What should you know about breast intraductal papilloma?

It can occur near the nipple or farther inside the breast. Some papillomas cause clear or bloody discharge from one nipple, while others are found as a small lump or during imaging performed for another reason.

The clinician will ask whether discharge occurs without squeezing, comes from one duct, or contains blood. Examination may be followed by ultrasound or mammography, depending on age, symptoms, and breast tissue.

Imaging can locate a duct lesion but cannot always determine its exact cell type. A core needle biopsy removes small tissue samples so a pathologist can identify the growth and check for atypical or malignant cells.

Keep any imaging and pathology appointments, and avoid repeatedly squeezing the nipple to test for discharge. Record whether fluid appears spontaneously, its colour, and which breast and nipple opening it comes from.

Management depends on the biopsy result, symptoms, imaging agreement, and the lesion's location. Your breast specialist may recommend monitoring or removal of the papilloma and affected duct; excision also allows the whole area to be examined.

Arrange a breast assessment for spontaneous discharge from one nipple, especially if it is bloody or clear, or for a new breast lump. These features require evaluation but do not by themselves identify the cause.

Seek faster care for rapidly increasing swelling, marked redness or heat, fever, pus, or severe worsening pain. Also report nipple inversion, skin dimpling, an open sore, or a new armpit lump without waiting for a routine follow-up.

Ask whether the imaging and biopsy results agree, whether atypical cells were found, and what monitoring or removal would involve. Clarify how the plan may affect the nipple, scarring, sensation, and future breastfeeding.