Intraductal papilloma Flashcards
What is an intraductal papilloma?
A warty lesion that grows within one of the ducts in the breast
When do intraductal papillomas most commonly occur?
35-55 years
What is the typical presentation of an intraductal papilloma?
Nipple discharge - clear or blood stained
Tenderness or pain
Palpable lump
What investigations are used to diagnose intraductal papilloma?
Triple assessment:
- Clinical assessment
- Imaging - ultrasound, mammogram, MRI
- Histology - core biopsy or vacuum assisted biopsy
What is ductography?
Involved injecting contrast into the affected duct and performing a mammogram - the papilloma will be seen as an area that does not fill with contrast
What is the management of an intraductal papilloma?
Complete surgical excision