Open AccessExcision recommended in high‐risk patients: Revisiting the diagnosis of papilloma on core biopsy in the context of patient risk
Author(s) -
Chen Yun An,
Mack Julie A.,
Karamchandani Dipti M.,
Zaleski Michael P.,
Xu Liyan,
Dodge Daleela G.,
Chetlen Alison L.
Publication year - 2019
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.13200
Subject(s) - medicine , atypia , malignancy , context (archaeology) , papilloma , intraductal papilloma , biopsy , ductal carcinoma , medical history , radiology , breast cancer , cancer , pathology , paleontology , biology
We investigate the clinical history, past medical history, and risk status in women with benign intraductal papillomas(IDP). We observed an upgrade rate of 3.9% to ductal carcinoma in situ (DCIS) and upgrade rate of 10.7% to a high‐risk lesion. Prior or concurrent atypia or cancer and high‐risk status had a significant increase risk of upgrade. Surgical excision of papillomas is recommended especially in high‐risk patients and women with concurrent or history of atypia or malignancy.