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Phyllodes tumor diagnosed after ultrasound-guided vacuum-assisted excision: should it be followed by surgical excision?

Authors
 Ji Hyun Youk  ;  Hana Kim  ;  Eun-kyung Kim  ;  Eun Ju Son  ;  Min Jung Kim  ;  Jeong-Ah Kim 
Citation
 ULTRASOUND IN MEDICINE AND BIOLOGY, Vol.41(3) : 741-747, 2015 
Journal Title
 ULTRASOUND IN MEDICINE AND BIOLOGY 
ISSN
 0301-5629 
Issue Date
2015
MeSH
Adolescent ; Adult ; Breast Neoplasms/diagnostic imaging ; Breast Neoplasms/pathology ; Breast Neoplasms/surgery* ; Female ; Humans ; Middle Aged ; Phyllodes Tumor/diagnostic imaging ; Phyllodes Tumor/pathology ; Phyllodes Tumor/surgery* ; Retrospective Studies ; Treatment Outcome ; Ultrasonography, Interventional* ; Ultrasonography, Mammary ; Vacuum
Keywords
Breast neoplasms ; Interventional ultrasonography ; Large-core needle biopsy ; Phyllodes tumor
Abstract
Our aim was to retrospectively evaluate the results of ultrasound (US)-guided vacuum-assisted excision (US-VAE) of phyllodes tumors (PTs). A total of 41 PTs diagnosed at US-VAE followed by surgery (n = 27) or at least 2 y of US monitoring (n = 14) were included. By comparison of US-VAE pathology with surgical histology or follow-up US results, cases were divided into upgraded (malignant) and non-upgraded (benign) groups. These two groups were compared with respect to clinical, procedural and US features. Among 27 surgical cases, 2 (8.7%) of 23 benign PTs were upgraded to malignant PTs. The Breast Imaging Reporting and Data System category was retrospectively assigned as 4a (50%) or 4b (50%) in the upgraded group (n = 2) and 3 (64%) or 4a (36%) in the non-upgraded group (n = 39) (p = 0.018). Residual tumor was observed at the site of US-VAE in 15 of 27 surgical cases and 0 of 14 US follow-up cases (36.6%, 15/41). Given the rates of upgrade to malignancy (8.7%) and residual tumor (36.6%), PTs diagnosed after US-VAE should be surgically excised.
Full Text
http://www.sciencedirect.com/science/article/pii/S0301562914007297
DOI
10.1016/j.ultrasmedbio.2014.11.004
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Min Jung(김민정) ORCID logo https://orcid.org/0000-0003-4949-1237
Kim, Eun-Kyung(김은경) ORCID logo https://orcid.org/0000-0002-3368-5013
Kim, Jeong Ah(김정아) ORCID logo https://orcid.org/0000-0003-4949-4913
Kim, Ha Na(김하나)
Son, Eun Ju(손은주) ORCID logo https://orcid.org/0000-0002-7895-0335
Youk, Ji Hyun(육지현) ORCID logo https://orcid.org/0000-0002-7787-780X
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/139716
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