2016
DOI: 10.4048/jbc.2016.19.4.410
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Predictive Factors for Upgrading Patients with Benign Breast Papillary Lesions Using a Core Needle Biopsy

Abstract: PurposeIntraductal papilloma (IDP) is a benign breast disease with malignant potential, for which complete surgical excision is usually recommended. The aim of the present study was to investigate predictive factors for upgrading patients with a benign papillary lesion (BPL).MethodsThis study was an observational study using a prospectively collected cohort. In total, 13,049 patients who underwent a core needle biopsy (CNB) for a breast lesion between January 2009 and May 2015 were enrolled. We reviewed all pa… Show more

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Cited by 46 publications
(49 citation statements)
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“…The increased risk of upgrade in larger lesions has been reported repeatedly . In the 5.8% of cases reported as “underestimated” (ie, upgraded) by Boufelli et al, all were greater than 1 cm .…”
Section: Introductionmentioning
confidence: 83%
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“…The increased risk of upgrade in larger lesions has been reported repeatedly . In the 5.8% of cases reported as “underestimated” (ie, upgraded) by Boufelli et al, all were greater than 1 cm .…”
Section: Introductionmentioning
confidence: 83%
“…Moreover, observing nonatypical histology (on biopsy) in a greater proportion of the lesion should theoretically lower the chance of unexpected atypia or malignancy on excision. In agreement with this logic, multiple studies are advocating that nonsurgical management should hinge on RPC in addition to a size cut‐off . Reportedly, lesions sized >1 cm or >1.5 cm should undergo excision, but these numbers are somewhat arbitrary; further studies long‐term studies will be needed to establish an evidence‐based size cutoff over large sample sizes.…”
Section: Discussionmentioning
confidence: 99%
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