Mammotome biopsy in diagnosing and treatment of intraductal papilloma of the breast

• Authors: Wojciech Kibil , Diana Hodorowicz-Zaniewska , Tadeusz J. Popiela , Joanna Szpor , Jan Kulig
• Languages of publication: EN

Abstracts

EN

Intraductal papilloma is a benign breast tumor which needs histopathological verification because of the risk of cancer coincidence.The aim of the study was to assess the value of the mammography-guided and ultrasound-guided vacuum-assisted core biopsy in the diagnosis and treatment of intraductal papillomas of breast and to answer the question if mammotome biopsy allows to avoid surgery in these patients.Material and methods. In the period 2000-2011, a total of 2246 vacuum-assisted core biopsies were performed, of which 1495 were ultrasound-guided and 751 were mammography-guided (stereotaxic). In 76/2246 patients (3.4%), aged 19-88 years (mean age was 51,5) histopathological examination confirmed intraductal papilloma.Results. Atypical lesions were accompanying intraductal papilloma in 16/76 cases (21%). Open surgical biopsy performed in these group revealed invasive cancer in 3 women. In all 60 cases (79%) with benign papilloma in biopsy specimens, further clinical observation did not show recurrence or malignant transformation of lesions.Conclusions. Vacuum-assisted core biopsy is a minimally invasive and efficient method used for diagnosing intraductal papilloma of the breast. If histopathological examination confirms a benign character of the lesion, surgery may be avoided but regular follow-up is recommended. However, in all cases histopathological diagnosis of papilloma with atypical hyperplasia, should always be indication for surgical excision.

Keywords

EN

intraductal papilloma; vacuum-assisted core biopsy; mammotome biopsy

• Publisher: De Gruyter Open
• Journal: Polish Journal of Surgery
• Year: 2013
• Volume: 85
• Issue: 4
• Pages: 210-215

Dates

published

1 - 04 - 2013

online

01 - 05 - 2013

Contributors

author

Wojciech Kibil

• 1st Chair of General, Oncological, and Gastrointestinal Surgery, Kierownik: prof. dr hab. J. Kulig

author

Diana Hodorowicz-Zaniewska

• 1st Chair of General, Oncological, and Gastrointestinal Surgery, Kierownik: prof. dr hab. J. Kulig

author

Tadeusz J. Popiela

• Chair of Radiology, Kierownik: prof. dr hab. D. Adamek

author

Joanna Szpor

• Chair of Pathomorphology, Kierownik: prof. dr hab. A. Urbanik Jagiellonian University Medical College in Cracow

author

Jan Kulig

• 1st Chair of General, Oncological, and Gastrointestinal Surgery, Kierownik: prof. dr hab. J. Kulig

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Identifiers

DOI

10.2478/pjs-2013-0032