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A Journal on Surgery
Indexed/Abstracted in: EMBASE, Scopus, Emerging Sources Citation Index
Chirurgia 2012 June;25(3):165-7
Excision is indicated for cancerization associated with intraductal papilloma of the breast
Li H.-T. 1, Li S.-J. 2, Li C.-G. 3
1 Department of Surgery, Tianjin TEDA Hospital, Tianjin, China;
2 Pharmaceutical Preparation Section, Tianjin First Center Hospital, Tianjin, China;
3 Department of Surgery, Tangshan Chinese Medical Science Hospital, Tangshan, China
Aim. Although it has been accepted that cancerization associated with intraductal papilloma of the breast require surgical excision, the excision range has been controversial. This study evaluated results of excision at this institution.
Methods. By using computerized pathology files from January of 2000 to December of 2004, 63 cases of cancerization associated with intraductal papilloma of the breast were identified. All specimens were reviewed to deduce the most effective operative mode.
Results. The age of the patients ranged from 25 to 75 years (mean, 53.5). The managements were as follows: of the 63 cases, 2 patients were treated with quarter mastectomy; 12 patients were performed with quarter mastectomy plus axillary lymph node clear away; 20 patients were performed with whole mastectomy plus axillary lymph node clear away; 23 patients were underwent modified radical mastectomy (I style, Auchincloss); 5 patients were underwent modified radical mastectomy (II style, Patey); 1 patient was performed with Radical Mastectomy (Halsted). Based on the postoperation pathological report, 43 cases were finally diagnosed as cancerization associated with intraductal papilloma (carcinoma in situ), wheras 20 cases were cancerization associated with intraductal papilloma accompanied with early stage invasion. All the excision margins were negative and no axillary nodes were involved.
Conclusion. Our findings suggested that as for cancerization associated with intraductal papilloma, it should be successfully managed with local extended lumpectomy including the pathological duct and /or the lump, axillary lymph node clear away be not always necessary.