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Breast Cancer (Expert Forum)
Benign Sclerosing Papillary Lesion
Questions posted in the Breast Cancer Forum are answered by medical professionals from The Cleveland Clinic. Topics include Breast Biopsy, Chemotherapy, Hormone Therapy, Lumps, Lumpectomy, Lymph node dissection, Lymphedema, Mammograms, Mastectomy, Radiation Therapy, Reconstruction, Self Breast Exam, and Surgery.
Benign Sclerosing Papillary Lesion
by Mel273, Oct 02, 2003 12:00AM
I am a 43 year old with history of benign Fibroadenomas and unilateral serous nipple discharge. It had been previously tested and come back negative on several occasions. I also went for a ductogram in Jan & it came back ok. In July I developed a non lactating mastitis in the LB and went for a followup sonogram. Infection had cleared, but the radiologist found what looked like a another fibroadenoma. I went to the surgeon who recomended MRI & Core Needle Biopsy. Radiologist results came back as fibroadenoma. Pathology stated Benign Sclerosing Papillary Lesion. I am scheduled next week for ductal lavage, excision and ductogram. Can you give me some more info and an opinion?
Thank you so much!
Thank you so much!
Doctor's Answer
by CCF-RN,MSN-rf, Oct 02, 2003 12:00AM
Dear mel273: Most of the time, papillary lesions are benign. However, when these structures are identified, excision is recommended because there is a possibility that there could be malignant cells within the lesion (there is a risk that invasive papillary cancer could develop within an existing papilloma - although this is usually in cases where there are multiple papillomas) and a needle biopsy, which only takes a small sample, could lead to a false negative result.
