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    Intraductal Papillomas

    Overview
    Risk Factors
    Symptoms
    Diagnosis
    Treatment
    Where to Seek Treatment

    Contributed by:
    SingHealth Duke-NUS Breast Centre



    Overview

    Intraductal papillomas are small, tiny wart-like growths in the breast’s milk ducts and are non-cancerous. They are common between the ages of 35 to 55 years.

    There are 3 types of papillomata:

    1. Solitary intraductal papilloma which can present as a single lump near the nipple and can cause nipple discharge.

    2. Multiple papillomas may present as groups or clusters of small growths, farther away from the nipple and may not cause nipple discharge.

    3. Multiple papillomatosis are very small groups of cells inside the ducts and they are more scattered.

    Risk Factors

    There are no known risk factors.

    Symptoms

    It may cause a nipple discharge. If it is near or beside the nipple a small lump may be felt.

    Diagnosis

    Diagnosis is made on clinical breast examination and breast imaging, including mammograms and breast ultrasound. Biopsy is usually recommended to confirm the diagnosis.

    Treatment

    Surgery may be necessary to remove the papilloma and affected part of the milk duct. This is usually curative and presents a good outlook. Vacuum-assisted core needle biopsy (VAB) is an alternative option used for these lesions.

    Where to Seek Treatment

    Specialist services available at the SingHealth Duke-NUS Breast Centre located at:

    National Cancer Centre Singapore Tel: 6436 8088
    Singapore General Hospital Tel: 6321 4377
    Changi General Hospital Tel: 6850 3333
    Sengkang General Hospital Tel : 6930 6000
    KK Women's and Children's Hospital Tel: 6294 4050


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