papilloma

I have intrasductal papilloma. The general surgeon specializes in breast cancer. She said I also have a papilloma on my nipple too. She was recommended to redue the mammogram/ultrasound in six months, but said she will not. She said she wants to see me in six months unless I have more blood come out of my breast or notice any other changes. I have periodic shooting pain in that breast now.
Is this reasonable to wait? From everythng I have read, you cannot tell if a papilloma is cancerous or benign by mammogram or ultrasound alone, but that it needs to be biopsied. Waiting six months not knowing seems odd to me. What do you think?

[CCF-RN,MSN-rf]

Dear LisaG:  How was the papilloma diagnosed? Usually it involves a biopsy - otherwise it is just a guess - albeit educated - based on the symptoms you are having and perceived risk factors.  A papilloma is generally benign - as long as you know it's a papilloma.

[surgeon]

If the diagnosis is based on the situation, but not on an actual biopsy, it is still a well-educated guess. If it's based on tissue that was removed and examined, then it's accurate. I personally would not be comfortable with a presumptive diagnosis as opposed to a definitive one based on biopsy.

[LisaG]

I agree...I get this uneasy feeling that she is guessing and making me wait. I think I will call her and ask for a biopsy. Thank you for your input!!

[peipei]

A related discussion, multipal pappiloma was started.