Presentation
Patient presented for screening mammogram, and reported a recently palpable mass in the right breast.
Patient Data
Age: 68
Gender: Female
From the case:
Intraductal papilloma
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/33974/annotated_viewer_json?iframe=true\u0026lang=us"}
There is a well circumscribed subareolar mass on the right. Apart from this, the screening mammogram series is normal, and notably there are no other circumscribed masses in either breast.
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/33975/annotated_viewer_json?iframe=true\u0026lang=us"}
Comparison with the previous mammogram confirms that this is a new finding. There was no abnormality in the same location on the prior screening round.
From the case:
Intraductal papilloma
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/34044/annotated_viewer_json?iframe=true\u0026lang=us"}
Ultrasound demonstrates a lobulated mass protruding from a dilated duct into a cystic space. Doppler confirms internal vascularity.
Case Discussion
Ultrasound guided core biopsy, followed by excision biopsy confirm benign intraductal papilloma.