Case Report
Year 2023,
Volume: 1 Issue: 3, 99 - 103, 10.09.2023
Abstract
References
- Brunicardi CF, Andersen DK, Billliar TR, Dunn DL, Hunter JG, Matthews JB, Pollock RE. Schwartz’s Principles of Surgery, McGraw-Hill Companies, New York, 10th edition, 2015; pp: 497-565.
- L.E. Hughes, N.J. Bundred, Breast macrocysts, World J. Surg. 13 (1989) 711–714
- Tavasolli FA, Devilee P. World Health Organition Classification of Tumours. Pathology and Genetics of the Breast and Female Genital Organs. Lyon, IARC Press, 2003; 9-113
- A. Estabrook, T. Asch, F. Gump, S.J. Kister, P. Geller, Mammographic features of intracystic papillary lesions, Surg. Gynecol. Obstet. 170 (1990) 113–116
- Kasumi F (ed). Ultrasound of breast diseases. 2nd edition. Tokyo: Shinohara–shuppan Co;1983. 19-25.
- Daniel BL, Gardner RW, Birdwell RL, Nowels KW, Johnson D. Magnetic resonance imaging ofintraductal papilloma of the breast. Magn Reson Imaging. 2003; 2ı: 887-92.
- N.M. Foley, J.M. Racz, Z. Al-Hilli, V. Livingstone, T. Cil, C.M. Holloway, et al. An International multicenter review of the malignancy rate of excised papillomatous breast lesions, Ann. Surg. Oncol. 22 (Suppl. 3) (2015) S385–S390.
- Jagmohan P, Pool FJ, Putti TC, Wong J. Papillary lesions of the breast: imaging findings and diagnostic challenges. Diagn Interv Radiol 2013;19(6):471-8.
- Tohno E (ed). Ultrasound diagnosis of breast diseases. 3rd edition. Edinburgh: Churchill Livingstone;1994:94–7.
- Han BK, Choe YH, Ko YH et al. Benign papillary lesions of the breast: sonographic- pathologic correlation. J Ultrasound Med 1999;18:217-23.
- Brasanac D, Boricic I, Todorovic V. Epidermotropic metastases from breast carcinoma showing diff erent clinical and histopathological features on the trunk and on the scalp in a single patient. J Cutan Pathol 2003;30:641-643.
- Blanchard DK, Reynolds CA, Grant CS, Donohue JH. Primary nonphylloides breast sarcomas. The American Journal of Surgery 2003;186:359-61
- Jagmohan P, Pool FJ, Putti TC, Wong J. Papillary lesions of the breast: imaging findings and diagnostic challenges. Diagn Interv Radiol 2013;19(6):471-8.
- PB Jeffrey, BM Ljung , Memenin selim ve habis papiller lezyonları : sitomorfolojik bir çalışma, Am. J. Clin. Pathol. 101 (1994) 500–507.
- McGhan LJ, Pockaj BA, Wasif N, Giurescu ME, McCullough AE, Gray RJ. Papillary lesions on core breast biopsy: excisional biopsy for all patients? Am Surg 2013;79(12):1238- 42
- Ahmadiyeh N, Stoleru MA, Raza S, Lester SC, Golshan M. Management of intraductal papillomas of the breast: an analysis of 129 cases and their outcome. Ann Surg Oncol 2009;16:2264-9.
- Celik MF, Yilmaz R, Dural AC, Celik-Yabul F, Baytekin HF, Kapan S, Alis H. The assessment of cases with intraductal papillomas after surgery; the correlation of radiological and pathological findings. J Ist Faculty Med 2019;82(2):69-74. doi: 10.26650/2018.0029
- Shouhed D, Amersi FF, Spurrier R, Dang C, Astvatsaturyan K, Bose S, et al. Intraductal papillary lesions of the breast: clinical and pathological correlation. Am Surg 2012;78(10):1161-5
- Brennan SB, Adriana C, Laura L, et al. Papilloma diagnosed at MRI guided vacuum‐assisted breast biopsy: is surgical excision still warranted? AJR. 2012;199(4):W512‐W519.
- Fresia P, Corben AD, Brennan SB, et al. Breast intraductal papillomas without atypia in radiologic pathologic concordant core‐needle biopsies: rate of upgrade to carcinoma at excision. Cancer. 2016;122: 2819‐2827
- Nayak A, Carkaci S, Gilcrease MZ, Liu P, Middleton LP, Bassett RL Jr, et al. Benign papillomas without atypia diagnosed on core needle biopsy: experience from a single institution and proposed criteria for excision. Clin Breast Cancer 2013;13(6):439-49.
Year 2023,
Volume: 1 Issue: 3, 99 - 103, 10.09.2023
Abstract
Abstract:
Most of the patients who come to the breast clinic present with the complaint of a palpable mass. Some of the pathological lesions that cause this picture are intraductal papillomas. Most intraductal papillomas are smaller than 5 mm. In this article, we aimed to present an unusually large intraductal papilloma case seen as a cystic structure, together with its diagnosis and treatment features, in the light of literature.
A 58-year-old female patient was admitted to our hospital with the complaint of retraction of palpable lumps on the left breast. In ultrasonography; A complex cystic mass lesion with a thick wall, smooth contours, a diameter of 56x48 mm in the cystic component and a diameter of 19.2x13.3 mm in the solid component was observed. It was removed with clean surgical margins by excisional biopsy. It reported as low grade papillary ductal intraepithelial neoplasia (Atypical Papilloma). Some researchers have reported that the rate of transformation of benign intraductal papilloma into malignancy with surgical excision may vary between 2% and 10%.
We think that in the management of intraductal polypoid lesions, the effectiveness of each of the radiological follow-up, tru-cut biopsy and surgical excision methods should be evaluated on a patient basis.
Keywords: Intraductal papilloma, papillary breast lesions, surgical excision
References
- Brunicardi CF, Andersen DK, Billliar TR, Dunn DL, Hunter JG, Matthews JB, Pollock RE. Schwartz’s Principles of Surgery, McGraw-Hill Companies, New York, 10th edition, 2015; pp: 497-565.
- L.E. Hughes, N.J. Bundred, Breast macrocysts, World J. Surg. 13 (1989) 711–714
- Tavasolli FA, Devilee P. World Health Organition Classification of Tumours. Pathology and Genetics of the Breast and Female Genital Organs. Lyon, IARC Press, 2003; 9-113
- A. Estabrook, T. Asch, F. Gump, S.J. Kister, P. Geller, Mammographic features of intracystic papillary lesions, Surg. Gynecol. Obstet. 170 (1990) 113–116
- Kasumi F (ed). Ultrasound of breast diseases. 2nd edition. Tokyo: Shinohara–shuppan Co;1983. 19-25.
- Daniel BL, Gardner RW, Birdwell RL, Nowels KW, Johnson D. Magnetic resonance imaging ofintraductal papilloma of the breast. Magn Reson Imaging. 2003; 2ı: 887-92.
- N.M. Foley, J.M. Racz, Z. Al-Hilli, V. Livingstone, T. Cil, C.M. Holloway, et al. An International multicenter review of the malignancy rate of excised papillomatous breast lesions, Ann. Surg. Oncol. 22 (Suppl. 3) (2015) S385–S390.
- Jagmohan P, Pool FJ, Putti TC, Wong J. Papillary lesions of the breast: imaging findings and diagnostic challenges. Diagn Interv Radiol 2013;19(6):471-8.
- Tohno E (ed). Ultrasound diagnosis of breast diseases. 3rd edition. Edinburgh: Churchill Livingstone;1994:94–7.
- Han BK, Choe YH, Ko YH et al. Benign papillary lesions of the breast: sonographic- pathologic correlation. J Ultrasound Med 1999;18:217-23.
- Brasanac D, Boricic I, Todorovic V. Epidermotropic metastases from breast carcinoma showing diff erent clinical and histopathological features on the trunk and on the scalp in a single patient. J Cutan Pathol 2003;30:641-643.
- Blanchard DK, Reynolds CA, Grant CS, Donohue JH. Primary nonphylloides breast sarcomas. The American Journal of Surgery 2003;186:359-61
- Jagmohan P, Pool FJ, Putti TC, Wong J. Papillary lesions of the breast: imaging findings and diagnostic challenges. Diagn Interv Radiol 2013;19(6):471-8.
- PB Jeffrey, BM Ljung , Memenin selim ve habis papiller lezyonları : sitomorfolojik bir çalışma, Am. J. Clin. Pathol. 101 (1994) 500–507.
- McGhan LJ, Pockaj BA, Wasif N, Giurescu ME, McCullough AE, Gray RJ. Papillary lesions on core breast biopsy: excisional biopsy for all patients? Am Surg 2013;79(12):1238- 42
- Ahmadiyeh N, Stoleru MA, Raza S, Lester SC, Golshan M. Management of intraductal papillomas of the breast: an analysis of 129 cases and their outcome. Ann Surg Oncol 2009;16:2264-9.
- Celik MF, Yilmaz R, Dural AC, Celik-Yabul F, Baytekin HF, Kapan S, Alis H. The assessment of cases with intraductal papillomas after surgery; the correlation of radiological and pathological findings. J Ist Faculty Med 2019;82(2):69-74. doi: 10.26650/2018.0029
- Shouhed D, Amersi FF, Spurrier R, Dang C, Astvatsaturyan K, Bose S, et al. Intraductal papillary lesions of the breast: clinical and pathological correlation. Am Surg 2012;78(10):1161-5
- Brennan SB, Adriana C, Laura L, et al. Papilloma diagnosed at MRI guided vacuum‐assisted breast biopsy: is surgical excision still warranted? AJR. 2012;199(4):W512‐W519.
- Fresia P, Corben AD, Brennan SB, et al. Breast intraductal papillomas without atypia in radiologic pathologic concordant core‐needle biopsies: rate of upgrade to carcinoma at excision. Cancer. 2016;122: 2819‐2827
- Nayak A, Carkaci S, Gilcrease MZ, Liu P, Middleton LP, Bassett RL Jr, et al. Benign papillomas without atypia diagnosed on core needle biopsy: experience from a single institution and proposed criteria for excision. Clin Breast Cancer 2013;13(6):439-49.
There are 21 citations in total.
Details
| Primary Language | English |
|---|---|
| Subjects | Clinical Sciences |
| Journal Section | Case Reports |
| Authors | |
| Publication Date | September 10, 2023 |
| Submission Date | May 4, 2023 |
| Published in Issue | Year 2023 Volume: 1 Issue: 3 |
Journal of Bursa Faculty of Medicine, hosted by Turkish JournalPark ACADEMIC, is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
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