NDLI: Vacuum-assisted core biopsy in diagnosis and treatment of intraductal papillomas.

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Vacuum-assisted core biopsy in diagnosis and treatment of intraductal papillomas.

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Vacuum-assisted core biopsy in diagnosis and treatment of intraductal papillomas.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Kibil, Wojciech Hodorowicz-Zaniewska, Diana Popiela, Tadeusz J. Kulig, Jan
Description	Country affiliation: Poland Author Affiliation: Kibil W ( Ist Chair of General Surgery and Clinic of General, Oncological and Gastroenterological Surgery, Jagiellonian University Medical College, Krakow, Poland. wkibil@op.pl)
Abstract	BACKGROUND: The aim of this study was to assess the value of mammographically-guided and ultrasonographically-guided vacuum-assisted core biopsy (VACB) in the diagnosis and treatment of intraductal papillomas of breast and to answer the question of whether biopsy with the Mammotome (Mammotome; Cincinnati, OH) allows the avoidance of surgery in these patients. PATIENTS AND METHODS: In the period 2000 to 2010, a total of 1896 vacuum-assisted core biopsies were performed, of which 1183 were ultrasonographically guided and 713 were mammographically guided (stereotaxic). RESULTS: In 62 patients (3.2%) histopathologic examination confirmed intraductal papilloma, and in 12 patients (19.4%) atypical lesions were also found. Open surgical biopsy specimens revealed invasive cancer in 2 women these 12 women (false-negative rate, 16.7%; negative predictive value, 83.3%). Biopsy specimens from the remaining 50 patients (80.6%) revealed papilloma without atypia, and further clinical observation and imaging examinations did not show recurrence or malignant transformation of lesions. Hematoma developed in 3 (4.8%) patients as a complication of biopsy; surgical intervention was not required in any of the patients. CONCLUSION: VACB is a minimally invasive and efficient method for diagnosing intraductal papilloma of the breast. If histopathologic examination confirms a benign lesion and corresponds to the clinical presentation, surgery may be avoided. However in all cases, histopathologic diagnosis of papilloma with atypical hyperplasia or a suspected malignant lesion in imaging examinations, despite negative biopsy results, should always be an indication for surgical excision.
File Format	HTM / HTML
ISSN	15268209
Issue Number	2
Volume Number	13
e-ISSN	19380666
Journal	Clinical Breast Cancer
Language	English
Publisher	Elsevier
Publisher Date	2013-04-01
Publisher Place	United States
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Oncology Breast Neoplasms Diagnosis Breast Pathology Carcinoma, Ductal, Breast Carcinoma, Lobular Image-guided Biopsy Neoplasm Recurrence, Local Papilloma, Intraductal Adolescent Adult Aged Biopsy, Needle Surgery Female Follow-up Studies Humans Middle Aged Neoplasm Staging Prognosis Ultrasonography, Mammary Vacuum Young Adult Comparative Study Journal Article
Content Type	Text
Resource Type	Article
Subject	Cancer Research Oncology

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