Clinical Radiologic Analysis of 2964 Papillary Breast Lesions.

IF 1.9 4区医学 Q3 OBSTETRICS & GYNECOLOGY Breast Journal Pub Date : 2024-12-24 eCollection Date: 2024-01-01 DOI:10.1155/tbj/5639017

Hanyu Zhang, Anbang Hu, Yanling Li, Mingcui Li, Zhiyuan Rong, Weilun Cheng, Yansong Liu, Yunqiang Duan, Jianyuan Feng, Ziang Chen, Tianshui Yu, Jiarui Zhang, Ting Wang, Yuhang Shang, Zhengbo Fang, Jiangwei Liu, Fanjing Kong, Fei Ma, Baoliang Guo

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Abstract

Background: Clinical management of papillary breast lesions (PBLs) remains controversial. Our objective was to analyze the independent risk factors associated with malignant PBLs. Methods: A retrospective review of clinical variables in 2964 patients with papillary lesions available for evaluation. Results: This retrospective study screened that older patients (≥ 50 years), postmenopausal, palpable tumor, tumor size ≥ 15 mm, peripheral tumor, and tumor with calcification were independent risk factors affecting malignant PBLs. Moreover, the probability of malignant PBLs without the appealed risk factors was only 3.4%. Conclusions: Patients without risk factors for papillary lesions can manage their health with imaging surveillance. The choice of surgical treatment for the remaining patients is a reasonable recommendation.

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乳腺乳头状病变2964例临床放射学分析。

背景：乳腺乳头状病变（pbl）的临床处理仍然存在争议。我们的目的是分析与恶性pbl相关的独立危险因素。方法：对2964例乳头状病变患者的临床资料进行回顾性分析。结果：本回顾性研究筛选出年龄≥50岁、绝经后、可触及肿瘤、肿瘤大小≥15mm、外周肿瘤、肿瘤合并钙化是影响恶性pbl的独立危险因素。无上述危险因素的恶性pbl发生率仅为3.4%。结论：没有乳头状病变危险因素的患者可以通过影像学监测来管理他们的健康。剩余患者选择手术治疗是一种合理的建议。

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来源期刊

Breast Journal 医学-妇产科学

CiteScore

4.00

自引率

0.00%

发文量

审稿时长

4-8 weeks

期刊介绍： The Breast Journal is the first comprehensive, multidisciplinary source devoted exclusively to all facets of research, diagnosis, and treatment of breast disease. The Breast Journal encompasses the latest news and technologies from the many medical specialties concerned with breast disease care in order to address the disease within the context of an integrated breast health care. This editorial philosophy recognizes the special social, sexual, and psychological considerations that distinguish cancer, and breast cancer in particular, from other serious diseases. Topics specifically within the scope of The Breast Journal include: Risk Factors Prevention Early Detection Diagnosis and Therapy Psychological Issues Quality of Life Biology of Breast Cancer.