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Radiology Research and Practice
Volume 2011 (2011), Article ID 679864, 4 pages
http://dx.doi.org/10.1155/2011/679864
Clinical Study

Surgical Excision of Benign Papillomas Diagnosed with Core Biopsy: A Community Hospital Approach

Carol W. and Julius A. Rippel Breast Center, Morristown Memorial Hospital, Morristown, NJ 07962, USA

Received 9 September 2011; Accepted 5 October 2011

Academic Editor: Felix Diekmann

Copyright © 2011 Eka Rozentsvayg et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Our goal was to assess the value of surgical excision of benign papillomas of the breast diagnosed on percutaneous core biopsy by determining the frequency of upgrade to malignancies and high risk lesions on a final surgical pathology. We reviewed 67 patients who had biopsies yielding benign papilloma and underwent subsequent surgical excision. Surgical pathology of the excised lesions was compared with initial core biopsy pathology results. 54 patients had concordant benign core and excisional pathology. Cancer (ductal carcinoma in situ and invasive ductal carcinoma) was diagnosed in five (7%) patients. Surgery revealed high-risk lesions in 8 (12%) patients, including atypical ductal hyperplasia, atypical lobular hyperplasia, and lobular carcinoma in situ. Cancer and high risk lesions accounted for 13 (19%) upstaging events from benign papilloma diagnosis. Our data suggests that surgical excision is warranted with core pathology of benign papilloma.