Follow-up outcomes of benign vascular lesions of breast diagnosed on core needle biopsy: A study of 117 cases.

Authors:
Huina Zhang
Huina Zhang
Spine Research Laboratory
Columbus | United States
Min Han
Min Han
Nanjing Normal University
China
David J Dabbs
David J Dabbs
University of Pittsburgh Medical Center
United States

Breast J 2019 May 18;25(3):401-407. Epub 2019 Apr 18.

Department of Pathology, Magee-Womens Hospital of University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.

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.

Download full-text PDF

Source
https://onlinelibrary.wiley.com/doi/abs/10.1111/tbj.13233
Publisher Site
http://dx.doi.org/10.1111/tbj.13233DOI Listing
May 2019
13 Reads

Publication Analysis

Top Keywords

benign vascular
20
vascular lesions
16
core biopsy
12
surgical excision
12
lesions breast
8
vascular lesion
8
atypical hemangioma
8
follow-up outcomes
8
benign
8
patients
8
excision
6
lesions
6
vascular
6
and/or radiologically
4
clinically and/or
4
followed-up clinically
4
lesions followed-up
4
radiologically surgical
4
excision performed
4
benign hemangiomas
4

References

(Supplied by CrossRef)

Lakhani SR et al.
2012

Hoda SA et al.
2014

Similar Publications