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

AskedPublicly Submitted Question
1/19/2018I was recently diagnosed with a small papilloma with atypia. I was told it was half the size of a pea. I am a small breasted woman, barely a 34B. My first surgical consult said it had to come out and would only leave a small scar. I went for a second opinion with a very prominent breast cancer surgeon who said it would leave an indent in my breast. I don't know if he is being overly agressive and taking more or the first surgeon is not aggressive enough. I am very confused as to what to do. I did not expect such differing opinions.
RepliedJHU's Breast Center Reply
1/20/2018I doubt either surgeon knows exactly what it will look like afterward until they get in there to see what they're dealing with. The important thing is to take out the papilloma and a healthy rim of tissue around it so that they get it all. It is extremely difficult for them to know (with the naked eye) exactly how much healthy tissue they need to take to ensure the margins are clear (meaning they got all of the mass). Maybe some surgeons tend to take a little more to avoid having to go back in after the pathology report comes back, while others do their best to take the smallest amount, with every effort to get all of the mass. You will have a scar from the incision and possibly a dent where the tissue is removed. Sometimes, as the tissue settles, the dent can be less noticeable. There are also procedures like fat-grafting, where fat from elsewhere in the body can be withdrawn and injected into the dent.

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