Performance of breast lesion excision system (BLES) in complete removal of papillomas presented mammographically as groups of calcifications
| Autor: | Alexandra Christou, Constantinos G Zografos, Dimitra Koulocheri, George C. Zografos, Evangelia Panourgias, Vassilis Koutoulidis, Aphrodite Nonni |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
Image-Guided Biopsy medicine.medical_specialty Breast lesion Breast Neoplasms 030218 nuclear medicine & medical imaging Neoplasms Multiple Primary Stereotaxic Techniques 03 medical and health sciences 0302 clinical medicine Surgical removal Biopsy medicine Atypia Humans Radiology Nuclear Medicine and imaging Aged Retrospective Studies Papilloma medicine.diagnostic_test business.industry Margins of Excision Histology Middle Aged medicine.disease Treatment Outcome 030220 oncology & carcinogenesis Female Surgical excision Radiology business Mammography |
| Zdroj: | Clinical Imaging. 58:50-58 |
| ISSN: | 0899-7071 |
| Popis: | To retrospectively assess the stereotactic one-pass BLES performance in excision of small groups of calcifications seen on mammogram that proved to be papillomas.Between January 2014 and January 2016, 37/400 cases (9.2%) of stereotactic BLES biopsies performed in our department due to suspicious calcifications proved to be papillomas. Lesions with atypia underwent surgical removal and lesions with no atypia were followed up for 2 years. BLES and surgical histology results, radiological removal and 2-years stability were statistically analysed to assess BLES performance in biopsy and excision of papillomas.The mean mammographic size of papillomas was 6.54 mm (st dev = 3.85, range 2 mm-17 mm) and within the size excised by the BLES needle (20 mm). 4/37 cases (10.8%) showed atypia. BLES excision was achieved in 29/37 cases (78.4%); radiological removal based on post BLES mammogram was achieved in 25/29 cases (86.2%). In the remaining 8/37 cases the papillomas were seen at the ink of the specimens' margins; 3/8 cases showed residual calcifications on post-BLES mammogram. The BLES histology result of removal and the mammographic size of the papillomas were found to be statistically significant predictive factors of excision (p 0,001, Fisher's exact test, Mann Whitney test). Follow up mammograms showed no change for a period of 2 years.BLES is a safe and accurate technique to biopsy papillomas with high success rates of excision which could potentially minimize the need of subsequent radiological or surgical excision. |
| Databáze: | OpenAIRE |
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