E-ISSN: 2587-0831 ISSN: 2587-0831
COMPLEX BREAST CYSTS: SONOGRAPHIC FINDINGS AND HISTOPATHOLOGIC RESULTS
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Research Article
VOLUME: 6 ISSUE: 4
P: 135-140
October 2010

COMPLEX BREAST CYSTS: SONOGRAPHIC FINDINGS AND HISTOPATHOLOGIC RESULTS

Eur J Breast Health 2010;6(4):135-140
Füsun Taşkın 1
Kutsi Köseoğlu 1
Serdar Özbaş 2
Muhan Erkuş 3
Can Karaman 1
1. Adnan Menderes Üniversitesi Tıp Fakültesi, Radyoloji, Aydın, Türkiye
2. Adnan Menderes Üniversitesi Tıp Fakültesi, Genel Cerrahi, Aydın, Türkiye
3. Adnan Menderes Üniversitesi Tıp Fakültesi, Patoloji, Aydın, Türkiye
No information available.
No information available
Received Date: 06.08.2010
Accepted Date: 19.08.2010
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ABSTRACT

Purpose:

To evaluate the sonographic findings and histopathological diagnosis of complex breast cysts, and to assess the diagnostic reliability of a 14G core-needle biopsy.

Patients and Methods:

Sixty-one complex breast cysts that underwent a 14 G core-needle biopsy and/or surgical excisions were retrospectively analyzed. Cystic masses with thick wall- thick septation and with solid component were included. Mixed lesions with both cystic and solid appearance were excluded. Radiologic findings and histopathologic diagnosis of these lesions reviewed retrospectively.

Results:

Of 61 lesions, 39 (64%) were complex cysts with thick wall and/or thick septation and 22 (36%) were complex cysts with solid component. Forty- eight (79%) lesions were diagnosed as benign and 13 (21%) lesions were diagnosed as malignant. Of the 39 complex cysts with thick wall-thick septation, 31 (79%) lesions were diagnosed as benign and 8 (21%) lesions were malignant. Of the 22 complex cysts with solid component, 17 (77%) lesions were diagnosed as benign and 5 (23%) were malignant.

Conclusion:

Complex breast cysts have malignancy risk and usually require biopsy. Thirteen of 61 (21%) complex cysts proved malignant in our study. Core needle biopsy is a safe and reliable diagnostic procedure in the management of these cases. However, in cases of clinical/radiological/pathological discordance or the presence of atypical cells, a surgical excision should be performed.