FROM ATYPICAL FIBROADENOMA TO INTRADUCTAL PAPILLOMA: THE DIAGNOSTIC DILEMMA OF A BREAST LUMP. (CASE REPORT)

Dr. Showkat Bashir Lone*, Dr. Ansari Mohd Danish Mohd Nasim, Dr. Mehjabeen Fatimah

ABSTRACT

Any woman, regardless of age, who finds a breast lump—whether self-detected, discovered by a screen, or discovered by a clinician—becomes more fearful of breast cancer. Even though most breast lumps are benign, it is most important to evaluate any palpable breast lesion. A benign breast tumor called intraductal papilloma typically manifests clinically as bloody nipple discharge. Malignant transformation can occasionally occur in the intraductal papilloma of the breast. Many pathologists recognize solitary and numerous papillomas as distinct entities nowadays, with the latter typically considered the source of malignancy. There is still debate regarding how to treat intraductal papilloma after core biopsy. Usually, atypia-presenting papilloma is removed, since coexisting cancer is present in all studies at a rate of 22–67%. Here we are reporting a case of intraductal papilloma which presented as an atypical right breast swelling, small 2.2 × 1.2cm in the anterior lower quadrant of the right breast with serous yellowish discharge from the nipple, from the last 5 years, Patient complained of pain in swelling during her menstrual cycles. The patient was evaluated and diagnosed as a case of Atypical Fibroadenoma right breast and was excised under local anesthesia and sent for a histopathologic examination which suggested intraductal papilloma.

Keywords: Excision and Removal, Intraductal Papilloma, Atypical Fibroadenoma, Breast Lump, Cancer.