Intraductal Papilloma
Understanding Benign Duct Lesions
Intraductal papillomas are benign growths within breast ducts that can cause nipple discharge or present as lumps. Our expert team provides comprehensive diagnosis and management.
What are Intraductal Papillomas?
Intraductal papillomas are benign (non-cancerous) growths that develop within the milk ducts of the breast. These small, finger-like projections are most commonly found in the larger ducts near the nipple area and can cause various symptoms.
How Intraductal Papillomas Present
Intraductal papillomas can be detected in several ways during clinical examination and imaging studies:
Palpable Lump
A lump close to the nipple that can be felt during examination
Nipple Discharge
Bloody or watery yellow discharge from a single duct
Mammogram Finding
Calcification visible on mammogram imaging
Ultrasound Detection
Small lesion within a duct visible on ultrasound
Diagnosis and Biopsy
Intraductal papillomas are identified through needle biopsy, which shows characteristic papillary cells. This procedure is essential for accurate diagnosis and determining the appropriate treatment approach.
Biopsy Findings
Needle biopsy reveals papillary cells that are characteristic of these benign growths. The pathologist can identify the specific cellular patterns that distinguish papillomas from other breast conditions.
Why Excision is Usually Recommended
Malignancy Risk
In up to about 5% of cases, the papillary cell changes seen on needle biopsy may be associated with malignancy, either in situ or invasive cancer.
It is very difficult to distinguish benign papillomas from these more uncommon malignancies, so excision of the papilloma is the usual management in most circumstances.
Surgical Excision Options
Open Surgical Biopsy
Vacuum Excision Biopsy
Why Choose Our Specialists
Expert Care for Intraductal Papillomas
Get expert evaluation and treatment for intraductal papillomas from our FRACS qualified breast specialists. We provide comprehensive care from diagnosis through surgical management.