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Central Breast Papilloma

Central breast papilloma is a non-cancerous (benign) tumor that forms in the milk ducts of the breast. These growths are typically small and can cause symptoms such as nipple discharge or a palpable lump. While they are not cancerous, they can sometimes be associated with an increased risk of breast cancer.

Presentation

Patients with central breast papilloma often present with symptoms such as clear or bloody nipple discharge. Some may notice a small lump near the nipple, which can be tender. The discharge is usually spontaneous and may occur from one breast. In some cases, there may be no symptoms, and the papilloma is discovered during routine breast imaging.

Workup

The diagnostic workup for central breast papilloma typically involves a combination of imaging and biopsy. A mammogram or ultrasound can help visualize the papilloma and assess its characteristics. If a papilloma is suspected, a core needle biopsy may be performed to obtain a tissue sample for histological examination. This helps confirm the diagnosis and rule out malignancy.

Treatment

Treatment for central breast papilloma often involves surgical removal, especially if there is significant nipple discharge or if the papilloma is large. The procedure, known as an excisional biopsy, involves removing the papilloma and a small margin of surrounding tissue. This not only alleviates symptoms but also ensures that no cancerous changes are present.

Prognosis

The prognosis for individuals with central breast papilloma is generally excellent, as these growths are benign. However, regular follow-up is recommended, as there is a slightly increased risk of developing breast cancer in the future. Surgical removal typically resolves symptoms and reduces the risk of recurrence.

Etiology

The exact cause of central breast papilloma is not well understood. It is believed to result from abnormal growth of cells within the milk ducts. Hormonal factors may play a role, as these papillomas are more common in women, particularly those nearing menopause.

Epidemiology

Central breast papillomas are relatively uncommon, accounting for a small percentage of all breast lesions. They are most frequently diagnosed in women aged 35 to 55. While they can occur in men, this is exceedingly rare.

Pathophysiology

Central breast papillomas develop from the epithelial cells lining the milk ducts. These cells proliferate abnormally, forming a small, wart-like growth within the duct. The papilloma may cause blockage, leading to fluid accumulation and discharge. Despite their benign nature, these growths can sometimes harbor atypical cells, necessitating careful evaluation.

Prevention

There are no specific measures to prevent central breast papilloma. However, regular breast examinations and imaging can aid in early detection. Maintaining a healthy lifestyle, including a balanced diet and regular exercise, may contribute to overall breast health.

Summary

Central breast papilloma is a benign breast condition characterized by small growths in the milk ducts. While not cancerous, they can cause symptoms like nipple discharge and may slightly increase the risk of breast cancer. Diagnosis involves imaging and biopsy, and treatment typically includes surgical removal. The prognosis is generally favorable, with regular follow-up recommended.

Patient Information

If you have been diagnosed with a central breast papilloma, it's important to understand that this is a benign condition. Symptoms like nipple discharge or a lump near the nipple are common, and treatment usually involves a minor surgical procedure to remove the growth. Regular check-ups are important to monitor breast health. If you have any concerns or notice changes in your breast, discuss them with your healthcare provider.

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