Document Detail

The management of papillary breast lesions on core biopsy: the contentious issues.
MedLine Citation:
PMID:  17592679     Owner:  NLM     Status:  MEDLINE    
The management of papillary lesions of the breast diagnosed on core needle biopsy is highly contentious. Papillary lesions are epithelial proliferations of breast tissue and are on a continuum of mutations with atypical hyperplastic lesions and in situ carcinoma. With the current literature suggesting that excisional biopsy of papillary lesions might not be required, we discuss a unique case that suggests otherwise. We present a 21-year-old woman with multiple papillary lesions on core biopsy of a breast lesion, and a subsequent excisional biopsy revealing extensive in situ carcinoma of the breast. This finding necessitated total mastectomy. This unique case highlights that core biopsy specimens are unable to effectively exclude adjacent in situ carcinoma and suggests that papillary lesions diagnosed on core needle biopsy require excisional biopsy.
Warren M Rozen; Samuel Joseph; Craig Murphy
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Clinical breast cancer     Volume:  7     ISSN:  1526-8209     ISO Abbreviation:  Clin. Breast Cancer     Publication Date:  2007 Jun 
Date Detail:
Created Date:  2007-06-26     Completed Date:  2007-08-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100898731     Medline TA:  Clin Breast Cancer     Country:  United States    
Other Details:
Languages:  eng     Pagination:  644-6     Citation Subset:  IM    
Department of Surgery, Royal Melbourne Hospital, Victoria, Australia.
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MeSH Terms
Biopsy, Needle
Breast Neoplasms / pathology*
Carcinoma in Situ / pathology*
Diagnostic Errors / prevention & control
Lymph Node Excision
Papilloma / pathology*

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