Ductal Papilloma Flashcards

1
Q

What is it?

A

Benign breast tumour that forms in a milk duct.

These tumours are made of gland and fibrous tissue as well as blood vessels.

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2
Q

Who does it effect?

A
  • Most common in women between ages 35 and 55.
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3
Q

What are the causes?

A

Just breast aging and changes.

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4
Q

Breast cancer risk?

A

Lumps further from nipple = multiple papillomas = higher risk of breast cancer.

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5
Q

Symptoms?

A
  • Breast enlargement
  • Lumps
  • Pain
  • Nipple discharge: 80% have bloody discharge - of less than 6 months duration.
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6
Q

Signs on examination?

A

Too small to palpate. Discharge from nipple

Tenderness

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7
Q

Investigations you would do:

A

Breast ultrasound
mammogram
breast biopsy can be performed to rule out cancer.

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8
Q

Differential diagnosis?

A

Fibrocystic disease
ductal carcinoma in situ
invasive ductal carcinoma
papillary carcinoma of the breast.

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9
Q

Treatment

A

surgery to remove the papilloma and the affected part of the milk duct (microdochectomy). - under general anaesthesia.

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