Intraductal Papilloma

OVERVIEW

An intraductal papilloma is a a small benign tumor that forms in the milk duct of the breast.

Source
Source
WHAT MAKES US SUSPECT IT?

Initial Presentation:

  • Palpable breast mass: NOT REQUIRED sometimes is absent as well
  • Pathological nipple discharge: unilateral, bloody, serious

Physical Exam

  • Unilateral bloody discharge can be seen
  • Often this papilloma is not palpable on exam.
CLINICAL WORKUP

Mammography is often the first step (with the presentation above). This can be used to rule out carcinoma (even if there is no palpable breast mass). In the case of intraductal papilloma it can reveal no findings, or a single dilated breast duct.

Ultrasound may also be performed in certain circumstances. In the case of intraductal papilloma it can reveal no findings, or a single dilated breast duct.

Excision/biopsy of the affected duct may be used to confirm the diagnosis.

ARCHIVE OF STANDARDIZED EXAM QUESTIONS 

This archive compiles standardized exam questions that relate to this topic.

 

Page Updated: 10.18.2016