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Nonmalignant papillary lesions of the breast at US-guided directional vacuum-assisted removal: a preliminary report

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Abstract

This study was conducted to assess the accuracy of US-guided directional vacuum-assisted removal (US-DVAR) in evaluating nonmalignant papillary breast lesions. This retrospective study was approved by the institutional review board at our institution; patient consent was not required. We reviewed the clinical and pathology findings from a total of 39 papillary lesions diagnosed at vacuum-assisted removal in 37 patients (age range, 26–60 years; mean age, 44.5 years). Over the follow-up period, we evaluated whether any histologic upgrade occurred and whether or not residual lesions were detected on follow-up imaging. US-DVAR of 39 lesions yielded tissue that was classified as benign in 35 and atypical in 4. Of the 35 lesions that were diagnosed as histologically benign at US-DVAR, 2 were surgically excised. Both of them yielded benign results. Of the 33 benign lesions that were not surgically excised, 28 (85%) were not seen at radiographic follow-up. Of the four lesions diagnosed as atypical at US-DVAR that were surgically excised, all the four were benign. None proved to be malignant. The upgrade rate was 0.0% (95% confidence interval, 0–9%). Among our patients, diagnosis by US-DVAR of benign papillary lesions proved to be accurate, and benign papillary lesions at US-DVAR did not need to be surgically excised for accurate diagnosis.

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Authors and Affiliations

  1. Department of Radiology, Research Institute of Radiological Science, Yonsei University Health System, Seodaemun-ku Shinchon-dong 134, Seoul, 120–752, South Korea

    Min Jung Kim, Eun-Kyung Kim, Jin Young Kwak, Eun Ju Son & Ki Keun Oh

  2. Department of Surgery, Yonsei University Health System, Seodaemun-ku Shinchon-dong 134, Seoul, 120–752, South Korea

    Byeong-Woo Park & Seung-Il Kim

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  1. Min Jung Kim
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  2. Eun-Kyung Kim
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  3. Jin Young Kwak
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  4. Eun Ju Son
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  5. Byeong-Woo Park
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  6. Seung-Il Kim
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  7. Ki Keun Oh
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Correspondence to Eun-Kyung Kim.

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Kim, M.J., Kim, EK., Kwak, J.Y. et al. Nonmalignant papillary lesions of the breast at US-guided directional vacuum-assisted removal: a preliminary report. Eur Radiol 18, 1774–1783 (2008). https://doi.org/10.1007/s00330-008-0960-7

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  • DOI: https://doi.org/10.1007/s00330-008-0960-7

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