Intraductal papilloma

Case contributed by Alexandra Stanislavsky
Diagnosis certain

Presentation

Patient presented for screening mammogram, and reported a recently palpable mass in the right breast.

Patient Data

Age: 68
Gender: Female
mammography

There is a well circumscribed subareolar mass on the right. Apart from this, the screening mammogram series is normal, and notably there are no other circumscribed masses in either breast. 

Rt breast Mammos 2 yr prior

mammography

Comparison with the previous mammogram confirms that this is a new finding.  There was no abnormality in the same location on the prior screening round.

ultrasound

Ultrasound demonstrates a lobulated mass protruding from a dilated duct into a cystic space.  Doppler confirms internal vascularity.

Case Discussion

Ultrasound guided core biopsy, followed by excision biopsy confirm benign intraductal papilloma. 

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