2018 ASM / R-0052
Vacuum assisted excision of Breast Papilloma under ultrasound guidance as an alternative to surgery. How we do it
Type:
Educational Exhibit
Keywords:
Breast, Ultrasound, Vacuum assisted biopsy, Cancer, Neoplasia
Authors:
A. Varma, S.-Y. P. Chou; QLD/AU
DOI:
10.1594/ranzcr2018/R-0052
Background
- Intraductal papillomas (IDP) are commonly encountered in routine breast ultrasound,
especially in patients presenting with nipple discharge.
- IDP is typically small,
hypoechoeic,
round or ovoid in shape,
and arises within a breast duct. It is often associated with proximal ductal distention.
- On mammography,
IDP may be identified as a nodular mass,
with or without calcifications.
- All IDPs excised at our Institution are all biopsy-proven papillomas without atypia.
- Vacuum assisted core biopsy is an accepted technique for sampling microcalcifications under stereotactic guidance.
Using the same device,
benign IDP can be excised,
with good clinical outcome,
by vacuum assisted percutaneous freehand technique.