Phyllodes tumor diagnosed after ultrasound-guided vacuum-assisted excision: Should it be followed by surgical excision?

Ji Hyun Youk, Hana Kim, Eun kyung Kim, Eun Ju Son, Min Jung Kim, Jeong Ah Kim

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Our aim was to retrospectively evaluate the results of ultrasound (US)-guided vacuum-assisted excision (US-VAE) of phyllodes tumors (PTs). A total of 41 PTs diagnosed at US-VAE followed by surgery (n= 27) or at least 2 y of US monitoring (n= 14) were included. By comparison of US-VAE pathology with surgical histology or follow-up US results, cases were divided into upgraded (malignant) and non-upgraded (benign) groups. These two groups were compared with respect to clinical, procedural and US features. Among 27 surgical cases, 2 (8.7%) of 23 benign PTs were upgraded to malignant PTs. The Breast Imaging Reporting and Data System category was retrospectively assigned as 4a (50%) or 4b (50%) in the upgraded group (n= 2) and 3 (64%) or 4a (36%) in the non-upgraded group (n= 39) (. p= 0.018). Residual tumor was observed at the site of US-VAE in 15 of 27 surgical cases and 0 of 14 US follow-up cases (36.6%, 15/41). Given the rates of upgrade to malignancy (8.7%) and residual tumor (36.6%), PTs diagnosed after US-VAE should be surgically excised.

Original languageEnglish
Pages (from-to)741-747
Number of pages7
JournalUltrasound in Medicine and Biology
Volume41
Issue number3
DOIs
Publication statusPublished - 2015 Mar 1

All Science Journal Classification (ASJC) codes

  • Biophysics
  • Radiological and Ultrasound Technology
  • Acoustics and Ultrasonics

Fingerprint Dive into the research topics of 'Phyllodes tumor diagnosed after ultrasound-guided vacuum-assisted excision: Should it be followed by surgical excision?'. Together they form a unique fingerprint.

  • Cite this