Clinicopathologic features of papillary lesions on core needle biopsy of the breast predictive of malignancy.
Am J Surg
; 194(4): 444-9, 2007 Oct.
Article
em En
| MEDLINE
| ID: mdl-17826053
ABSTRACT
BACKGROUND:
The necessity for surgical excision of papillary lesions identified on percutaneous breast biopsy remains controversial. We reviewed data from patients with papillary lesions found on core needle biopsies to identify features associated with carcinoma.METHODS:
A retrospective chart review was performed on patients with papillary lesions diagnosed from image-guided breast biopsies over a 10-year period. Patients had surgical excision or were followed-up radiographically for a 2-year minimum.RESULTS:
Papillary lesions were identified in 154 core needle biopsies. Ninety-five lesions were diagnosed as either benign or atypical. Eighty-nine of these patients had surgical excisions of their lesions. Malignancy was discovered in 22 (25%) of these lesions. Only atypical lesions on biopsy were malignant (P < .005). Forty-six percent of patients age 65 or older were found to have cancer at surgical excision (P < .01).CONCLUSIONS:
Papillary lesions found on core needle biopsy frequently harbor malignancy (25%). Atypia and age 65 or older are significant risk factors for malignancy.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Biópsia por Agulha
/
Mama
/
Neoplasias da Mama
Tipo de estudo:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Adult
/
Aged
/
Aged80
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Humans
/
Middle aged
Idioma:
En
Revista:
Am J Surg
Ano de publicação:
2007
Tipo de documento:
Article
País de afiliação:
Estados Unidos