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Intraductal Papillomas
General questions about intraductal papillomas.
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AskedPublicly Submitted Question
12/11/2017I have multiple Papillomas (8) One excised papilloma grew back after a diagnosis of ADH, with 1mm margins. A subsquent re-excision favored DCIS. I have read if there are more than 5 papillomas it warrants a mastectomy. So my questions are 1. Do excised papillomas grow back. 2. Do papillomas grow back within a year, or new ones develop within a year. 3. Does radiation therapy have any impact on papillomas. And 4. Is the statement correct about multiple papillomas, more than 5 warrant mastectomy versus survellience?
RepliedJHU's Breast Center Reply
12/11/2017Having a single papilloma does not raise breast cancer risk unless it contains other breast changes, such as atypical hyperplasia (ADH). However, having multiple papillomas increases breast cancer risk slightly. Papillomas are a common cause of clear or bloody nipple discharge, especially when it comes from only one breast. The usual treatment is surgery to remove the papilloma and the part of the duct itís in. If papillomas appear in multiples this may be a risk for the development of breast cancer. Where there is also a bloody nipple discharge with multiple papillomas, this tends to indicate a more suspicious situation and if it is an ongoing thing, doctors may consider a mastectomy.

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