Intraductal papilloma

Question 1

What is an intraductal papilloma?

Is is benign/malignant?

Answer 1

A benign tumour which is the result of proliferation of epithelial cells within one of the breast ducts

Although an intraductal papilloma itself is benign, it is associated with an increased risk of breast cancer

Question 2

Describe the clinical features of intraductal papilloma

Answer 2

• Nipple discharge (typically clear or bloodstained)
• Mastalgia
• Breast lump

Question 3

Describe the investigation of intraductal papilloma

Answer 3

Must be investigated to exclude breast cancer (triple assessment)

Question 4

Describe the management of intraductal papilloma

Answer 4

Complete surgical excision