For patients with intraductal papilloma of the breast, achieving confirmed complete removal on imaging is the primary goal of initial management. When that goal is not met, a structured next-step protocol is indicated.
The first-line approach for imaging-visible intraductal papilloma includes vacuum-assisted breast biopsy (VABB). This protocol applies when VABB fails to achieve complete removal of the intraductal papilloma, as confirmed on imaging — the defined criterion for escalation.
When imaging-visible lesions cannot be completely removed by vacuum-assisted methods, a specific surgical intervention becomes the indicated approach. The full regimen — including patient-selection criteria and procedural details — is available in the structured protocol below.