Mucocele-like lesions diagnosed on breast core biopsy: assessment of upgrade rate and need for surgical excision.

Abstract:

:Mucocele-like lesion (MLL) is a rare mucinous lesion of the breast with highly variable upgrade rates to atypia or malignancy on excision. This spectrum of data has led to differing opinions on the need for surgical excision. We evaluated 50 core biopsy specimens diagnosed as having MLLs and correlated the findings with those of excision pathology. Thirty-eight patients underwent surgical excision and 29 were benign (76%), 4 had atypical ductal hyperplasia (11%), and 5 had ductal carcinoma in situ (13%), with an overall upgrade rate of 13%. However, the risk of upgrade was exclusively associated with the presence of atypia as seen on the needle core biopsy. All 22 MLLs without atypia had benign excisions, while 5 (31%) of the 16 patients with MLLs with atypia were upgraded to ductal carcinoma in situ on excision. No invasive carcinoma was identified. We believe it is reasonable that women with the core biopsy diagnosis of MLL without atypia and no associated mass be offered close clinical follow-up as an alternative to surgery.

journal_name

Am J Clin Pathol

authors

Sutton B,Davion S,Feldman M,Siziopikou K,Mendelson E,Sullivan M

doi

10.1309/AJCP1D8YLCFFTLOW

subject

Has Abstract

pub_date

2012-12-01 00:00:00

pages

783-8

issue

6

eissn

0002-9173

issn

1943-7722

pii

138/6/783

journal_volume

138

pub_type

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