Large intraductal papilloma in the breast: A case report and review of the literature

Abstract

Abstract: Most of the patients who come to the breast clinic present with the complaint of a palpable mass. Some of the pathological lesions that cause this picture are intraductal papillomas. Most intraductal papillomas are smaller than 5 mm. In this article, we aimed to present an unusually large intraductal papilloma case seen as a cystic structure, together with its diagnosis and treatment features, in the light of literature. A 58-year-old female patient was admitted to our hospital with the complaint of retraction of palpable lumps on the left breast. In ultrasonography; A complex cystic mass lesion with a thick wall, smooth contours, a diameter of 56x48 mm in the cystic component and a diameter of 19.2x13.3 mm in the solid component was observed. It was removed with clean surgical margins by excisional biopsy. It reported as low grade papillary ductal intraepithelial neoplasia (Atypical Papilloma). Some researchers have reported that the rate of transformation of benign intraductal papilloma into malignancy with surgical excision may vary between 2% and 10%. We think that in the management of intraductal polypoid lesions, the effectiveness of each of the radiological follow-up, tru-cut biopsy and surgical excision methods should be evaluated on a patient basis. Keywords: Intraductal papilloma, papillary breast lesions, surgical excision

Keywords

• Intraductal papilloma
• papillary breast lesions
• surgical excision

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