Intraductal papillomas are the commonest benign intraductal tumors. According to the literature, the patients with an intraductal papilloma are at an increased risk of suffering from a breast malignancy, as compared to the general public and this risk is particularly higher in the patients having multiple papillomas and based on this risk of breast malignancy, these lesions are usually surgically excised after a tissue diagnosis on needle biopsy ^1,2.  Features suggestive of atypia or malignancy {ductal carcinoma in situ (DCIS) or invasive ductal carcinoma (IDC)} are: lesion more than 1 cm in size, lesion sited greater than 3 cm away from the nipple, and the patient’s age more than the 50 years ².