Tehran University of Medical Sciences

Science Communicator Platform

Stay connected! Follow us on X network (Twitter):
Share this content! On (X network) By
Papillary Lesion of the Breast in a Young Girl Suspicious to Juvenile Papillomatosis, Clinical Decision Making in a Multi-Disciplinary Team and Review of the Literature Publisher



Zavieh MM1 ; Ardalan FA2 ; Karimi F3 ; Sedighi N4 ; Omranipour R1, 5 ; Elahi A6
Authors
Show Affiliations
Authors Affiliations
  1. 1. Department of Surgery, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Department of Pathology, Tehran University of Medical Sciences, Tehran, Iran
  3. 3. Department of Pathology, Alborz University of Medical Sciences, Alborz, Karaj, Iran
  4. 4. Department of Radiology, Tehran University of Medical Sciences, Tehran, Iran
  5. 5. Breast Cancer Research Center, Tehran University of Medical Sciences, Tehran, Iran
  6. 6. Department of Surgery, Alborz University of Medical Sciences, Alborz, Karaj, Iran

Source: Archives of Breast Cancer Published:2020


Abstract

Background: Papillary lesions of the breast are a heterogeneous group of neoplasms, the diagnosis and treatment of which is challenging. Typically surgical excision is recommended for papillary lesions after core needle biopsy (CNB) to rule out concurrent malignancy when a diagnosis of papilloma with atypia is yielded on CNB. For papilloma without atypia, however, making a decision about excision versus observation is challenging. Case Presentation: A 14-year-old female with nipple discharge, and a 2 cm mass in the right breast, with the pathology of intra-ductal papilloma without atypia on CNB presented. The question to be answered by multi-disciplinary team was the best management of this papillary lesion and whether the follow up was adequate or excision was mandatory. Question: What is the best plan for management of the young patient according to the primary pathology report of Juvenile Papillomatosis? Conclusion: Histoathology review of CNB specimen in rare and high risk lesions may have some advantages. On the other hand, in high risk circumstances, the excision of the lesion is recommended. Thus, in this case, the multidisciplinary team recommended excision of the lesion. © 2020 The Author(s).