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Cellular fibroadenoma on Core needle biopsy: management recommendations for the radiologist.
Clinical Imaging 2016 July
INTRODUCTION: Cellular fibroadenomas (CFA) are difficult to distinguish from phyllodes tumor (PT) at biopsy. This study's purpose was to determine what CFA characteristics were associated with recommendations to follow-up or excise and if the current algorithm was correct.
MATERIALS AND METHODS: Databases from 2002 to 2014 were reviewed. Mass characteristics and post biopsy recommendations were recorded.
RESULTS: 81 CFAs were diagnosed; 19 cellular and 62 with slightly cellular stroma. 21 masses were surgically excised with 2 PTs diagnosed.
CONCLUSION: Larger mass size and increased histologic cellularity were associated with excision recommendation, but only clinical growth was associated with PT.
MATERIALS AND METHODS: Databases from 2002 to 2014 were reviewed. Mass characteristics and post biopsy recommendations were recorded.
RESULTS: 81 CFAs were diagnosed; 19 cellular and 62 with slightly cellular stroma. 21 masses were surgically excised with 2 PTs diagnosed.
CONCLUSION: Larger mass size and increased histologic cellularity were associated with excision recommendation, but only clinical growth was associated with PT.
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