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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 64 - 72 (9page)
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Purpose: The management of intraductal papilloma (IDP) without atypia remains controversial. This study evaluated the manifestations and incidence of malignancy during observation without surgery in patients diagnosed with IDP by core needle biopsy (CNB), to confirm whether close follow-up instead of surgical treatment is the preferred treatment option in selected patients. Methods: We retrospectively reviewed the data of 589 patients diagnosed with IDP by CNB between January 2009 to December 2018. The data of the 102 IDP lesions from 90 women who did not undergo immediate excision were analyzed. Of these, 84 patients received imaging follow-up without excision, while 18 patients underwent delayed excision during follow-up. Results: During the median follow-up period of 18.6 months, the mean change in tumor size and mean percent change in tumor size were −0.06 cm and −0.22%, respectively. Delayed excision was performed in 18 patients (17.6%). In the delayed excision group, three (16.7%) patients and one (5.6%) patient were diagnosed with atypical papilloma and intraductal papillary carcinoma, respectively, based on the final pathological findings. The upstaged group (atypia and malignancy; four patients) showed a 62.0% increase in the tumor size, which is higher than the benign group that showed a 10.4% increase in tumor size. However, the difference was not statistically significant (p=0.185). Conclusion: Observation without excision is possible for small IDP without atypia, because of the minimal changes in tumor size and low incidence of malignancy after excision. However, to avoid a missed diagnosis of malignancy, excision should be considered if the lesion increases in size during follow-up.
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참고문헌 (29)
참고문헌 신청
Ueng SH / 2009 / Papillary neoplasms of the breast : a review / Arch Pathol Lab Med 133:893~907
Ohuchi N / 1984 / Possible cancerous change of intraductal papillomas of the breast; a 3-D reconstruction study of 25 cases / Cancer 54:605~611
Hartmann LC / 2005 / Benign breast disease and the risk of breast cancer / N Engl J Med 353:229~237
김진우 / 2015 / 유방의 유두종 환자에서 초음파 유도하 맘모톰흡입생검의 유용성 및 안전성 / Journal of Breast Disease 3(2):56~59
Wen X / 2013 / Nonmalignant breast papillary lesions at core-needle biopsy : a meta-analysis of underestimation and influencing factors / Ann Surg Oncol 20:94~101
Ohuchi N / 1984 / Possible cancerous change of intraductal papillomas of the breast; a 3-D reconstruction study of 25 cases / Cancer 54:605~611
Hartmann LC / 2005 / Benign breast disease and the risk of breast cancer / N Engl J Med 353:229~237
김진우 / 2015 / 유방의 유두종 환자에서 초음파 유도하 맘모톰흡입생검의 유용성 및 안전성 / Journal of Breast Disease 3(2):56~59
Wen X / 2013 / Nonmalignant breast papillary lesions at core-needle biopsy : a meta-analysis of underestimation and influencing factors / Ann Surg Oncol 20:94~101
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