What should you know about multiple intraductal papilloma?

An intraductal papilloma is a small, wart-like growth that develops inside a milk duct. When several are present, they may occur in one breast or in both breasts. Some people notice a small lump, clear or bloody nipple discharge, or tenderness; others have no symptoms and the findings appear on breast imaging. The appearance on an examination or scan cannot always show exactly what the tissue is, so a biopsy may be recommended. A biopsy removes a sample for laboratory assessment and helps distinguish a papilloma from other breast changes.

Arrange the breast assessment recommended by your clinician and take any previous imaging reports to the appointment. Depending on the size, position and number of papillomas, care may include monitoring, a needle biopsy, or removal of the affected duct or lump. If tissue is removed, the laboratory result helps determine whether further follow-up is needed. Read about [Breast Biopsy](/treatments/diagnostics-and-imaging/breast-biopsy/) and [Breast Lump Excision](/treatments/breast-care/breast-lump-excision/) to understand these options.

Contact a healthcare professional promptly for a new breast lump, spontaneous nipple discharge, blood-stained discharge, nipple inversion, skin dimpling, or a change that persists. Seek urgent help if the breast becomes rapidly swollen, red and very painful, or you feel unwell with a fever. These signs can have several causes, so they should be assessed rather than self-diagnosed.

Ask which duct or ducts are affected, whether the imaging finding needs a biopsy, and what the pathology result could change. You can also ask whether removal is advised, how the procedure may affect nipple sensation or breastfeeding, and what follow-up schedule is appropriate.