Abstract
Article: Breast Papillomas: A Comprehensive Review
Authors: Christine Bloom, MHA, RDMS, RT(R)
Category: Breast
Credit: 1.0 SDMS CME Credit
Objectives: After studying the article entitled “Breast Papillomas: A Comprehensive Review,” you will be able to:
Describe the characteristics of single versus multiple papillomas
Determine appropriate imaging modality choices for breast papillomas
Describe ultrasound-guided biopsy techniques for papillomas
Of all invasive breast cancers, papillary carcinoma is diagnosed in _____ of patients. 1%–2% 3%–4% 5%–6% 8%–9%
For patients presenting with a palpable lump, the first imaging modality to be used should be Sonography Mammography Magnetic resonance imaging Ductography
Most benign intraductal papillomas occur in women who are Premenopausal, age 30–35 years Perimenipausal, age 35–55 years Postmenopausal, age 55–60 years Postmenopausal, age 65–70 years
Peripheral papillomas are so named because of Their spread beyond the breast Their distance from the nipple Their location in the larger ducts Their involvement with the terminal ductal lobular unit
Following mammography, identification of intraductal papillomas is best done using Sonography Ductography Magnetic resonance imaging Computed tomography
All detected papillomas should be biopsied or surgically excised because The majority of lesions are malignant Partial mastectomy is ineffective Benign and malignant lesions have similar characteristics Of the risk of spread to axillary lymph nodes for all lesions
The reported sensitivity/specificity of sonography alone for the detection of papillomas is approximately 70%–75% 80%–85% 85%–90% 90%–95%
The sensitivity/specificity of mammography combined with targeted sonography is approximately 70% 80% 85% 90%
Using sonography, it is important to image papillomas in orthogonal views To avoid acoustic shadowing artifacts To determine the lesion size and location To create a three-dimensional image of the lesion To differentiate benign from malignant lesions
Unlike papillomas, when manually compressed, inspissated ductal secretions will Retain their shape Demonstrate increased stiffness on sonoelastography Disperse Demonstrate decreased stiffness on sonoelastography
Footnotes