Department of Pathology, Magee-Womens Hospital of University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
Breast J. 2019 May;25(3):401-407. doi: 10.1111/tbj.13233. Epub 2019 Apr 18.
Benign vascular lesions of breast are uncommon findings on core biopsy and surgical excision has been recommended to rule out a more serious lesion. However, a recent study suggested that excision may be spared for vascular lesion without atypia. The aim of this study was to assess the follow-up outcomes in lesions yielding benign vascular lesions on core biopsy. We retrospectively reviewed 117 patients with diagnosis of hemangioma (106 patients) and atypical hemangioma (11 patients) on core biopsy at our institution over an 18-year period. Majority of benign vascular lesions were followed-up clinically and/or radiologically. Surgical excision was performed on 18 patients (16.9%) with benign hemangiomas and all 11 patients (100%) with atypical hemangiomas. Upon excision, the majority of patients (82.8%, 24/29) retained benign final pathology and five patients (17.2%) were atypical hemangioma. There was no upgrade on excision. All patients had a benign course regardless whether the lesions were excised or not. Our findings support the recent study that benign vascular lesion of breast may not require surgical excision.
乳腺良性血管病变在核心活检中不常见，为排除更严重的病变，通常建议进行手术切除。然而，最近的一项研究表明，对于非典型性血管病变，切除可能是不必要的。本研究旨在评估核心活检诊断为良性血管病变患者的随访结果。我们回顾性分析了 18 年来在我院经核心活检诊断为血管瘤（106 例）和非典型性血管瘤（11 例）的 117 例患者。大多数良性血管病变通过临床和/或影像学进行随访。18 例良性血管瘤患者（16.9%）和 11 例非典型性血管瘤患者（100%）进行了手术切除。切除后，大多数患者（82.8%，24/29）保留了良性的最终病理，5 例患者（17.2%）为非典型性血管瘤。切除后没有升级。无论是否切除，所有患者的病程均为良性。我们的研究结果支持最近的研究，即乳腺良性血管病变可能不需要手术切除。
