Karadeniz Erdem, Arslan Sukru, Akcay Müfide Nuran, Subaşi Irmak Durur, Demirci Elif
Chirurgia (Bucur). 2016 May-Jun;111(3):225-9.
Papillary breast lesions constitute a pathological heterogeneous group and are characterized by growth in the milk ducts. In this study, we aimed to present in view of literature patients who underwent lumpectomy due to breast mass and with papillary lesion in histopathological examination.
The pathology records and informations of 42 patients who were operated between 2006-2014 in our clinic and considered to have papillary lesion in histopathological examination were examined retrospectively. The patients were evaluated for age, gender, complaints, lesion localizations, performed surgery, histopathological type, follow-up period and the lesions occurring during follow-up.
The excisional biopsy in the form of lumpectomy was made to 34 patients who were reported as benign papillary lesion in coreneedle biopsy performed. The lesion in 11 patients were marked preoperatively by radiology clinic. 33 patients who had benign papillary lesion in excisional biopsy were followed. Modified radical mastectomy was performed to a total of 9 patients including 1 patient with malignant papillary lesion in excisional biopsy and 8 patients with malignant papillary lesion in coreneed lebiopsy.
Histopathological diagnosis should be confirmed by performing definitely excisional biopsy in patients who detected benign papillary lesions by coreneedle biopsy and strict clinical follow-up should be made for developing malignancies in patients who detected benign papillary lesions.
乳腺乳头状病变是一组病理异质性疾病，其特征是在乳腺导管内生长。在本研究中，我们旨在根据文献介绍因乳腺肿块接受肿块切除术且组织病理学检查发现乳头状病变的患者。
回顾性检查了2006年至2014年在我院接受手术且组织病理学检查被认为有乳头状病变的42例患者的病理记录和信息。对患者的年龄、性别、主诉、病变部位、所行手术、组织病理学类型、随访时间以及随访期间出现的病变进行了评估。
对34例在粗针活检中被报告为良性乳头状病变的患者进行了肿块切除形式的切除活检。11例患者的病变术前由放射科进行了标记。对33例切除活检中有良性乳头状病变的患者进行了随访。对包括1例切除活检中有恶性乳头状病变和8例粗针活检中有恶性乳头状病变的9例患者进行了改良根治性乳房切除术。
对于粗针活检发现良性乳头状病变的患者，应通过明确的切除活检来确诊组织病理学诊断，对于发现良性乳头状病变的患者，应进行严格的临床随访以监测是否发生恶性肿瘤。
