Difference between revisions of "Intraductal papilloma of the breast"

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#redirect [[Breast_pathology#Intraductal_papilloma]]
'''Intraductal papilloma''', also '''papilloma''', is a relatively common benign [[breast pathology|pathology of the breast]].


==General==
*May cause nipple discharge.<ref>{{Cite journal  | last1 = Zervoudis | first1 = S. | last2 = Iatrakis | first2 = G. | last3 = Economides | first3 = P. | last4 = Polyzos | first4 = D. | last5 = Navrozoglou | first5 = I. | title = Nipple discharge screening. | journal = Womens Health (Lond Engl) | volume = 6 | issue = 1 | pages = 135-51 | month = Jan | year = 2010 | doi = 10.2217/whe.09.81 | PMID = 20050819 }}</ref>
*Similar to ''[[papillary hidradenoma]]'' of the [[vulva]].
==Microscopic==
Features:
*True papillae - nipple-shaped structures with fibrovascular cores.
*Intraductal proliferation of epithelial and myoepithelial elements.<ref name=pmid2123505>{{Cite journal  | title = Adenoma of Nipple. | journal = Br Med J | volume = 1 | issue = 5330 | pages = 563 | month = Mar | year = 1963 | doi =  | PMID = 20789667 | PMC = 2123505 | url = http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2123505/?page=1 }}</ref>
Notes:
*Lacks florid hyperplasia.<ref>URL: [http://surgpathcriteria.stanford.edu/breast/nippleadenoma/printable.html http://surgpathcriteria.stanford.edu/breast/nippleadenoma/printable.html]. Accessed on: 6 August 2011.</ref>
*May degeneration and hyalinize to form a ''sclerosing papilloma''.
DDx:
*Intraductal papilloma with [[florid epithelial hyperplasia]].
*Intraductal papilloma with [[atypical ductal hyperplasia]]. †
*Intraductal papilloma with [[ductal carcinoma in situ]]. †
*[[Invasive papillary carcinoma of the breast]].
† Size criteria are different in papillomas.
===Images===
<gallery>
Image:Papillary_hidradenoma_-_low_mag.jpg | Papillary hidradenoma - low mag. (WC/Nephron)
Image:Papillary_hidradenoma_-_very_high_mag.jpg | Papillary hidradenoma - very high mag. (WC/Nephron)
</gallery>
==See also==
*[[Breast pathology]].
*[[Papillary hidradenoma]].
==References==
{{Reflist|2}}
[[Category:Breast pathology]]
[[Category:Diagnosis]]
[[Category:Diagnosis]]

Revision as of 02:56, 16 February 2014

Intraductal papilloma, also papilloma, is a relatively common benign pathology of the breast.

General

Microscopic

Features:

  • True papillae - nipple-shaped structures with fibrovascular cores.
  • Intraductal proliferation of epithelial and myoepithelial elements.[2]

Notes:

  • Lacks florid hyperplasia.[3]
  • May degeneration and hyalinize to form a sclerosing papilloma.

DDx:

† Size criteria are different in papillomas.

Images

  • Papillary hidradenoma - low mag. (WC/Nephron)

  • Papillary hidradenoma - very high mag. (WC/Nephron)

See also

References

  1. ↑ Zervoudis, S.; Iatrakis, G.; Economides, P.; Polyzos, D.; Navrozoglou, I. (Jan 2010). "Nipple discharge screening.". Womens Health (Lond Engl) 6 (1): 135-51. doi:10.2217/whe.09.81. PMID 20050819.
  2. ↑ "Adenoma of Nipple.". Br Med J 1 (5330): 563. Mar 1963. PMC 2123505. PMID 20789667. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2123505/?page=1.
  3. ↑ URL: http://surgpathcriteria.stanford.edu/breast/nippleadenoma/printable.html. Accessed on: 6 August 2011.
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