopsy (EB) material. Carcinoma was confirmed by EB in 11/12 cases and invasion was correctly assessed in 67% of them. In EB, 6/8 (75%) atypical papillomas revealed carcinoma in situ or atypia and the remaining two (25%) were benign, six out of 30 (20%) papillomas had been excised and none had shown atypia; the remaining patients had clinical and radiological follow-up with no evidence of disease progression. We conclude that CNB is effective for assessing papillary breast lesions and that EB is more accurate in determining invasion. Cellular monotony, lack of myoepithelial cells, and cytologic atypia are more accurate predictors of malignancy (Po0.0001) than is the presence of mitoses (Po0.053). A diagnosis of carcinoma or atypical papilloma by CNB should warrant an EB, whereas benign papillomas may be followed if imaging findings are concordant.

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Section: Methodsmentioning

confidence: 99%

“…[14][15][16] Discordant imaging and histopathologic findings should prompt a repeat biopsy and a joint review of lesions is recommended.…”

Section: Papillary Carcinomamentioning

confidence: 99%

Accuracy of core needle biopsy diagnosis in assessing papillary breast lesions: histologic predictors of malignancy

et al. 2004

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“…Sonography of invasive papillary carcinomas reveals well defined, solid or mixed solid and cystic, inhomogeneous and hypoechogenic mass with posterior enhancement (4). The prognosis of this type of cancers is generally better than other types of ductal carcinomas because of the slow growing nature of the tumor (2). Due to the rarity of papillary breast cancer, it does not allow large or randomized studies to define an optimal approach (11).…”

Section: Discussionmentioning

confidence: 99%

“…Papillary carcinoma of the breast is a very rare type of invasive ductal breast cancers with prevalence of approximately 0.5% (1,2). The target group is postmenopausal females and males are rarely affected (3).…”

Section: Introductionmentioning

confidence: 99%

“…Because of the central location of this tumor, symptoms usually include nipple discharge or bleeding as well as palpable mass (4). This type of carcinoma is slow growing and the prognosis is better than other types (2). In addition to well known risk factors for breast cancer including prior history of cancer, atypical hyperplasia, genetic predisposition, hormone use, alcohol consumption, obesity and nulliparity (5).…”

Section: Introductionmentioning

confidence: 99%

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Intracyctic Papillary Carcinoma of the Breast: Report of a Rare Case and Literature Review

et al. 2017

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Introduction: We present a rare case of breast papillary carcinoma associated with intracystic component in a woman with a long history of autoimmune hypothyroidism and multiple sclerosis. Case Presentation: The patient was a 59-year-old woman presented with complaints of pain and swelling in her right breast. She was a known case of autoimmune hypothyroidism since 20 years and secondary progressive multiple sclerosis since 13 years ago. She had received frequent interferon, corticosteroid and cytotoxic therapy for her multiple sclerosis. On imaging studies, there were multiple large cystic-solid lesions in the right breast and with presumptive diagnosis of infectious collection or phyllodes tumor, she finally underwent simple mastectomy. On gross pathological evaluation, a large multi-loculated cyst filled with blood clots and necrotic debris was identified. In serial sections, a 7 cm solid tumoral mass with papillary projections protruding into the cyst cavity was seen. Although the gross appearance of the lesion resembled an angiosarcoma accompanied by cystic hemorrhagic necrosis, after the microscopic evaluation of the specimen, papillary breast carcinoma associated with intracyctic component was finally diagnosed. Conclusions:The aim of this study was to describe a rare variant of invasive breast cancer presenting with a large solid-cyctic mass in a woman with long standing autoimmune disorders.

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Large cystic infiltrating ductal carcinoma in male breast

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Gülhan

Açar

et al. 2007

J of Clinical Ultrasound

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Cystic infiltrating ductal carcinoma is a very rare entity that, to the best of our knowledge, has not yet been reported in males. We report the sonographic and CT findings of a large cystic infiltrating ductal carcinoma in a 51-year-old man. Cystic infiltrating ductal carcinoma is a very rare entity that, to the best of our knowledge, has not yet been reported in males. We report the sonographic and CT findings of a large cystic infiltrating ductal carcinoma in a 51-year-old man.

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Papillary carcinoma of the breast: imaging findings.

Cited by 108 publications

References 0 publications

Accuracy of core needle biopsy diagnosis in assessing papillary breast lesions: histologic predictors of malignancy

Accuracy of core needle biopsy diagnosis in assessing papillary breast lesions: histologic predictors of malignancy

Intracyctic Papillary Carcinoma of the Breast: Report of a Rare Case and Literature Review

Large cystic infiltrating ductal carcinoma in male breast

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