Posts Tagged ‘papilloma’

Do You Need Surgery After a Core Needle Biopsy Diagnosis of a High Risk Breast Lesion?

This article about high risk breast lesions in HealthImaging highlights what my Radiology colleague from Harvard and I have been writing and lecturing about over the past several years. There remains significant controversy on how to treat high risk breast lesions that are diagnosed on needle core biopsy. Among these high risk lesions are lobular neoplasia [...]

New Speaking Engagements for Pacific Breast Pathology

Our course entitled “Ten Diagnoses in Breast Pathology You Cannot Afford to Miss” was accepted for a three-year run beginning in March 2013 at the United States and Canadian Academy of Pathology Annual Meeting.  We will be giving the course in Baltimore in 2013, San Diego in 2014, then Boston in 2015. I am giving [...]

Be Cautious of the Information You Get on the Internet About Breast Pathology

I wrote a blog article a couple of years ago about how there is a lot of misinformation given out by many websites where patients can write in and ask questions related to breast pathology issues. Unfortunately, in the past few years nothing seems to have changed. There are still many sites out there where [...]

Papilloma on Core Biopsy

Question: Hi, two weeks ago I had a mammogram that showed calcium in my left breast that was new according to my doctor. They also saw something else on the mammogram with the calcium and then I had an ultrasound. They told me I had a small mass near my nipple that had calcium in [...]

Continued Disagreement on Whether Certain “High Risk” Breast Lesions on Core Biopsy Require Surgery

I recently posted a pdf version of our course on “Controversies on the Management of High Risk Breast Lesions on Core Biopsy” that my Radiology colleague and I gave in San Diego last year.  The diagnoses we are referring to as “high risk” on core biopsy include atypical lobular hyperplasia/lobular carcinoma in situ, papilloma, radial [...]

DCIS and Need for Re-Excision Following Positive Margins

Question: Hello, and thanks for taking the time to answer my questions. March 29th first biopsy done, clinical information and history: Bloody nipple discharge left breast for 20 months, papilloma suspected, mammogram clear. Diagnosis after excision: 1. Low grade DCIS 2. Focal proliferative fibrocystic changes and small intraductal papilloma 3. DCIS focally transected by excision [...]

Our Course on High Risk Breast Lesions on Core Biopsy

I have uploaded a pdf version of our course on high risk lesions on breast core biopsy that we gave last year in San Diego.  We used an audience response system so if you follow through the slides you’ll see the questions we asked of the audience and the responses that we received in real [...]

Update on My Post: Why is There No Consensus on How to Treat Some Diagnoses Found on Core Biopsy?

I wrote an article a while back called “What Your Core Needle Biopsy Diagnosis Means” to help patients understand why sometimes even a “benign” diagnosis may require a surgical excision.  While writing that article, I spoke to many of my colleagues in breast pathology and breast imaging and found out that there is a marked [...]

What Your Core Needle Biopsy Diagnosis Means

In the past decade, core needle biopsy has taken over fine needle aspiration (FNA) as the main tool for diagnosing image-detected or palpable breast lesions. While this biopsy technique is just a sample, cores of breast tissue are removed vs. individual cells as in FNA and thus the pathologist has more information to make an [...]

Atypical Papilloma

Question: I had a mammogram and then a ductogram which showed an abnormality just beneath my nipple. They performed a core biopsy which showed “an atypical papilloma; no definitive ductal carcinoma in situ.” My surgeon told me I need an excision but it may mean removing my nipple. I’d rather not do this unless there [...]