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유방의 중심부바늘생검에서 진단된 세포충실성섬유상피병변에서 엽상종양을 예측할 수 있는가?

Other Titles
 Can We Predict Phyllodes Tumor among Fibroepithelial Lesions with Cellular Stroma Diagnosed at Breast Core Needle Biopsy? 
Authors
 정혜경  ;  고경희  ;  박병우  ;  김민정  ;  김은경  ;  문희정  ;  노지영 
Citation
 Journal of the Korean Radiological Society (대한영상의학회지), Vol.64(6) : 603-609, 2011 
Journal Title
 Journal of the Korean Radiological Society  (대한영상의학회지) 
ISSN
 1738-2637 
Issue Date
2011
Abstract
Purpose: To evaluate the surgical outcomes of fibroepithelial lesion with cellular stroma (FELCS) diagnosed at sonography guided core needle biopsy of breast masses, and to determine whether the clinical and imaging features of this lesion could predict the presence of a phyllodes tumor. Materials and Methods: We retrospectively reviewed the pathologic results of sonography guided core needle biopsy of solid breast masses. A total of 55 FELCS diagnosed with this procedure that underwent subsequent surgical excision were included in this study; their medical records and radiologic images were retrospectively reviewed. Results: The results of the surgical excision revealed 22 (40%) phyllodes tumors and 33 (60%) non-phyllodes tumors: 30 (54.6%) fibroadenomas, 1 (1.8%) adenosis, 1 (1.8%) fibrocystic changes and 1 (1.8%) fibroadenomatous hyperplasia. Lesion size and patient age were significantly different between phyllodes tumors and nonphyllodes tumors groups (32.2 ± 14.07 mm/22.4 ± 13.64 mm, p=0.0078, 43.5 ± 11.60 years/36.5 ± 10.25 years, p=0.0207). Among the sonographic features, only cleft was significantly more visible in phyllodes tumors than in non-phyllodes tumors (n=14 (70%)/n=6 (30%), p=0.0016). Conclusion: The size of the lesions, the age of the patients, and the sonographic features of cleft were the significant helpful variables to predict phyllodes tumors among FELCS diagnosed at breast core biopsy.
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/94498
Appears in Collections:
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실)
1. Journal Papers (연구논문) > 1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실)
Yonsei Authors
김민정(Kim, Min Jung) ; 김은경(Kim, Eun Kyung) ; 문희정(Moon, Heui Jeong) ; 박병우(Park, Byeong Woo)
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