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What is Intraductal Papilloma?
Intraductal papilloma is a tan-pink, wart-like tumour (usually benign). It develops as a result of abnormal cell growth of around 1 cm behind or near the nipple in one or both breasts. Depending on the location and number of papillomas formed, it can be divided into:
1. Solitary intraductal papilloma: In this condition, a single tumour is developed in the large milk duct, which can be seen near the nipple area. It causes abnormal nipple discharge and also increases the risk of developing cancer.
2. Multiple intraductal papillomas: When multiple papillomas (or tumours) are formed in the smaller milk duct, they cause no or almost negligible discharge from the nipple. They are developed farther from the nipple, causing low risk of developing cancer.
Intraductal Papilloma Surgery
Though intraductal papillomas are benign (non-cancerous), multiple tumours in the milk duct can increase the risk of developing breast cancer. So surgical removal of the papilloma is necessary to prevent further chances of cancer or other breast problems.
The presence of intraductal papillomas can be diagnosed through physical examination. Since the tumour is present in the milk duct, which is deeper in the breast, it’s hard to feel through physical examination. Your doctor may recommend an MRI, ultrasound, ductogram (an imaging test used to identify causes of nipple discharge), or mammary ductoscopy (the use of a small tubular device for direct visualisation of the mammary duct).
The surgery is performed under general anesthesia, followed by the removal of the affected milk duct.
Causes & Symptoms of Intraductal Papilloma
There are still no recognised causes for intraductal breast papillomas. But experts believe that the risk of intraductal papilloma occurs when the cells in the duct start growing faster or abnormally. This overgrowth of cells forms a small lump in your duct. It may also affect you if you have a family history of breast cancer or intraductal papilloma, or if you are on hormone replacement therapy. They mostly affect women (over 40) rather than men.
Symptoms
- A warty lump close to the nipple
- Bloody or fluid discharge from the nipple
- Pain or tenderness in the breast
- Itching or irritation on the breast
- Changes in the breast shape and size
Treatment of Intraductal Papilloma
Usually, doctors recommend surgery to remove intraductal papillomas, but deciding the type of surgery is a challenge as it is hard to discriminate it from breast cancer. The removal of affected milk ducts can be done through:
Excisional Biopsy
In this procedure, the surgeon removes the papilloma plus a margin of healthy breast tissue through an incision. Wire localization (a needle wire is inserted) is done before the surgery to identify the tumour in or near the abnormal breast area. The doctor will make a small incision in the breast and remove the intraductal breast papilloma.
Vacuum-Assisted Surgery
The doctor uses this technique to remove the smaller papillomas from the breast. They make a small incision through which they insert a probe in the skin to reach the tumour, and then a vacuum device sucks it out. The procedure might create a small dent in the breast where the tumour has been removed.
Later, a pathologist examines a sample of the excised tumour to confirm that it is not cancerous.
Advantages
- Single and minimal incisions
- Removes non-cancerous lumps completely
- Improved quality of life
- Relieve the symptoms of advanced cancer
Challenges
- Bleeding, scarring, and infection
- Risk of hematoma (bleeding outside a blood vessel)
- Short-term pain and swelling
- Numbness due to anaesthesia
Cost of Intraductal Papilloma Surgery
The cost of intraductal papilloma removal surgery in India starts at 40,000 INR and can even exceed the mentioned cost depending on the chosen surgeon or surgery facilities. It may also vary depending on the size and location of the tumour and its severity.
Intraductal Papilloma Surgery By Dr. Sunil Tibrewal
Dr Sunil Tibrewal is the perfect destination for problems involving breasts. He is one of the most highly experienced intraductal papilloma removal surgeons, having performed these advanced surgeries for more than 15 years using high-quality treatment and the latest technology.
Contact us to know more about intraductal adenoma surgery, the surgeries we provide, our specialties, and many more options. We are renowned for offering our patients exceptional value, assisting them at every stage, and considering all the nuances of medical procedures.
Reviews & Feedbacks
Comments from people treated by Dr. Sunil Tibrewal.
Sarita Kataruka
Very good experience with Mr tibrewal.I have undergone my appendix operation with him and i am fully satisfied with his work.Well experienced and calm.Thankyou doctor for you work.
Sutanuka Bhowmik
He is my God. He saved my husband's life. When we need help, he is always with us. Very polite doctor. Thank you Sir.
Archit Kayal
Dr. Tibrewal is an excellent doctor. He operated on my mother for appendicitis. Sir is very polite and kept us well informed throughout. He also kept boosting my mother's morale throughout. We are very thankful for everything he did for us.
Kritika Saraf
Excellent Doctor.Very helpful,cooperative ndhumble.I had a great experience of his treatment.
Kiran Singh
Excellent doctor, A very polite and helpful doctor..
Why Choose Dr. Sunil
Senior Surgeon
Dr. Sunil Tibrewal (MBBS, MS, DMB, MRCH, MNAMS, FIAGES) is a qualified specialist with 15+ years of surgical experience.
Advanced Technology
Dr. Sunil Tibrewal uses modern & cutting-edge medical technologies to provide high quality healthcare services.
Complete Care
Dr. Sunil Tibrewal provides assistance and care at every step in your surgical journey i.e., from consultation to cure