Andre Queiroz de Morais, Presenter: Nothing to Disclose

Marcelo Menezes Medeiros, Abstract Co-Author: Nothing to Disclose

Juliana Alves Souza, Abstract Co-Author: Nothing to Disclose

Luciana Karla Lira Franca, Abstract Co-Author: Nothing to Disclose

Almir Bitencourt MD, Abstract Co-Author: Nothing to Disclose

Luciana Graziano MD, Abstract Co-Author: Nothing to Disclose

Camila Guatelli, Abstract Co-Author: Nothing to Disclose

Elvira Ferreira Marques, Abstract Co-Author: Nothing to Disclose

- Intraductal Papilloma presents with a wide spectre of lesions, varying from benign to atypical papillomas until invasive papillary carcinoma. - Due to morphological resemblance between the papillary lesions, the interpretation and the histological differentiation are difficult. - Biopsies with inadequate material increase the underestimation rate. - Objective: a literature review, evaluating the accuracy of the percutaneous needle biopsy for papillary lesions, identifying the underestimation rate and the radiological malignity signs. - Some clinical and radiological aspects are useful to predict the chances of malignancy associated with papillary lesions: BIRADS® classification (underestimation rate around 25% for 4C or 5 category), patients older than 50 years old, lesion size above 1,5 cm and more than 3 cm of distance to the breast nipple. - The majority of studies suggests a surgical excision for atypical papillomas. Regarding the intraductal papillomas without atypia, there are controversies on its management, however, the concordance between the radiological and histopathological findings can make the imaging follow-up a possible choice.  

Breast papillary lesions Diagnosis Treatment Follow-up Management Percutaneous needle biopsy Histopathological-Imaging correlations Safe follow-up

http://abstract.rsna.org/uploads/2014/14016231/14016231_2cvb.pdf

Morais, A, Medeiros, M, Souza, J, Franca, L, Bitencourt, A, Graziano, L, Guatelli, C, Marques, E, Intraductal Papilloma: Accuracy of Needle Biopsy.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14016231.html