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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Main Authors: Füsun Taşkın, Kutsi Köseoğlu, Serdar Özbaş, Muhan Erkuş, Can Karaman
Format: Article
Language:English
Published: Galenos Publishing House 2010-10-01
Series:European Journal of Breast Health
Subjects:
Online Access: 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.
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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