Excision recommended in high‐risk patients: Revisiting the diagnosis of papilloma on core biopsy in the context of patient risk. Issue 2 (30th January 2019)

• Record Type: Journal Article
• Authors: Chen, Yun An; Mack, Julie A.; Karamchandani, Dipti M.; Zaleski, Michael P.; Xu, Liyan; Dodge, Daleela G.; Chetlen, Alison L.
• Is Part Of: Breast journal. Volume 25:Issue 2(2019)
• Page Start: 232
• Page End: 236
• Publication Date: 2019-01-30
• Subjects: high risk -- intraductal papillomas -- surgical excision -- upgrade; Breast -- Diseases -- Periodicals; Breast -- Cancer -- Periodicals; 618.19
• DOI: 10.1111/tbj.13200
• Languages: English
• ISSNs: 1075-122X

Abstract

Abstract: 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.