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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2015.1
- 수록면
- 133 - 138 (6page)
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Purpose: To evaluate the upgrade rate of ultrasonography (US)-guided core-needle biopsy(CNB) of the breast for a pure mucocele-like lesion (MLL), to evaluate the clinical and radiologicfeatures, and to correlate the image-pathologic features further on to guide the management ofMLL.
Methods: Between January 2003 and February 2013, 14-gauge US-guided CNB was performedin 18,111 cases. Thirty-two cases associated with MLL were identified, and five cases of MLLsassociated with breast carcinoma or with other high-risk breast lesions (i.e., atypical ductalhyperplasia [ADH], papillary lesions, lobular carcinoma in situ , and radial scar complex) wereexcluded. Among these 27 pure MLLs, 21 cases with surgical or vacuum-assisted excision (VAE)pathology were included in our study. Medical records, mammograms, and ultrasonograms werereviewed for the clinical and radiologic features of the cases.
Results: Among the 21 cases with pure MLLs at CNB, the final pathology showed a 0%proportion of cases upgraded to malignancy. All the 21 cases with either surgical or VAEpathology were benign MLLs including three cases of focal involvement of ADH (14.3%). Thecommon features were mammographic features of microcalcifications that were round in shapeand had a grouped distribution. The US features included oval shape, circumscribed margin,parallel orientation, complex solid and cystic echo pattern, no posterior feature, and complexsolid and cystic echoic masses. The predominant Breast Imaging Reporting and Data System (BIRADS)category was 4A. All the lesions showed image-pathologic concordance.
Conclusion: For pure MLL on US-guided CNB with image-pathologic concordance, close imagingfollow-up might be considered instead of surgical excision.
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참고문헌 (22)
참고문헌 신청
Sutton B / 2012 / Mucocele-like lesions diagnosed on breast core biopsy:assessment of upgrade rate and need for surgical excision / Am J Clin Pathol 138:783~788
Carkaci S / 2011 / Do all mucocele-like lesions of the breast require surgery? / Clin Imaging 35:94~101
Begum SM / 2009 / Mucin extravasation in breast core biopsies--clinical significance and outcome correlation / Histopathology 55:609~617
Jacobs TW / 2002 / Nonmalignant lesions in breast core needle biopsies: to excise or not to excise? / Am J Surg Pathol 26:1095~1110
Carder PJ / 2004 / Surgical excision is warranted following a core biopsy diagnosis of mucocoele-like lesion of the breast / Histopathology 45:148~154
Carkaci S / 2011 / Do all mucocele-like lesions of the breast require surgery? / Clin Imaging 35:94~101
Begum SM / 2009 / Mucin extravasation in breast core biopsies--clinical significance and outcome correlation / Histopathology 55:609~617
Jacobs TW / 2002 / Nonmalignant lesions in breast core needle biopsies: to excise or not to excise? / Am J Surg Pathol 26:1095~1110
Carder PJ / 2004 / Surgical excision is warranted following a core biopsy diagnosis of mucocoele-like lesion of the breast / Histopathology 45:148~154
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