An intraductal papilloma is a small, benign tumor that occurs in the milk duct of the breast. These tumors consist of gland and fibrous tissue as well as blood vessels. It is most common in women aged 35-55 years. There are no known risk factors for intractal papilloma.
Breast tumors are not always indicative of cancer. Benign breast conditions can also cause lumps. One of these conditions is intraductal papilloma.
What are the different types of intraductal papillomas?
When a single tumor grows in the large milk ducts, it is called a solitary intraductal papilloma. It typically feels like a small lump near the nipple and can cause the nipple to bleed. This type of lump is not associated with a higher risk of breast cancer.
Read more: 6 possible conditions that can cause breast lumps »
The ducts away from your nipple are smaller, and papillomas in this area typically appear as clusters of small tumors. These tumors are called multiple papillomas and have been associated with a slightly higher risk of breast cancer. This is because multiple papillomas are due to a precancerous breast disease called atypical hyperplasia.
A condition called papillomatosis is sometimes grouped together with intraductal papillomas. It develops when there is abnormal cell growth in your milk ducts. Papillomatosis also has a higher risk of breast cancer.
What are the symptoms of intraductal papilloma?
Intraductal papilloma can cause breast enlargement, lumps, and nipple discharge. Some people may also experience pain or discomfort in their breasts.
An intraductal papilloma typically presents as a larger lump near your nipple or as multiple smaller lumps further away from your nipple. These lumps are normally 1 to 2 centimeters wide, but they can be larger. The size of the lump depends on the size of the channel in which it grows. Sometimes you can’t even feel the punch.
Intraductal papilloma symptoms are similar to other breast tumors. It’s important to see your doctor if you see or feel a lump in your breast. Your doctor can address any of your concerns and examine the lump to make a diagnosis.
Could this happen to breastfeeding mothers?
What if blood comes from the breast of the nursing mother? In early breastfeeding, accompanied by sore and damaged nipples, this is likely due to a weak latch. Getting help with breastfeeding from a lactation consultant can solve this problem.
If this bleeding is due to an intraductal papilloma, the bloody discharge will come from a single duct in a breast and will be painless.
You should continue to breastfeed on the other breast. Pump to the bleeding breast and discard the milk while there is visible blood in it. Use a low setting on the breast pump.
Bleeding usually stops on its own without any treatment. If bleeding continues for several days, see your doctor. You may need treatment, but this can be done with care so as not to interfere with breastfeeding.
How is intraductal papilloma diagnosed?
Your doctor may recommend a breast ultrasound if he or she suspects an intraductal papilloma. This type of imaging test is more effective at showing papillomas than a standard mammogram. However, a mammogram will also be done to check for other abnormalities.
Additional tests may also be done:
To rule out cancer breast biopsy can be done. In a breast biopsy, your doctor will insert a thin needle into your breast tissue and remove some cells. This type of biopsy is called fine needle aspiration. If you are experiencing nipple discharge, your doctor may want to perform a surgical biopsy. This allows them to examine your breast tissue in more detail.
If you have nipple discharge, your doctor may use a breast discharge to look for cancer cells. a microscopic examination may want to do.
A ductogram Also, your doctor’s diagnosis to put might help. This is a type of X-ray that helps identify the underlying cause of nipple discharge. During a ductogram, contrast dye is injected into your chest ducts so your doctor can see them more easily on X-rays. Although this test can be used in some situations, it has been largely replaced by ultrasound.
How is intraductal papilloma treated?
Standard treatment for this condition includes surgery to remove the papilloma and the affected part of the milk duct. The surgery is typically performed under general anesthesia, which means you will be asleep during the procedure.
Depending on the severity of the disease, you may or may not need to stay in the hospital overnight. You will have a small wound from the cut, usually near your nipple. Although it leaves a mark at first, it fades over time.
Tissues taken during surgery will be tested for the presence of cancerous cells. Further treatment may be necessary if cancerous cells are found.
What is the long-term outlook for patients with intraductal papilloma?
The outlook for patients with intraductal papilloma is generally good after surgical removal of the papilloma. If you have multiple papillomas and are under 35, you should talk to your doctor about the increased risk of breast cancer.
Ask your doctor about support groups or counselors who can help you through the treatment process.
How can I prevent intraductal papillomas?
There is no specific way to prevent an intractal papilloma. However, you can increase the likelihood of early detection by seeing your doctor regularly for breast exams, performing monthly breast self-exams, and getting regular screening mammograms. You should also call your doctor if you have any concerns about your breast health.
Read more: Breast self-exam »
Intraductal papillomas. (2016).
Intraductal papilloma. (2015).
Kumar KS, et al. (2017). Clinical study of benign breast diseases. DOI:
Noncancerous tumors of the breast. (Nd).
Wambach K, et al. (2014). Breastfeeding and human breastfeeding (5th ed.). Burlington, MA: Jones and Bartlett Learning.
What is a ductal papilloma? (Nd).
YuJH, et al. (2013). Breast diseases during pregnancy and lactation. DOI: