Master Intraductal Papilloma with Picmonic for Medicine

Typically in cases of intraductal papilloma, patients present with bloody nipple discharge. Intraductal papilloma is the most common cause of bloody nipple discharge in women between the ages 20-40.

This breast disease most commonly presents in women between the ages 20-40.

Intraductal papilloma is a small tumor which grows in the lactiferous ducts of the breast. There are two types as noted below.

The first type is centrally occurring and develops beneath the nipple. This is the most common type. These are typically solitary and often arise in the period nearing menopause. Central tumors are more likely to have bloody nipple discharge than are peripheral ones.

The second type occurs peripherally in the breast and usually arises as multiple papillomas. This type is often found in younger women.

Peripherally occuring intraductal papillomas have a higher malignancy potential than the central variant.

These masses are often too small to palpate, and necessitate further studies to adequately diagnose or rule out.

Because these tumors are too small to palpate, biopsy is guided via galactogram. This is a specialized form of imaging used to view the breast ducts to help rule out (or in) this tumor. MRI is also useful for detecting tumors for biopsy.