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.
2
Q
Who does it effect?
A
- Most common in women between ages 35 and 55.
3
Q
What are the causes?
A
Just breast aging and changes.
4
Q
Breast cancer risk?
A
Lumps further from nipple = multiple papillomas = higher risk of breast cancer.
5
Q
Symptoms?
A
- Breast enlargement
- Lumps
- Pain
- Nipple discharge: 80% have bloody discharge - of less than 6 months duration.
6
Q
Signs on examination?
A
Too small to palpate. Discharge from nipple
Tenderness
7
Q
Investigations you would do:
A
Breast ultrasound
mammogram
breast biopsy can be performed to rule out cancer.
8
Q
Differential diagnosis?
A
Fibrocystic disease
ductal carcinoma in situ
invasive ductal carcinoma
papillary carcinoma of the breast.
9
Q
Treatment
A
surgery to remove the papilloma and the affected part of the milk duct (microdochectomy). - under general anaesthesia.
