ductal papilloma found in biopsy

[wendyot]

I had a segmental excisional biopsy for 2 areas of microcalcification clusters.  I could not have a needle biopsy because the calcifications were too close to the chest wall. The biopsy was benign, but a ductal papilloma was found.  It was not seen on either the enhanced mammogran nor on the MRI.  I was told by the surgeon if it had been found on steriotactic needle biopsy that I would have had to have the open biopsy anyway.   Years ago I had a D&C and uterine papillomas were found.  Are they related?  Do they ever indicate a canercous or precancerous condition?  If there is one, are there likely to be more?  What imagining technique is used to find them?

[PaulMD]

Hi.

The previous uterine and the present breast papillomas are not related, and the presence of one does not increase your risk of developing the other.  These breast papillomas are benign conditions that is not pre-malignant, but I would still suggest you still undergo serial screening such as that of mammograms and ultrasounds to catch any new breast lesions.  Though papillomas may not be seen with these tests, you can still catch other more serious breast lesions such as that of DCIS or invasive cancer early in their course.

Regards.

[madgeOwens]

Also, it would be a good idea to have lumpectomy or incisional biopsy because right next to that area there could be cancer. This is what my surgeon told me, and I had calcifications and papilloma....after lumpectomy it came back atypical hyperplasia which I was told was one stage from cancer cell formation. Mine too was in duct and near breast wall. Please continue the treatment recommended, it is so important.