COMPLEX BREAST CYSTS: SONOGRAPHIC FINDINGS AND HISTOPATHOLOGIC RESULTS
Purpose: To evaluate the sonographic findings and histopathological diagnosis of complex breast cysts, and to assess the diagnostic reliability of a 14G core-needle biopsy.Patients and Methods: Sixty-one complex breast cysts that underwent a 14 G core-needle biopsy and/or surgical excisions were ret...
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Galenos Publishing House
2010-10-01
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Series: | European Journal of Breast Health |
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http://www.eurjbreasthealth.com/archives/archive-detail/article-preview/complex-breast-cysts-sonographc-fndngs-and-hstopat/42497
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author | Füsun Taşkın Kutsi Köseoğlu Serdar Özbaş Muhan Erkuş Can Karaman |
author_facet | Füsun Taşkın Kutsi Köseoğlu Serdar Özbaş Muhan Erkuş Can Karaman |
author_sort | Füsun Taşkın |
collection | DOAJ |
description | Purpose: To evaluate the sonographic findings and histopathological diagnosis of complex breast cysts, and to assess the diagnostic reliability of a 14G core-needle biopsy.Patients and Methods: Sixty-one complex breast cysts that underwent a 14 G core-needle biopsy and/or surgical excisions were retrospectively analyzed. Cystic masses with thick wall- thick septation and with solid component were included. Mixed lesions with both cystic and solid appearance were excluded. Radiologic findings and histopathologic diagnosis of these lesions reviewed retrospectively.Results: Of 61 lesions, 39 (64%) were complex cysts with thick wall and/or thick septation and 22 (36%) were complex cysts with solid component. Forty- eight (79%) lesions were diagnosed as benign and 13 (21%) lesions were diagnosed as malignant. Of the 39 complex cysts with thick wall-thick septation, 31 (79%) lesions were diagnosed as benign and 8 (21%) lesions were malignant. Of the 22 complex cysts with solid component, 17 (77%) lesions were diagnosed as benign and 5 (23%) were malignant.Conclusion: Complex breast cysts have malignancy risk and usually require biopsy. Thirteen of 61 (21%) complex cysts proved malignant in our study. Core needle biopsy is a safe and reliable diagnostic procedure in the management of these cases. However, in cases of clinical/radiological/pathological discordance or the presence of atypical cells, a surgical excision should be performed. |
first_indexed | 2024-04-10T12:00:05Z |
format | Article |
id | doaj.art-26e77dfca4874ebeaef5ce3d7d1b3a4a |
institution | Directory Open Access Journal |
issn | 2587-0831 |
language | English |
last_indexed | 2024-04-10T12:00:05Z |
publishDate | 2010-10-01 |
publisher | Galenos Publishing House |
record_format | Article |
series | European Journal of Breast Health |
spelling | doaj.art-26e77dfca4874ebeaef5ce3d7d1b3a4a2023-02-15T16:16:39ZengGalenos Publishing HouseEuropean Journal of Breast Health2587-08312010-10-016413514013049054COMPLEX BREAST CYSTS: SONOGRAPHIC FINDINGS AND HISTOPATHOLOGIC RESULTSFüsun Taşkın0Kutsi Köseoğlu1Serdar Özbaş2Muhan Erkuş3Can Karaman4 Adnan Menderes Üniversitesi Tıp Fakültesi, Radyoloji, Aydın, Türkiye Adnan Menderes Üniversitesi Tıp Fakültesi, Radyoloji, Aydın, Türkiye Adnan Menderes Üniversitesi Tıp Fakültesi, Genel Cerrahi, Aydın, Türkiye Adnan Menderes Üniversitesi Tıp Fakültesi, Patoloji, Aydın, Türkiye Adnan Menderes Üniversitesi Tıp Fakültesi, Radyoloji, Aydın, Türkiye Purpose: To evaluate the sonographic findings and histopathological diagnosis of complex breast cysts, and to assess the diagnostic reliability of a 14G core-needle biopsy.Patients and Methods: Sixty-one complex breast cysts that underwent a 14 G core-needle biopsy and/or surgical excisions were retrospectively analyzed. Cystic masses with thick wall- thick septation and with solid component were included. Mixed lesions with both cystic and solid appearance were excluded. Radiologic findings and histopathologic diagnosis of these lesions reviewed retrospectively.Results: Of 61 lesions, 39 (64%) were complex cysts with thick wall and/or thick septation and 22 (36%) were complex cysts with solid component. Forty- eight (79%) lesions were diagnosed as benign and 13 (21%) lesions were diagnosed as malignant. Of the 39 complex cysts with thick wall-thick septation, 31 (79%) lesions were diagnosed as benign and 8 (21%) lesions were malignant. Of the 22 complex cysts with solid component, 17 (77%) lesions were diagnosed as benign and 5 (23%) were malignant.Conclusion: Complex breast cysts have malignancy risk and usually require biopsy. Thirteen of 61 (21%) complex cysts proved malignant in our study. Core needle biopsy is a safe and reliable diagnostic procedure in the management of these cases. However, in cases of clinical/radiological/pathological discordance or the presence of atypical cells, a surgical excision should be performed. http://www.eurjbreasthealth.com/archives/archive-detail/article-preview/complex-breast-cysts-sonographc-fndngs-and-hstopat/42497 breast sonographycomplex cystbreast |
spellingShingle | Füsun Taşkın Kutsi Köseoğlu Serdar Özbaş Muhan Erkuş Can Karaman COMPLEX BREAST CYSTS: SONOGRAPHIC FINDINGS AND HISTOPATHOLOGIC RESULTS European Journal of Breast Health breast sonography complex cyst breast |
title | COMPLEX BREAST CYSTS: SONOGRAPHIC FINDINGS AND HISTOPATHOLOGIC RESULTS |
title_full | COMPLEX BREAST CYSTS: SONOGRAPHIC FINDINGS AND HISTOPATHOLOGIC RESULTS |
title_fullStr | COMPLEX BREAST CYSTS: SONOGRAPHIC FINDINGS AND HISTOPATHOLOGIC RESULTS |
title_full_unstemmed | COMPLEX BREAST CYSTS: SONOGRAPHIC FINDINGS AND HISTOPATHOLOGIC RESULTS |
title_short | COMPLEX BREAST CYSTS: SONOGRAPHIC FINDINGS AND HISTOPATHOLOGIC RESULTS |
title_sort | complex breast cysts sonographic findings and histopathologic results |
topic | breast sonography complex cyst breast |
url |
http://www.eurjbreasthealth.com/archives/archive-detail/article-preview/complex-breast-cysts-sonographc-fndngs-and-hstopat/42497
|
work_keys_str_mv | AT fusuntaskın complexbreastcystssonographicfindingsandhistopathologicresults AT kutsikoseoglu complexbreastcystssonographicfindingsandhistopathologicresults AT serdarozbas complexbreastcystssonographicfindingsandhistopathologicresults AT muhanerkus complexbreastcystssonographicfindingsandhistopathologicresults AT cankaraman complexbreastcystssonographicfindingsandhistopathologicresults |