BACKGROUND: As intraductal papilloma (IP) includes both benign and malignant lesions, it is difficult to decide whether the patient should merely be followed up. The purpose of this study is to validate the ultrasound (US)-guided vacuum-assisted breast biopsy system (Mammotome) for diagnosis and minimally invasive excision of IP. METHODS: Six women with breast cystic-solid lesions without nipple discharge underwent B-US-guided 8-gauge Mammotome biopsy. Interval US surveillance was performed at a median time of 7 months (range 5-12 months). RESULTS: All lesions were removed accurately and thoroughly with satisfactory cosmetic outcomes. All of them were histologically diagnosed as IP. No clinically significant hematoma developed. CONCLUSIONS: The US-guided 8-gauge Mammotome biopsy provides an accurate pathologic diagnosis and successful complete excision of cystic-solid breast lesions. This technique appears to be an alternative to surgical biopsy in IP patients without nipple discharge.
BACKGROUND: As intraductal papilloma (IP) includes both benign and malignant lesions, it is difficult to decide whether the patient should merely be followed up. The purpose of this study is to validate the ultrasound (US)-guided vacuum-assisted breast biopsy system (Mammotome) for diagnosis and minimally invasive excision of IP. METHODS: Six women with breast cystic-solid lesions without nipple discharge underwent B-US-guided 8-gauge Mammotome biopsy. Interval US surveillance was performed at a median time of 7 months (range 5-12 months). RESULTS: All lesions were removed accurately and thoroughly with satisfactory cosmetic outcomes. All of them were histologically diagnosed as IP. No clinically significant hematoma developed. CONCLUSIONS: The US-guided 8-gauge Mammotome biopsy provides an accurate pathologic diagnosis and successful complete excision of cystic-solid breast lesions. This technique appears to be an alternative to surgical biopsy in IP patients without nipple discharge.
Authors: Susanne Grunwald; Hans Heyer; Stefan Paepke; Günther Schwesinger; Anette Schimming; Markus Hahn; Anke Thomas; Volker R Jacobs; Ralf Ohlinger Journal: Onkologie Date: 2007-04-24
Authors: G B Meloni; S Dessole; M P Becchere; D Soro; G Capobianco; G Ambrosini; G B Nardelli; G C Canalis Journal: Ultrasound Obstet Gynecol Date: 2001-11 Impact factor: 7.299
Authors: Semih Hot; Zafer Ü Coşkun; Adem Akçakaya; Ömer Bender; Ülkü A Türkmen; Pınar Ö Nayır; Ayhan Sarı; Ayşe B Hot Journal: Saudi Med J Date: 2018-09 Impact factor: 1.484