Papillary lesions of the breast: a review
Papillary breast lesions are rare breast tumors that comprise a broad spectrum of diseases. Pathologically they present as mass-like projections attached to the wall of the ducts, supported by fibrovascular stalks lined by epithelial cells. On mammogram they appear as masses that can be associated w...
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| Veröffentlicht in: | Breast cancer management 2020-12, Vol.9 (4) |
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| creator | Nuñez, Denny Lara González, Fernando Candanedo Ibargüengoitia, Mónica Chapa Fuentes Corona, Rosaura Eugenia Hernández Villegas, Antonio Carlos Zubiate, Mariana Licano Vázquez Manjarrez, Sara Eugenia Ruiz Velasco, Carlos Casian |
| description | Papillary breast lesions are rare breast tumors that comprise a broad spectrum of diseases. Pathologically they present as mass-like projections attached to the wall of the ducts, supported by fibrovascular stalks lined by epithelial cells. On mammogram they appear as masses that can be associated with microcalcifications. Ultrasound is the most used imaging modality. On ultrasound papillary lesions appear as homogeneous solid lesions or complex intracystic lesions. A nonparallel orientation, an echogenic halo or posterior acoustic enhancement associated with microcalcifications are highly suggestive of malignancy. MRI has proven to be useful to establish the extent of the lesion. Core needle biopsy is the gold standard for diagnosis. Surgical excision is usually recommended, although treatment for papillomas without atypia is still controversial. |
| doi_str_mv | 10.2217/bmt-2020-0028 |
| format | Article |
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Pathologically they present as mass-like projections attached to the wall of the ducts, supported by fibrovascular stalks lined by epithelial cells. On mammogram they appear as masses that can be associated with microcalcifications. Ultrasound is the most used imaging modality. On ultrasound papillary lesions appear as homogeneous solid lesions or complex intracystic lesions. A nonparallel orientation, an echogenic halo or posterior acoustic enhancement associated with microcalcifications are highly suggestive of malignancy. MRI has proven to be useful to establish the extent of the lesion. Core needle biopsy is the gold standard for diagnosis. Surgical excision is usually recommended, although treatment for papillomas without atypia is still controversial.</description><identifier>ISSN: 1758-1923</identifier><identifier>EISSN: 1758-1931</identifier><identifier>DOI: 10.2217/bmt-2020-0028</identifier><language>eng</language><publisher>London: Future Medicine Ltd</publisher><subject>atypical papilloma ; Biopsy ; Breast cancer ; Disease ; encapsulated carcinoma ; Hyperplasia ; invasive papillary carcinoma ; Metastasis ; Morphology ; papillary ; papillary DCIS ; Pathology ; solid papillar ; Tumors ; Ultrasonic imaging</subject><ispartof>Breast cancer management, 2020-12, Vol.9 (4)</ispartof><rights>2020 Lara Nuñez Denny</rights><rights>2020. This work is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). 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Pathologically they present as mass-like projections attached to the wall of the ducts, supported by fibrovascular stalks lined by epithelial cells. On mammogram they appear as masses that can be associated with microcalcifications. Ultrasound is the most used imaging modality. On ultrasound papillary lesions appear as homogeneous solid lesions or complex intracystic lesions. A nonparallel orientation, an echogenic halo or posterior acoustic enhancement associated with microcalcifications are highly suggestive of malignancy. MRI has proven to be useful to establish the extent of the lesion. Core needle biopsy is the gold standard for diagnosis. Surgical excision is usually recommended, although treatment for papillomas without atypia is still controversial.</description><subject>atypical papilloma</subject><subject>Biopsy</subject><subject>Breast cancer</subject><subject>Disease</subject><subject>encapsulated carcinoma</subject><subject>Hyperplasia</subject><subject>invasive papillary carcinoma</subject><subject>Metastasis</subject><subject>Morphology</subject><subject>papillary</subject><subject>papillary DCIS</subject><subject>Pathology</subject><subject>solid papillar</subject><subject>Tumors</subject><subject>Ultrasonic imaging</subject><issn>1758-1923</issn><issn>1758-1931</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNp1kEtLxDAQgIMouKx79F7w5CGaV9vEmyy-YEEPeg5pMsEsfaxJq_jvTal4cy4zA9_MMB9C55RcMUbr66YbMSOMYEKYPEIrWpcSU8Xp8V_N-CnapLQnOSpVk5Kt0OWLOYS2NfG7aCGFoU_F4IvxHYomgknjTWGKCJ8Bvs7QiTdtgs1vXqO3-7vX7SPePT88bW932DIpRqxsxWXpeKUaxRyTRuSaVtzJ2jnhqXXWU6iF5LSijSCisorKEgT3pTOm4Wt0sew9xOFjgjTq_TDFPp_UTNSScyaEyhReKBuHlCJ4fYihy29oSvQsRGchehaiZyGZVwvvp3GKkGyA3oJeug5csKGHf2Z_AM5OZMQ</recordid><startdate>20201201</startdate><enddate>20201201</enddate><creator>Nuñez, Denny Lara</creator><creator>González, Fernando Candanedo</creator><creator>Ibargüengoitia, Mónica Chapa</creator><creator>Fuentes Corona, Rosaura Eugenia</creator><creator>Hernández Villegas, Antonio Carlos</creator><creator>Zubiate, Mariana Licano</creator><creator>Vázquez Manjarrez, Sara Eugenia</creator><creator>Ruiz Velasco, Carlos Casian</creator><general>Future Medicine Ltd</general><scope>FUMOA</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope></search><sort><creationdate>20201201</creationdate><title>Papillary lesions of the breast: a review</title><author>Nuñez, Denny Lara ; 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| language | eng |
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| source | Taylor & Francis Open Access; EZB-FREE-00999 freely available EZB journals |
| subjects | atypical papilloma Biopsy Breast cancer Disease encapsulated carcinoma Hyperplasia invasive papillary carcinoma Metastasis Morphology papillary papillary DCIS Pathology solid papillar Tumors Ultrasonic imaging |
| title | Papillary lesions of the breast: a review |
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