Treatment of Intraductal Papilloma of Breast with Bloody or Serous Nipple Discharge
This protocol covers central intraductal papilloma presenting with bloody or serous nipple discharge, in the absence of atypical ductal hyperplasia — a scenario where the type of surgical intervention and extent of resection are clearly defined.
Central intraductal papilloma mainly manifests as unilateral nipple discharge, which is often bloody or serous. When this discharge pattern occurs without atypical ductal hyperplasia, the clinical picture guides a specific surgical strategy to address the intraductal lesion directly.
Surgical Approach
Open surgery is the recommended management for this presentation. The structured protocol defines the specific type and extent of resection required — the full details, including which resection option applies to this patient profile, are in the complete regimen.
References
DOI: 10.1097/CM9.0000000000001533
- Central intraductal papilloma mainly manifests as unilateral nipple discharge, which is often bloody or serous.
- For central intraductal papilloma with nipple discharge, open surgery is recommended and should include lobular resection or quadrant resection including the intraductal lesion; open surgery or CNB/VABB can be performed for peripheral intraductal papilloma.
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