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Intraductal Papillomas
General questions about intraductal papillomas.
1,363 Ask a Question

AskedPublicly Submitted Question
4/27/2017I was diagnosed following a CNB with a intraductal papiloma with focal point atypia in October 2015. In Feb 2016 I had surgery to excise the papiloma. The surgery pathology indicated the tissue was benign (but no clip was recovered).

In late 2016 I resumed breast screening at my normal screening/diagnostic location (facility unrelated to where I had the surgery performed). I learned from the radiologist who performed my CNB in 2015 that the clip and the papiloma were still present (6mm solid mass). His report again recommended surgery.

In 2017 I consulted with the surgeon who conducted the first excision attempt in 2016. I underwent a second surgery a week ago, which this time successfully removed the clip (biopsy marker). The puzzling part is that once again the tissue is benign.

Question: Should I be concerned that neither surgery appeared to have removed the papiloma for which the surgery was recommended in the first place? Should I be concerned that the results of the biopsy in 2015 and the surgery pathology in 2016 and 2017, respectively, have failed to produce evidence that a papiloma is present?
RepliedJHU's Breast Center Reply
4/28/2017something is wrong. request that your case be presented to the quality assurance radiology/pathology conference held weekly for cases that show discordance as this one does.

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