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Intraductal papilloma of the breast — management
Affiliations- 1st Chair of General Surgery, Department of General, Oncological and Gastroenterological Surgery, Jagiellonian University Medical College, Cracow, Poland
- University Center for Breast Diseases, University Hospital in Cracow, Poland
- Chair of of Pathomorphology, Jagiellonian University Medical College, Cracow, Poland
- Chair of Gynaecology and Obstetrics, Department of Gynaecology and Oncology, Jagiellonian University Medical College, Cracow, Poland
open access
Abstract
In light of the growing availability of ultrasound testing and invasive diagnostic methods of the breast in everyday gyneco- logic practice, lesions of uncertain malignant potential, classified histologically as B3, have become a significant health issue. Intraductal papillomas (IPs) are the most common pathology in that group of lesions. Despite their benign histologic appearance, IPs may accompany malignant growths and the diagnosis made on the basis of biopsy material carries the risk of breast cancer (BC) underestimation. The article presents a review of the available literature on the management of patients diagnosed with intraductal papilloma at a standard core needle biopsy or vacuum-assisted core needle biopsy. The management is not uniform and depends not only on the verification technique or the accompanying pathological growths, but also on the result of clinical-pathological correlations. As it turns out, open surgical biopsy should not necessarily be recommended to every affected woman, and a growing number of sources have recently suggested that a control program would be sufficient in many cases. Thus, it is vital for gynecologists to be able to differentiate between those women who may be included in the annual ultrasound control program and those who require further surgical management.
Abstract
In light of the growing availability of ultrasound testing and invasive diagnostic methods of the breast in everyday gyneco- logic practice, lesions of uncertain malignant potential, classified histologically as B3, have become a significant health issue. Intraductal papillomas (IPs) are the most common pathology in that group of lesions. Despite their benign histologic appearance, IPs may accompany malignant growths and the diagnosis made on the basis of biopsy material carries the risk of breast cancer (BC) underestimation. The article presents a review of the available literature on the management of patients diagnosed with intraductal papilloma at a standard core needle biopsy or vacuum-assisted core needle biopsy. The management is not uniform and depends not only on the verification technique or the accompanying pathological growths, but also on the result of clinical-pathological correlations. As it turns out, open surgical biopsy should not necessarily be recommended to every affected woman, and a growing number of sources have recently suggested that a control program would be sufficient in many cases. Thus, it is vital for gynecologists to be able to differentiate between those women who may be included in the annual ultrasound control program and those who require further surgical management.
Keywords
intraductal papilloma; B3 breast lesions; core needle biopsy; vacuum-assisted core needle biopsy; underestimation; breast cancer
About this articleTitle
Intraductal papilloma of the breast — management
Journal
Issue
Article type
Review paper
Pages
100-103
Published online
2019-02-28
Page views
5654
Article views/downloads
4320
DOI
Pubmed
Bibliographic record
Ginekol Pol 2019;90(2):100-103.
Keywords
intraductal papilloma
B3 breast lesions
core needle biopsy
vacuum-assisted core needle biopsy
underestimation
breast cancer
Authors
Diana Hodorowicz-Zaniewska
Joanna Szpor
Pawel Basta
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