Benign Vascular Lesions of the Breast Diagnosed by Core Needle Biopsy Do Not Require Excision

Abstract

Aims

Surgical excision of all benign vascular lesions of the breast identified by core needle biopsy has been recommended in the past to rule out a more serious lesion. In this study we investigated the clinical, radiologic, and pathologic findings in patients diagnosed with a benign vascular lesion at our institution to assess whether excision may be spared for lesions without atypia.

Methods and results

We searched the electronic medical record for patients with a vascular lesion of the breast diagnosed between 2000 and 2015. The study population consisted of 84 patients, 83 females and 1 male. The index diagnoses included 76 benign vascular lesions, 5 vascular lesions with cytologic atypia, and 3 angiosarcomas. A radiologist reviewed all pre and post-biopsy imaging studies; all cases had concordant radiologic and pathologic findings. Based on radiologic and histologic correlation, the vascular lesion accounted for the radiologic target in 40 (48%) cases and was deemed an incidental finding in 44 (52%). 7 of 32 (22%) targeted and 10 of 44 (23%) incidental benign vascular lesions underwent surgical excision; there were no upgrades at excision. No recurrences or clinical events were observed in patients with a targeted or incidental benign vascular lesion with a median followup of 39 months and 40.6 months, respectively.

Conclusion

Our data suggest that benign vascular lesions diagnosed on core biopsy with concordant radiologic and pathologic findings do not warrant surgical excision.

This article is protected by copyright. All rights reserved.

from #ORL-AlexandrosSfakianakis via ola Kala on Inoreader http://ift.tt/2sJx3fR
via IFTTT