Comparative Analysis of Pathologic Diagnosis between Puncture and Excision of Breast Papillary Lesions

摘要

Objective: to analyze the pathologic diagnosis of puncture and excision of breast papillary lesions. Methods: selecting 292 cases diagnosed with papillary breast mass through ultrasound-guided coarse needle biopsy (CNB) and who subsequently underwent surgical resection, and comparing the pathologic diagnosis result of puncture and excision. Results: between the two diagnostic methods there were consistent (100%). The resected diagnosis upgrade proportion in CNB diagnosis patients with intraductal papilloma and atypical papilloma was 24.8% (50/201) and 33.9% (20/59). A small number of resections were diagnosed as degraded 8.9% (26/292). Conclusion: the CNB diagnostic consistency for papillary carcinoma is high, but the detection rate of other types of diagnosis is low. Therefore, it is necessary to perform complete resection and examination for cases diagnosed as papillary tumor through CNB to prevent missed diagnosis.