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
References
- Brunicardi CF, Andersen DK, Billliar TR, Dunn DL, Hunter JG, Matthews JB, Pollock RE. Schwartz’s Principles of Surgery, McGraw-Hill Companies, New York, 10th edition, 2015; pp: 497-565.
- L.E. Hughes, N.J. Bundred, Breast macrocysts, World J. Surg. 13 (1989) 711–714
- Tavasolli FA, Devilee P. World Health Organition Classification of Tumours. Pathology and Genetics of the Breast and Female Genital Organs. Lyon, IARC Press, 2003; 9-113
- A. Estabrook, T. Asch, F. Gump, S.J. Kister, P. Geller, Mammographic features of intracystic papillary lesions, Surg. Gynecol. Obstet. 170 (1990) 113–116
- Kasumi F (ed). Ultrasound of breast diseases. 2nd edition. Tokyo: Shinohara–shuppan Co;1983. 19-25.
- Daniel BL, Gardner RW, Birdwell RL, Nowels KW, Johnson D. Magnetic resonance imaging ofintraductal papilloma of the breast. Magn Reson Imaging. 2003; 2ı: 887-92.
- N.M. Foley, J.M. Racz, Z. Al-Hilli, V. Livingstone, T. Cil, C.M. Holloway, et al. An International multicenter review of the malignancy rate of excised papillomatous breast lesions, Ann. Surg. Oncol. 22 (Suppl. 3) (2015) S385–S390.
- Jagmohan P, Pool FJ, Putti TC, Wong J. Papillary lesions of the breast: imaging findings and diagnostic challenges. Diagn Interv Radiol 2013;19(6):471-8.
- Tohno E (ed). Ultrasound diagnosis of breast diseases. 3rd edition. Edinburgh: Churchill Livingstone;1994:94–7.
- Han BK, Choe YH, Ko YH et al. Benign papillary lesions of the breast: sonographic- pathologic correlation. J Ultrasound Med 1999;18:217-23.
