Vacuum-assisted excision of breast lesions of uncertain malignant potential (B3): an alternative to surgery in selected cases

S. L. Tennant; A. Evans; L. J. Hamilton; J. James; A. H. S. Lee; Z. Hodi; I. O. Ellis; E. A. Rakha; A. R. M. Wilson

doi:10.1016/j.breast.2008.08.005

Vacuum-assisted excision of breast lesions of uncertain malignant potential (B3): an alternative to surgery in selected cases

S. L. Tennant, A. Evans, L. J. Hamilton, J. James, A. H. S. Lee, Z. Hodi, I. O. Ellis, E. A. Rakha, A. R. M. Wilson

Research output: Contribution to journal › Article › peer-review

41 Citations (Scopus)

Abstract

To assess whether vacuum-assisted excision (VAE) is a safe alternative to surgery in the treatment of breast lesions Of uncertain malignant potential (B3) in which no atypia is present on needle core biopsy (NCB). Forty two VAE procedures were performed for B3 lesions. Twenty four (57%) were papillary lesions. Eighteen (43%) were radial scars. Two patients (4.7%) were upgraded to carcinoma at VAE. Two patients with papillary lesions went on to develop cancer in the same breast (at 24 and 41 months post VAE). No cancer developed in the radial scar group. Eight patients (19%) had surgery - four for carcinoma, two for radial scars missed at VAE excision and two for symptomatic papillomatosis. Follow-up mammography after VAE of radial scars often showed residual distortion. VAE can be a safe alternative to surgery in the treatment of B3 lesions without atypia, providing thorough multidisciplinary discussion has taken place. (C) 2008 Elsevier Ltd. All rights reserved.

Original language	English
Pages (from-to)	546-549
Number of pages	4
Journal	Breast
Volume	17
Issue number	6
DOIs	https://doi.org/10.1016/j.breast.2008.08.005
Publication status	Published - 2008

Keywords

Radial Scar
Papilloma
B3
CORE-NEEDLE-BIOPSY
PAPILLARY LESIONS
SURGICAL EXCISION
BENIGN
DIAGNOSIS
RISK
UNDERESTIMATION
MULTIPLE
CANCER

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.breast.2008.08.005

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title = "Vacuum-assisted excision of breast lesions of uncertain malignant potential (B3): an alternative to surgery in selected cases",

abstract = "To assess whether vacuum-assisted excision (VAE) is a safe alternative to surgery in the treatment of breast lesions Of uncertain malignant potential (B3) in which no atypia is present on needle core biopsy (NCB). Forty two VAE procedures were performed for B3 lesions. Twenty four (57%) were papillary lesions. Eighteen (43%) were radial scars. Two patients (4.7%) were upgraded to carcinoma at VAE. Two patients with papillary lesions went on to develop cancer in the same breast (at 24 and 41 months post VAE). No cancer developed in the radial scar group. Eight patients (19%) had surgery - four for carcinoma, two for radial scars missed at VAE excision and two for symptomatic papillomatosis. Follow-up mammography after VAE of radial scars often showed residual distortion. VAE can be a safe alternative to surgery in the treatment of B3 lesions without atypia, providing thorough multidisciplinary discussion has taken place. (C) 2008 Elsevier Ltd. All rights reserved.",

keywords = "Radial Scar, Papilloma, B3, CORE-NEEDLE-BIOPSY, PAPILLARY LESIONS, SURGICAL EXCISION, BENIGN, DIAGNOSIS, RISK, UNDERESTIMATION, MULTIPLE, CANCER",

author = "Tennant, {S. L.} and A. Evans and Hamilton, {L. J.} and J. James and Lee, {A. H. S.} and Z. Hodi and Ellis, {I. O.} and Rakha, {E. A.} and Wilson, {A. R. M.}",

year = "2008",

doi = "10.1016/j.breast.2008.08.005",

language = "English",

volume = "17",

pages = "546--549",

journal = "Breast",

issn = "0960-9776",

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number = "6",

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TY - JOUR

T1 - Vacuum-assisted excision of breast lesions of uncertain malignant potential (B3)

T2 - an alternative to surgery in selected cases

AU - Tennant, S. L.

AU - Evans, A.

AU - Hamilton, L. J.

AU - James, J.

AU - Lee, A. H. S.

AU - Hodi, Z.

AU - Ellis, I. O.

AU - Rakha, E. A.

AU - Wilson, A. R. M.

PY - 2008

Y1 - 2008

N2 - To assess whether vacuum-assisted excision (VAE) is a safe alternative to surgery in the treatment of breast lesions Of uncertain malignant potential (B3) in which no atypia is present on needle core biopsy (NCB). Forty two VAE procedures were performed for B3 lesions. Twenty four (57%) were papillary lesions. Eighteen (43%) were radial scars. Two patients (4.7%) were upgraded to carcinoma at VAE. Two patients with papillary lesions went on to develop cancer in the same breast (at 24 and 41 months post VAE). No cancer developed in the radial scar group. Eight patients (19%) had surgery - four for carcinoma, two for radial scars missed at VAE excision and two for symptomatic papillomatosis. Follow-up mammography after VAE of radial scars often showed residual distortion. VAE can be a safe alternative to surgery in the treatment of B3 lesions without atypia, providing thorough multidisciplinary discussion has taken place. (C) 2008 Elsevier Ltd. All rights reserved.

AB - To assess whether vacuum-assisted excision (VAE) is a safe alternative to surgery in the treatment of breast lesions Of uncertain malignant potential (B3) in which no atypia is present on needle core biopsy (NCB). Forty two VAE procedures were performed for B3 lesions. Twenty four (57%) were papillary lesions. Eighteen (43%) were radial scars. Two patients (4.7%) were upgraded to carcinoma at VAE. Two patients with papillary lesions went on to develop cancer in the same breast (at 24 and 41 months post VAE). No cancer developed in the radial scar group. Eight patients (19%) had surgery - four for carcinoma, two for radial scars missed at VAE excision and two for symptomatic papillomatosis. Follow-up mammography after VAE of radial scars often showed residual distortion. VAE can be a safe alternative to surgery in the treatment of B3 lesions without atypia, providing thorough multidisciplinary discussion has taken place. (C) 2008 Elsevier Ltd. All rights reserved.

KW - Radial Scar

KW - Papilloma

KW - B3

KW - CORE-NEEDLE-BIOPSY

KW - PAPILLARY LESIONS

KW - SURGICAL EXCISION

KW - BENIGN

KW - DIAGNOSIS

KW - RISK

KW - UNDERESTIMATION

KW - MULTIPLE

KW - CANCER

U2 - 10.1016/j.breast.2008.08.005

DO - 10.1016/j.breast.2008.08.005

M3 - Article

C2 - 18829318

SN - 0960-9776

VL - 17

SP - 546

EP - 549

JO - Breast

JF - Breast

IS - 6

ER -

Vacuum-assisted excision of breast lesions of uncertain malignant potential (B3): an alternative to surgery in selected cases

Abstract

Keywords

UN SDGs

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