Navigation Links
Surgical excision unnecessary in some patients with benign papillomas
Date:5/2/2012

Imaging surveillance is an acceptable alternative to surgical excision in patients with benign papilloma, diagnosed at breast core biopsy without cell abnormalities, a new study shows.

The study, conducted at the Breast Health Center of California Pacific Medical Center in San Francisco, included 119 papillomas diagnosed at core biopsy without abnormal cells. Imaging follow-up of a minimum of two years without surgical excision was performed on 66 lesions; no cancer was found in this group, said Jessica Leung, MD, FACR, lead author of the study. Surgical excision was done on the remaining 53 lesions, with 50 of those being benign. Ductal carcinoma in situ was diagnosed in the remaining three lesions, she said.

The "histological upgrade rate" (the core biopsy indicated the lesion was benign, but the surgical excision found cancer) was 2.5%, said Dr. Leung. This upgrade rate "approximates the 2% probability of malignancy that is widely accepted for these types of probably benign lesions," she said.

"Currently there is disagreement over whether cancer can be reliably excluded by breast core biopsy," said Dr. Leung. "The benefit of surgical excision is definitive tissue diagnosis and exclusion of cancer. The benefit of imaging surveillance is that it obviates unnecessary surgery, with its associated morbidity for nonmalignant lesions," Dr. Leung said. "This study provides evidence that imaging surveillance is appropriate for these patients," said Dr. Leung.

The incidence of benign papillomas without abnormal cells is uncommon --about 1.4% of imaging-guided core biopsies, noted Dr. Leung. Nevertheless, given the total number of core biopsies performed, the number of benign papillomas diagnosed is sufficiently high to warrant an evidence-based approach to their management. Papillomas are usually histologically complex lesions that are associated with a high degree of abnormal cells, she said.

The study is being presented May 3 at the American Roentgen Ray Society Annual Meeting in Vancouver, Canada.


'/>"/>

Contact: Samantha Schmidt
703-858-4316
American Roentgen Ray Society
Source:Eurekalert

Related medicine news :

1. New surgical technique for removing inoperable tumors of the abdomen
2. Study examines medicare use for Mohs micrographic surgery and surgical excision for skin cancer
3. Nonsurgical Method to Measure Brain Pressure Shows Promise
4. In children born with severe heart defect, surgical management has little effect on neuro outcomes
5. Does BMI affect post-surgical complications, survival in esophageal adenocarcinoma?
6. Pleurectomy/decortication proposed preferred surgical procedure
7. Drug Reduces Complications in Surgical Abortions: Study
8. Surgical breast biopsy not overused, study suggests
9. Regional surgical quality collaborative significantly improves surgical outcomes and reduces cost
10. Surgical robots to provide open-source platform for medical robotics research
11. University of Maryland Department of surgery continues to lead through surgical innovation
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:9/22/2017)... KS (PRWEB) , ... September 22, 2017 , ... ... Plus, a nutritional supplement produced by Native Remedies that helps promote pancreatic health ... priority for many individuals. However, some prescription-based approaches can have negative side effects, ...
(Date:9/22/2017)... , ... September 22, 2017 , ... “Letters From Home”: ... people, even the lost, have value to God. “Letters From Home” is the creation ... a member of the President’s Cabinet of Jerry Savelle Ministries International, who has traveled ...
(Date:9/21/2017)... ... ... 38-Year-Old Plastic Surgeon Gill at Aesthetic Surgery Center is Saluted as Young Achiever ... Surgeon Kiranjeet Gill has been awarded as one of the 15th annual 40-under-40 recipients! ... started in 2003 to salute young achievers in Southwest Florida who have distinguished themselves ...
(Date:9/21/2017)... ... September 21, 2017 , ... Hair restoration surgery ... survey conducted by the International Society of Hair Restoration Surgery (ISHRS). ... rose 60 percent, with 635,189 procedures performed in 2016. , "Like other ...
(Date:9/21/2017)... ... 2017 , ... The New England Center for Children® (NECC®), a global leader ... Hung to the Board of Directors. , “The New England Center for Children ... an invaluable addition to our team,” said Vincent Strully, Jr., President and CEO of ...
Breaking Medicine News(10 mins):
(Date:9/22/2017)... -- As the latest Obamacare repeal effort moves is debated, ... and Lindsey Graham (R-SC) medical device market ... is in an odd place.  The industry wants repeal ... on medical device sales passed along with the Affordable ... visits and hospital customers with the funding to invest ...
(Date:9/19/2017)... , Sept. 19, 2017 HistoSonics, Inc., a venture-backed medical device company developing a ... targeted tissues, announced three leadership team developments today:   ... ... ... Veteran medical device executive Josh Stopek , ...
(Date:9/18/2017)... , Sept. 18, 2017  PMD Healthcare of ... Pharmacy of Kalamazoo, Mich. , have ... service that expedites and streamlines patient and provider access ... 2.0, and wellness management services.  ... used to measure lung function for a variety of ...
Breaking Medicine Technology: