지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 80 - 86 (7page)
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초록· 키워드
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Purpose: The management of benign intraductal papilloma (IDP) without atypia diagnosed on core needle biopsy (CNB) remains controversial. This study was performed to evaluate the rate of upgrading to malignancy or high-risk lesions after excision and to identify factors associated with upgrading using a large series of benign IDP cases without atypia. Methods: We included patients who were diagnosed as having benign IDP without atypia on CNB and underwent surgical or vacuum-assisted excision between 2010 and 2015. We analyzed the clinical, radiologic, and histopathologic features of IDPs that were upgraded to malignancy or high-risk lesions after excision. Results: A total of 511 benign IDPs without atypia diagnosed via CNB were identified, of which 398 cases were treated with excision. After reviewing these cases, four cases of high-risk lesions in adjacent tissue on CNB, two cases which were revealed as papilloma with atypia, and nine cases of malignancy in the same breast were excluded. In the remaining 383 cases, the rate of upgrading to malignancy and high-risk lesions after excision was 0.8% and 4.4%, respectively. The presence of concurrent contralateral breast cancer, the presence of symptoms, and multifocality were factors significantly associated with upgrading to malignancy on subsequent excision. Surgical excision rather than vacuum-assisted excision was significantly associated with upgrading to high-risk lesions or malignancy. Conclusion: The rate of upgrading to malignancy for benign IDP without atypia was very low, suggesting that close clinical and radiologic observation may be sufficient for patients with benign IDP without atypia on CNB under proper settings.
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참고문헌 (30)
참고문헌 신청
Cyr AE / 2011 / Are we overtreating papillomas diagnosed on core needle biopsy? / Ann Surg Oncol 18:946~951
Gendler LS / 2004 / Association of breast cancer with papillary lesions identified at percutaneous image-guided breast biopsy / Am J Surg 188:365~370
Renshaw AA / 2004 / Papillomas and atypical papillomas in breast core needle biopsy specimens: risk of carcinoma in subsequent excision / Am J Clin Pathol 122:217~221
Rizzo M / 2008 / Surgical follow-up and clinical presentation of 142 breast papillary lesions diagnosed by ultrasound-guided core-needle biopsy / Ann Surg Oncol 15:1040~1047
McGhan LJ / 2012 / Atypical ductal hyperplasia on core biopsy: an automatic trigger for excisional biopsy? / Ann Surg Oncol 19:3264~3269
Gendler LS / 2004 / Association of breast cancer with papillary lesions identified at percutaneous image-guided breast biopsy / Am J Surg 188:365~370
Renshaw AA / 2004 / Papillomas and atypical papillomas in breast core needle biopsy specimens: risk of carcinoma in subsequent excision / Am J Clin Pathol 122:217~221
Rizzo M / 2008 / Surgical follow-up and clinical presentation of 142 breast papillary lesions diagnosed by ultrasound-guided core-needle biopsy / Ann Surg Oncol 15:1040~1047
McGhan LJ / 2012 / Atypical ductal hyperplasia on core biopsy: an automatic trigger for excisional biopsy? / Ann Surg Oncol 19:3264~3269
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