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Recurrence Rates of Benign Phyllodes Tumors After Surgical Excision and Ultrasonography-Guided Vacuum-Assisted Excision.

Authors
 Ga Ram Kim  ;  Eun-Kyung Kim  ;  Jung Hyun Yoon  ;  Min Jung Kim  ;  Hee Jung Moon 
Citation
 ULTRASOUND QUARTERLY, Vol.32(2) : 151-156, 2016 
Journal Title
 ULTRASOUND QUARTERLY 
ISSN
 0894-8771 
Issue Date
2016
MeSH
Adolescent ; Adult ; Age Factors ; Aged ; Breast/diagnostic imaging ; Breast/surgery ; Breast Neoplasms/diagnostic imaging* ; Breast Neoplasms/surgery* ; Female ; Follow-Up Studies ; Humans ; Middle Aged ; Neoplasm Recurrence, Local/diagnostic imaging* ; Phyllodes Tumor/diagnostic imaging* ; Phyllodes Tumor/surgery* ; Ultrasonography, Interventional/methods* ; Ultrasonography, Mammary/methods* ; Vacuum ; Young Adult
Keywords
phyllodes tumor ; local neoplasm recurrence ; surgery ; large-core needle biopsy ; ultrasonography
Abstract
The recurrence rates of benign phyllodes tumors diagnosed through surgery and ultrasound-guided vacuum-assisted excision (US-VAE) were evaluated. A total of 146 benign phyllodes tumors diagnosed by surgery (n = 126) or US-VAE (n = 20) in 144 patients who had further follow-up after surgery or US-VAE were included (median follow-up period, 32.3 months; range, 6.7-142.5 months). Comparisons of recurrence rate, interval to recurrence, patient age, initial tumor size, Breast Imaging Reporting and Data System category, or follow-up interval were performed between the surgery and VAE groups and between groups with and without recurrence. Three cases (2.1%, 3/146) had recurrence and all were in the surgery group (2.4%, 3/126). The surgery group demonstrated larger size than the VAE group (median, 25 vs 16 mm; P < 0.001). The median age of women in the surgery group was older than those in the VAE group (39 vs 33 years, P = 0.509). The median age of women with recurrence (n = 3) was older than those without recurrence (n = 143, 49 vs 38 years, P = 0.023). In conclusion, when benign phyllodes tumor is unexpectedly diagnosed at US-VAE, if there is no residual lesion at US, clinical follow-up rather than further surgery might be recommended.
Full Text
http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00013644-201606000-00009&LSLINK=80&D=ovft
DOI
10.1097/RUQ.0000000000000178
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Ga Ram(김가람) ORCID logo https://orcid.org/0000-0002-4481-5792
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
Moon, Hee Jung(문희정) ORCID logo https://orcid.org/0000-0002-5643-5885
Yoon, Jung Hyun(윤정현) ORCID logo https://orcid.org/0000-0002-2100-3513
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/146949
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