Benign Papillomas Diagnosed on Large-gauge Vacuum-Assisted Core Needle Biopsy which Span <1.5 cm Do Not Need Surgical Excision.
The objective of our study is to determine if a carefully selected subset of benign breast papillomas (size ≤1.5 cm) can be safely followed by imaging surveillance instead of immediate surgical excision. Over a 6½-year period, 86 breast lesions were diagnosed as a benign papilloma ( BP) utilizing an...
| Published in: | Breast Journal Vol. 19; no. 6; pp. 611 - 618 |
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| Main Authors: | , , |
| Format: | diagnostic images research tables/charts Journal Article |
| Published: |
Wiley-Blackwell
Nov/Dec2013
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| Online Access: | View this record in EBSCOhost |
| Summary: | The objective of our study is to determine if a carefully selected subset of benign breast papillomas (size ≤1.5 cm) can be safely followed by imaging surveillance instead of immediate surgical excision. Over a 6½-year period, 86 breast lesions were diagnosed as a benign papilloma ( BP) utilizing an 11- or 8-gauge vacuum-assisted core needle biopsy ( VACNB) device. In general, it was our intent to remove as much of the radiologically evident lesion as possible. These 86 lesions underwent ≥2 years of imaging surveillance, without surgical excision following initial detection. With ≥2 years of radiologic follow-up, none of the 86 BPs demonstrated imaging findings that necessitated repeat biopsy or surgical excision. Benign breast papillomas ≤1.5 cm that are biopsied using an 11- or 8-gauge VACNB device with intent to remove as much of the radiologically evident lesion as possible are safe to undergo serial imaging surveillance rather than immediate surgical excision. |
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