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Intraductal Papillomas
General questions about intraductal papillomas.
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AskedPublicly Submitted Question
7/21/2017I was diagnosed via US with bilateral papillomas. The biopsy showed both of them to be benign. A surgeon has recommended that I have both of them removed to do further testing as the risk of CA goes up since I have two. What does the literature recommend in terms of having surgery verses watchful waiting with yearly mammograms? Will the surgery affect my lymph drainage? The papillomas are roughly 4mms at 2 and 3 o'clock.
RepliedJHU's Breast Center Reply
7/21/2017surgery should have no impact on lymphatic drainage because the axillary nodes are not being disturbed. standard of care is to have them surgically removed to ensure there are no atypical or cancer cells associated with them. the core needle biopsy confirms they are papillomas but doesn't provide any further information since it is a tiny sampling of what is there. cancer risk may not be higher with 2 vs 1, however standard of care is to surgically remove them doing what is referred to as a surgical excision. if you want to consider coming our way, call 443-997-1513. you will want a breast surgical oncologist.

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