Open AccessBenign Papillomas Diagnosed on Large‐gauge Vacuum‐Assisted Core Needle Biopsy which Span <1.5 cm Do Not Need Surgical Excision
Author(s) -
Mosier Andrew D.,
Keylock Joren,
Smith Donald V.
Publication year - 2013
Publication title -
the breast journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.533
H-Index - 72
eISSN - 1524-4741
pISSN - 1075-122X
DOI - 10.1111/tbj.12180
Subject(s) - medicine , surgical excision , biopsy , lesion , papilloma , radiology , core biopsy , surgery , intraductal papilloma , breast cancer , pathology , cancer
The objective of our study is to determine if a carefully selected subset of benign breast papillomas (size ≤1.5 cm) can be safely followed by imaging surveillance instead of immediate surgical excision. Over a 6½‐year period, 86 breast lesions were diagnosed as a benign papilloma ( BP ) utilizing an 11‐ or 8‐gauge vacuum‐assisted core needle biopsy ( VACNB ) device. In general, it was our intent to remove as much of the radiologically evident lesion as possible. These 86 lesions underwent ≥2 years of imaging surveillance, without surgical excision following initial detection. With ≥2 years of radiologic follow‐up, none of the 86 BP s demonstrated imaging findings that necessitated repeat biopsy or surgical excision. Benign breast papillomas ≤1.5 cm that are biopsied using an 11‐ or 8‐gauge VACNB device with intent to remove as much of the radiologically evident lesion as possible are safe to undergo serial imaging surveillance rather than immediate surgical excision.