Role of radiologic features in the management of papillary lesions of the breast

AJR. American Journal of Roentgenology
W W M LamT K F Ma

Abstract

The purpose of our study was to assess the role of imaging and core biopsy in the management of patients with papillary lesions of the breast. Clinical records and mammographic and sonographic findings of 40 women with papillary lesions in the breast were retrieved. The imaging features and cytologic findings were correlated with histologic findings. Fifty-six papillary lesions in 40 patients underwent either mastectomy, segmental duct resection, or excision biopsy. There were three papillary carcinomas, 13 papillaryal lesions with carcinoma in situ, one atypical papilloma, four sclerosed papillomata, and 35 papillomata. Of these lesions, 37.5% (21/56) and 82.1% (46/56) could be detected on mammography and sonography, respectively. Galactography and dilated ducts helped to suggest the papillary nature of the lesions. However, mammography and sonography were not able to predict malignancy (sensitivity, 69% and 56%, respectively; specificity, 25% and 90%; positive predictive value [PPV], 60% and 75%; and negative predictive value [NPV], 33% and 90%). Combined interpretation of mammography and sonography gave a sensitivity of 61%, specificity of 33%, PPV of 85%, and NPV of 13%. Fine-needle aspiration gave a sensitivity of 44%, spe...Continue Reading

References

Sep 1, 1992·AJR. American Journal of Roentgenology·E R WoodsD D Adler
Jun 1, 1991·The American Journal of Surgical Pathology·F A Tavassoli
Dec 1, 1991·Radiology·G Cardenosa, G W Eklund
May 1, 1994·AJR. American Journal of Roentgenology·G CardenosaG W Eklund
Feb 4, 1999·AJR. American Journal of Roentgenology·L LibermanP P Rosen
May 3, 2002·Cytopathology : Official Journal of the British Society for Clinical Cytology·V Gomez-AracilA Arraiza
Jul 16, 2002·Radiologic Clinics of North America·Laura Liberman, Jennifer H Menell
Oct 22, 2002·AJR. American Journal of Roentgenology·Eric L RosenMary Scott Soo
Sep 19, 2003·Virchows Archiv : an International Journal of Pathology·G MacGrogan, F A Tavassoli
Dec 10, 2003·Archives of Surgery·Haim GutmanFranklin Greiff
Mar 3, 2004·European Radiology·Dominik Fleischmann

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Citations

Jun 5, 2010·Breast Cancer Research and Treatment·Sumanta Kumar PalGeorge Somlo
Jun 6, 2007·Annals of Surgical Oncology·Vance SohnTommy Brown
Aug 22, 2008·AJR. American Journal of Roentgenology·Malai MuttarakWilfred C G Peh
Feb 24, 2011·AJR. American Journal of Roentgenology·Jung Min ChangEun-Jung Jung
Nov 3, 2010·Journal of Cytology·D PrathibaLeena Dennis Joseph
Sep 18, 2008·Radiology·Siegfried A SchwabEvelyn Wenkel
Oct 2, 2012·Archives of Pathology & Laboratory Medicine·Jinous Saremian, Marilin Rosa
Jul 9, 2013·The British Journal of Radiology·Q-L ZhuY-X Jiang
Mar 22, 2012·Japanese Journal of Radiology·Jae Jeong ChoiSang Seol Jung
Feb 11, 2016·Journal of Surgical Case Reports·Fleur E E de VriesBart C Vrouenraets
Jun 13, 2013·European Journal of Radiology·Anna LindaMassimo Bazzocchi
Sep 11, 2012·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·C-Y FuJ-C Yu
Sep 28, 2010·Radiologic Clinics of North America·Dianne Georgian-Smith, Thomas J Lawton
Jun 1, 2009·Surgical Pathology Clinics·Anna Marie Mulligan
Oct 9, 2007·Seminars in Roentgenology·Liane E Philpotts
May 13, 2010·Histopathology·Gary M TseWynnie W Lam
May 28, 2014·The Breast Journal·Paloma WyssChristoph J Rageth
Apr 19, 2011·Acta Radiologica·Kathinka D KurzPer Skaane
Jan 24, 2012·AJR. American Journal of Roentgenology·Savitri KrishnamurthyWei T Yang
Jan 24, 2012·AJR. American Journal of Roentgenology·Karen A LeeJules H Sumkin
Feb 5, 2015·Revista da Associação Médica Brasileira·René Aloisio da Costa VieiraLucas Faria Abrahao-Machado
Jan 20, 2011·Journal of Computer Assisted Tomography·Junya TominagaShoki Takahashi
Nov 4, 2009·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Jung Min ChangMijung Jang
Nov 26, 2014·Journal of Computer Assisted Tomography·Matthias DietzelPascal A T Baltzer
Aug 22, 2008·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·Jae Ho ShimSoon Won Hong

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