The American Journal of Surgery
Volume 194, Issue 2 , Pages 183-188 , August 2007

Papillary lesions of the breast discovered on percutaneous large core and vacuum-assisted biopsies: reliability of clinical and pathological parameters in identifying benign lesions

  • Itamar Ashkenazi, M.D.

      Affiliations

    • John H. Stroger, Jr. Hospital of Cook County Minority-Based Community Clinical Oncology Program, 1900 West Polk St, Chicago, IL 60612, USA
    • Corresponding Author InformationCorresponding author. Tel.: +972-4-6020303; fax: +972-4-6020303.
    • ,
  • Karen Ferrer, M.D.

      Affiliations

    • Department of Pathology, 1835 West Harrison Street, Chicago, IL 60612, USA
    • ,
  • Marin Sekosan, M.D.

      Affiliations

    • Department of Pathology, 1835 West Harrison Street, Chicago, IL 60612, USA
    • ,
  • Elizabeth Marcus, M.D.

      Affiliations

    • Department of Surgery, 1835 West Harrison Street, Chicago, IL 60612, USA
    • ,
  • Jeff Bork, M.D.

      Affiliations

    • Department of Surgery, 1835 West Harrison Street, Chicago, IL 60612, USA
    • ,
  • Tamer Aiti, M.D.

      Affiliations

    • John H. Stroger, Jr. Hospital of Cook County Minority-Based Community Clinical Oncology Program, 1900 West Polk St, Chicago, IL 60612, USA
    • ,
  • Ron Lavy, M.D.

      Affiliations

    • John H. Stroger, Jr. Hospital of Cook County Minority-Based Community Clinical Oncology Program, 1900 West Polk St, Chicago, IL 60612, USA
    • ,
  • Howard A. Zaren, M.D.

      Affiliations

    • John H. Stroger, Jr. Hospital of Cook County Minority-Based Community Clinical Oncology Program, 1900 West Polk St, Chicago, IL 60612, USA

Received 21 July 2006 ,Revised 11 October 2006

References 

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  2. Renshaw AA, Derhagopian RP, Tizol-Blanco DM, Gould EW. Papillomas and atypical papillomas in breast core needle biopsy specimens: risk of carcinoma in subsequent excision. Am J Clin Pathol. 2004;122:217–221
  3. Ivan D, Selinko V, Sahin AA, et al. Accuracy of core needle biopsy diagnosis in assessing papillary breast lesions: histologic predictors of malignancy. Mod Pathol. 2004;17:165–171
  4. Puglisi F, Zuiani C, Bazzocchi M, et al. Role of mammography, ultrasound and large core biopsy in the diagnostic evaluation of papillary breast lesions. Oncology. 2003;65:311–315
  5. Rosen EL, Bentley RC, Baker JA, Soo MS. Imaging-guided core needle biopsy of papillary lesions of the breast. AJR Am J Roentgenol. 2002;179:1185–1192
  6. Agoff SN, Lawton TJ. Papillary lesions of the breast with and without atypical ductal hyperplasia: can we accurately predict benign behavior from core needle biopsy?. Am J Clin Pathol. 2004;122:440–443
  7. Philpotts LE, Shaheen NA, Jain KS, et al. Uncommon high-risk lesions of the breast diagnosed at stereotactic core-needle biopsy: clinical importance. Radiology. 2000;216:831–837
  8. McPherson K, Steel CM, Dixon JM. Breast cancer-epidemiology, risk factors and genetics. BMJ. 2000;321:624–628
  9. Korde LA, Calzone KA, Zujewski J. Assessing breast cancer risk: genetic factors are not the whole story. Postgrad Med. 2004;116:6–20
  10. American College of Radiology (ACR). Breast Imaging Reporting and Data System (BI-RADS™). 3rd ed.. Reston, VA: Americal College of Radiology; 1998;
  11. Tavassoli FA. Papillary lesions. In:  Tavassoli FA editors. Pathology of the Breast. Norwalk, CT: Appleton & Lange; 1992;p. 193–227
  12. Carder PJ, Garvican J, Haigh I, Liston JC. Needle core biopsy can reliably distinguish between benign and malignant papillary lesions of the breast. Histopathology. 2005;46:320–327
  13. Liberman L, Bracero N, Vuolo MA, et al. Percutaneous large-core biopsy of papillary breast lesions. AJR Am J Roentgenol. 1999;172:331–337
  14. Mercado CL, Hamele-Bena D, Oken SM, et al. Papillary lesions of the breast at percutaneous core-needle biopsy. Radiology. 2006;238:801–808
  15. Ioffe OB, Berg WA, Silverberg SG. Analysis of papillary lesions diagnosed on core needle biopsy of the breast: management implications. (abstr) Mod Pathol. 2000;13:23A
  16. Irfan K, Brem RF. Surgical and mammographic follow-up of papillary lesions and atypical lobular hyperplasia diagnosed with stereotactic vacuum-assisted biopsy. Breast J. 2002;8:230–233
  17. Rajendran S, Gupta D, Sumkin J. Correlation of image-guided core and escisión biopsy of papillary lesions of breast. (abstr) Mod Pathol. 2001;14:34A
  18. Shah VI, Flowers CI, Douglas-Jones AG, et al. Immunohistochemistry increases the accuracy of diagnosis of benign papillary lesions in breast core needle biopsy specimens. Histopathology. 2006;48:683–691
  19. Valdez EK, Tartter PI, Genelus-Dominique E, et al. Ann Surg Oncol. 2006;13:480–482
  20. Lee CH, Philpotts LE, Horvath LJ, Tocino I. Follow-up of breast lesions diagnosed as benign with stereotactic core-needle biopsy: frequency of mammographic change and false-negative rate. Radiology. 1999;212:189–194
  21. Mercado CL, Hamele-Bena D, Singer C, et al. Papillary lesions of the breast: evaluation with stereotactic directional vacuum-assisted biopsy. Radiology. 2001;221:650–655
  22. Liberman L, Tornos C, Huzjan R, et al. Is surgical excision warranted after benign, concordant diagnosis of papilloma at percutaneous breast biopsy?. AJR Am J Roentgenol. 2006;186:1328–1334
  23. Plantade R, Gerard F, Hammou JC. Management of non malignant papillary lesions diagnosed on percutaneous biopsy. J Radiol. 2006;87:263–264
  24. Papotti M, Eusebi V, Gugliotta P, Bussolati G. Immunohistochemical analysis of benign and malignant papillary lesions of the breast. Am J Surg Pathol. 1983;7:451–461
  25. Tan PH, Aw MY, Yip G, et al. Cytokeratins in papillary lesions of the breast: is there a role in distinguishing intraductal papilloma from papillary ductal carcinoma in situ?. Am J Surg Pathol. 2005;29:625–632
  26. Hill CB, Yeh IT. Myoepithelial cell staining patterns of papillary breast lesions: from intraductal papillomas to invasive papillary carcinomas. Am J Clin Pathol. 2005;123:36–44

PII: S0002-9610(07)00306-6

doi: 10.1016/j.amjsurg.2006.11.028

The American Journal of Surgery
Volume 194, Issue 2 , Pages 183-188 , August 2007

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