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Published on: March 9, 2017
Mammary gland papilloma--diagnostic and therapeutic behavior
V Uzunova1, G Paskalev, K Murdjhev
1Chest and Abdominal Surgery Department, Medical University-Plovdiv.
Abstract:
Papillary lesions of the mammary gland represent a serious disease and incorporate a broad spectrum of lesions. The goal of the current article is to reveal the diagnostic methods and therapeutic behavior in patients with pathological discharge from the nipple of the mammary gland. In this article we present 15 cases of histologically proven mammary gland papilloma. Mammographic, ultrasonographic and cytologic methods are applied for diagnostic specification. The chosen therapeutic behavior in all of the women is surgical. We take into consideration the possibilities of the different diagnostic methods as well as the therapeutic behavior-conservative or surgical approach. We reckon that when there is suspicion for mammary gland papilloma a surgical intervention is necessary to be carried out--due to the functional discomfort and due to the possibility intraductal carcinoma in situ to be missed out in some cases.
Insights
Papillary lesions of the breast, often presenting as nipple discharge, require prompt diagnosis and surgical treatment. Early detection of mammary gland papilloma is crucial to manage symptoms and rule out potential malignancy.
Area of Science:
- Oncology
- Surgical Pathology
- Diagnostic Imaging
Background:
- Papillary lesions of the mammary gland are a significant concern, encompassing diverse pathological conditions.
- Pathological nipple discharge is a common presentation requiring thorough investigation.
Purpose of the Study:
- To outline diagnostic methods for mammary gland papilloma.
- To define appropriate therapeutic strategies for patients with pathological nipple discharge.
Main Methods:
- Histological confirmation of mammary gland papilloma in 15 cases.
- Utilized mammography, ultrasonography, and cytology for diagnostic assessment.
- Surgical intervention as the primary therapeutic approach.
Main Results:
- Diagnostic imaging and cytology were employed to specify the nature of the lesions.
- All cases of confirmed mammary gland papilloma were treated surgically.
- Surgical management addresses functional discomfort and mitigates the risk of missed intraductal carcinoma in situ.
Conclusions:
- Surgical intervention is recommended for suspected mammary gland papilloma.
- This approach is essential for managing symptoms and preventing the potential omission of early-stage cancers.

