Radiological appearances of papillary breast lesions

Brookes, Matthew J.; Bourke, Anita G.

doi:10.1016/j.crad.2008.02.012

Cited by 104 publications

(80 citation statements)

References 27 publications

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“…Sonographically, they are associated with three basic patterns: that of an intraductal mass, with or without duct dilatation; that of an intracystic mass; and that of a predominantly solid formation that occupies virtually all of the duct [1]. Color and power Doppler imaging reveal abundant vascularization with branches arising from a central pedicle [6]. Shear-wave elastosonographic findings provide additional information that allow more specific characterization with respect to that possible with B-mode sonography.…”

Section: Discussionmentioning

confidence: 99%

“…The mammographic appearance of an intraductal papilloma is that of a welldefined, roundish, solitary subareolar mass surrounded by a radiolucent halo; in 25% of all cases the tumor is associated with large calcium deposits [6]. However, these tumors are not always visible on standard mammograms.…”

Section: Discussionmentioning

confidence: 99%

“…This is due to the fact that intraductal papillomatous breast lesions are associated with a broad range of histological types, with different characteristics. At one end of the spectrum are intraductal papillomas; at the other end are lesions such as intraductal papillary carcinomas [6].…”

Section: Introductionmentioning

confidence: 99%

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Intraductal papilloma of the breast: A case report

Tarallo

Canepari

Bortolotto

2012

Journal of Ultrasound

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KEYWORDSBloody nipple discharge; Intraductal papilloma; Sonography.Abstract Intraductal papillomatous lesions in the breast may be manifestations of different histological types of tumors, including papillomas and intraductal papillary carcinomas. Intraductal papillomas are relatively rare, with an incidence of 2e3%. They are benign tumors that arise from the mammary duct epithelium. We observed a tumor of this type in a 51-year-old woman who had noted bloody discharge from her right nipple. She was referred for breast sonography a few days later. The sonographic examination revealed a dilated duct enclosing a mass, which was surgically removed. Histological examination revealed that the lesion was benign (intraductal papilloma). This case illustrates the role of imaging in confirming clinical diagnoses of papillomatous lesions. Histological confirmation is always necessary, however, to rule out the presence of intraductal papillary carcinoma.Sommario Le alterazioni papillomatose intraduttali della mammella includono un vasto range di lesioni con caratteristiche diverse, tra cui il papilloma e il carcinoma papillare intraduttale. Il papilloma intraduttale è una lesione relativamente rara con un'incidenza relativa del 2 e3%. Si tratta di un tumore benigno che origina dall'epitelio dei dotti mammari. Riportiamo il caso di una donna di 51 anni presentatasi all'ambulatorio ecografico del nostro Istituto, dopo aver notato una secrezione ematica dal capezzolo di destra, pochi giorni prima. L'esame ecografico evidenziava un dotto dilatato con all'interno una vegetazione. Si procedeva a escissione chirurgica; l'esame istologico poneva la diagnosi di lesione benigna (papilloma intraduttale). Il caso in esame sottolinea il ruolo dell'imaging, che è quello di confermare la diagnosi clinica di lesione papillomatosa, mentre la diagnosi finale è sempre istologica in particolare la diagnosi differenziale con il carcinoma intraduttale papillare. ª

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Intraductal papilloma of the breast: A case report

Tarallo

Canepari

Bortolotto

2012

Journal of Ultrasound

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“…1,3 Peripheral papilloma is also primarily a disease of middle-aged women. In contrast to central lesions, peripheral papillomas are typically grossly unidentifiable.…”

Section: Intraductal Papillomamentioning

confidence: 99%

Papillary Lesions of the Breast: An Update

Wei

2016

Archives of Pathology &Amp; Laboratory Medicine

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Context.—Papillary lesions of the breast, characterized by the presence of arborescent fibrovascular cores that support epithelial proliferation, constitute a heterogeneous group of neoplasms with overlapping clinical manifestation and histomorphologic features, but may have divergent biological behavior. These lesions are exclusively intraductal neoplasms, although an invasive carcinoma may rarely have a predominantly papillary architecture. Although recognition of a papillary architecture is typically not challenging, the histologic distinction of these entities is not always straightforward. Historically, different terminologies and variable criteria have been proposed for a given entity by various authorities. The difficulty in classifying these lesions has been further confounded by the scarcity of data and the heterogeneity across different studies with regard to the molecular genetic characteristics of this group of lesions. Objective.—To provide an overview focusing on the current concepts in the diagnosis and classification of papillary lesions of the breast incorporating recent molecular genetic advances. Data Sources.—Data were obtained from pertinent peer-reviewed English-language literature. Conclusions.—The recent evolution of molecular techniques has enhanced our knowledge of the pathogenesis of papillary carcinomas of the breast. This, along with emerging outcome studies, has led to prognosis-based reclassification of some of these entities. Additional studies focusing on the molecular signatures are needed to identify potential decision tools to further stratify these lesions with respect to prognostic significance.

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“…Ultrasound has a greater sensitivity for detecting all papillary lesions than mammography [7]. Recently, automated breast ultrasound scanners have been developed, and the ultrasound volume data set of the whole breast can be acquired in a standard manner [8].…”

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confidence: 99%

Characterisation of breast papillary neoplasm on automated breast ultrasound

Zhu

Zhang²,

Xj³

et al. 2013

BJR

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Intraductal papillary neoplasms of the breast form a wide spectrum of pathological changes with benign intraductal papilloma and papillary carcinoma. They can occur anywhere within the breast ductal system. This review illustrates some characteristic appearances of breast papillary neoplasms on coronal planes reconstructed by automatic breast volume scan. Such manifestations are not uncommon in papillary neoplasms, and familiarity will enable confident diagnosis.

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Radiological appearances of papillary breast lesions

Cited by 104 publications

References 27 publications

Intraductal papilloma of the breast: A case report

Intraductal papilloma of the breast: A case report

Papillary Lesions of the Breast: An Update

Characterisation of breast papillary neoplasm on automated breast ultrasound

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