Let’s talk about Intraductal Papilloma of the breast
What is Intraductal Papilloma of the breast?
Intraductal Papilloma of the breast is a benign proliferative lesion of the breast. In humans, the incidence of intraductal papillomas of the breast is around 3% of all breast diseases. Epithelial cells lining the breast ducts are abnormally proliferating
Intraductal papillomas can be divided into two distinct categories. The nipple is the site of development for the central type. They tend to be one-on-one and occur in the later years of a woman’s reproductive life. When it comes to the other variety, known as the peripheral type, which affects younger women, numerous papillomas that arise from ducts in the periphery are more common. Malignancy is more common in the peripheral form.
They are the most prevalent cause of bloody nipple discharge in women between the ages of 20 and 40, and since they are so little, they are usually not seen on mammography. Ultrasound may be able to reveal their presence. Although intrusive, a galactogram is the most conclusive test.
The most common differentials of intraductal papilloma are:
Both these lesions differ from Intraductal Papilloma by partial or complete absence of myoepithelial layer.
In many cases, the masses are too tiny to be sensed or intuited by the human mind. As a result, a galactogram is required to determine the kind of lesion.
Excision may be necessary at times.
Surgical removal of a breast duct, also known as a microdochectomy or microdochotomy, is the procedure of choice.
Here is an exclusive video on Intraductal papilloma. Please check it out and your valuable feedback will be much appreciated.
Thanks
Dr Shashikant Adlekha
