3. Ductal papilloma Flashcards

1
Q

How common is it?

A

10% of benign breast lesions

1% of malignant breast tumours

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2
Q

Who does it affect?

A

Most common in women 35-55 y/os

Low incidence in men

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3
Q

What causes it?

A

Abnormal proliferation of ductal epithelial cells

Can be single or multiple

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4
Q

What risk factors are there?

A

OCP, HRT, lifetime oestrogen exposure

FH

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5
Q

What signs may the patient have on examination?

A

Sometimes a palpable lump

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6
Q

How would you investigate?

A

Breast exam
Mammogram (or XR if <40)
FNA / core biopsy

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7
Q

Which other conditions might present similarly?

A

Benign and malignant lesions

Malignant nonpapillary tumours

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8
Q

What complications are there?

A

High-risk precursor lesion to breast cancer

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