Surgical Excision of Benign Papillomas Diagnosed with Core Biopsy: A Community Hospital Approach
Our goal was to assess the value of surgical excision of benign papillomas of the breast diagnosed on percutaneous core biopsy by determining the frequency of upgrade to malignancies and high risk lesions on a final surgical pathology. We reviewed 67 patients who had biopsies yielding benign papillo...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Radiology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2011/679864 |
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| author | Eka Rozentsvayg Kristen Carver Sunita Borkar Melvy Mathew Sean Enis Paul Friedman |
| author_facet | Eka Rozentsvayg Kristen Carver Sunita Borkar Melvy Mathew Sean Enis Paul Friedman |
| author_sort | Eka Rozentsvayg |
| collection | DOAJ |
| description | Our goal was to assess the value of surgical excision of benign papillomas of the breast diagnosed on percutaneous core biopsy by determining the frequency of upgrade to malignancies and high risk lesions on a final surgical pathology. We reviewed 67 patients who had biopsies yielding benign papilloma and underwent subsequent surgical excision. Surgical pathology of the excised lesions was compared with initial core biopsy pathology results. 54 patients had concordant benign core and excisional pathology. Cancer (ductal carcinoma in situ and invasive ductal carcinoma) was diagnosed in five (7%) patients. Surgery revealed high-risk lesions in 8 (12%) patients, including atypical ductal hyperplasia, atypical lobular hyperplasia, and lobular carcinoma in situ. Cancer and high risk lesions accounted for 13 (19%) upstaging events from benign papilloma diagnosis. Our data suggests that surgical excision is warranted with core pathology of benign papilloma. |
| format | Article |
| id | doaj-art-29bc19a947424dd1bec2e79457ff9d56 |
| institution | Kabale University |
| issn | 2090-1941 2090-195X |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Radiology Research and Practice |
| spelling | doaj-art-29bc19a947424dd1bec2e79457ff9d562025-02-03T01:22:51ZengWileyRadiology Research and Practice2090-19412090-195X2011-01-01201110.1155/2011/679864679864Surgical Excision of Benign Papillomas Diagnosed with Core Biopsy: A Community Hospital ApproachEka Rozentsvayg0Kristen Carver1Sunita Borkar2Melvy Mathew3Sean Enis4Paul Friedman5Carol W. and Julius A. Rippel Breast Center, Morristown Memorial Hospital, Morristown, NJ 07962, USACarol W. and Julius A. Rippel Breast Center, Morristown Memorial Hospital, Morristown, NJ 07962, USACarol W. and Julius A. Rippel Breast Center, Morristown Memorial Hospital, Morristown, NJ 07962, USACarol W. and Julius A. Rippel Breast Center, Morristown Memorial Hospital, Morristown, NJ 07962, USACarol W. and Julius A. Rippel Breast Center, Morristown Memorial Hospital, Morristown, NJ 07962, USACarol W. and Julius A. Rippel Breast Center, Morristown Memorial Hospital, Morristown, NJ 07962, USAOur goal was to assess the value of surgical excision of benign papillomas of the breast diagnosed on percutaneous core biopsy by determining the frequency of upgrade to malignancies and high risk lesions on a final surgical pathology. We reviewed 67 patients who had biopsies yielding benign papilloma and underwent subsequent surgical excision. Surgical pathology of the excised lesions was compared with initial core biopsy pathology results. 54 patients had concordant benign core and excisional pathology. Cancer (ductal carcinoma in situ and invasive ductal carcinoma) was diagnosed in five (7%) patients. Surgery revealed high-risk lesions in 8 (12%) patients, including atypical ductal hyperplasia, atypical lobular hyperplasia, and lobular carcinoma in situ. Cancer and high risk lesions accounted for 13 (19%) upstaging events from benign papilloma diagnosis. Our data suggests that surgical excision is warranted with core pathology of benign papilloma.http://dx.doi.org/10.1155/2011/679864 |
| spellingShingle | Eka Rozentsvayg Kristen Carver Sunita Borkar Melvy Mathew Sean Enis Paul Friedman Surgical Excision of Benign Papillomas Diagnosed with Core Biopsy: A Community Hospital Approach Radiology Research and Practice |
| title | Surgical Excision of Benign Papillomas Diagnosed with Core Biopsy: A Community Hospital Approach |
| title_full | Surgical Excision of Benign Papillomas Diagnosed with Core Biopsy: A Community Hospital Approach |
| title_fullStr | Surgical Excision of Benign Papillomas Diagnosed with Core Biopsy: A Community Hospital Approach |
| title_full_unstemmed | Surgical Excision of Benign Papillomas Diagnosed with Core Biopsy: A Community Hospital Approach |
| title_short | Surgical Excision of Benign Papillomas Diagnosed with Core Biopsy: A Community Hospital Approach |
| title_sort | surgical excision of benign papillomas diagnosed with core biopsy a community hospital approach |
| url | http://dx.doi.org/10.1155/2011/679864 |
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