Volume 39, Issue 4, Pages (July 2015)

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Volume 39, Issue 4, Pages 576-581 (July 2015) Outcomes of benign breast papillomas diagnosed at image-guided vacuum-assisted core needle biopsy Jeffrey R. Hawley, Hannah Lawther, Barbaros Selnur Erdal, Vedat O. Yildiz, Selin Carkaci Clinical Imaging Volume 39, Issue 4, Pages 576-581 (July 2015) DOI: 10.1016/j.clinimag.2015.01.017 Copyright © 2015 Elsevier Inc. Terms and Conditions

Fig. 1 A 44-year-old woman presenting for routine annual follow-up with history of previous left breast benign intraductal papilloma diagnosed via stereotactic-guided vacuum-assisted core biopsy using an 11-gauge needle. (A) Mediolateral oblique mammogram obtained 3 years after the biopsy demonstrating the benign intraductal papilloma shows a few scattered calcifications adjacent to 2 biopsy clips in the inferior aspect of the left breast. (B) Magnification view of the same breast 6 years after the benign biopsy shows increase in the number of calcifications (arrows). (C) Subsequent ultrasound exam of the left breast 4 o’clock axis demonstrates an irregular hypoechoic mass corresponding to the area of increasing calcifications. Pathology from ultrasound-guided biopsy demonstrated IDC and DCIS. Clinical Imaging 2015 39, 576-581DOI: (10.1016/j.clinimag.2015.01.017) Copyright © 2015 Elsevier Inc. Terms and Conditions

Fig. 2 A 52-year-old woman who presented for routine screening mammography. (A) Craniocaudal magnification mammogram of the right breast demonstrates a mass with associated coarse heterogeneous calcifications (arrows) in the central posterior aspect of the right breast. No ultrasound correlate was identified. Stereotactic-guided vacuum-assisted core biopsy using an 11-gauge needle yielded a benign intraductal papilloma with sclerosis. (B) Biopsy specimen radiograph demonstrates retrieval of the calcification. Final pathologic examination after surgical excision showed DCIS. Clinical Imaging 2015 39, 576-581DOI: (10.1016/j.clinimag.2015.01.017) Copyright © 2015 Elsevier Inc. Terms and Conditions