When intraductal papilloma presents not as an isolated finding but as multiple lesions distributed throughout the whole breast, the clinical picture is distinct and the management approach differs accordingly.
Multiple intraductal papilloma lesions involving the whole breast. The multifocal, diffuse extent of disease across the breast is the defining feature of this sub-population.
In this setting, a mastectomy-based surgical approach may be considered. Whether and how reconstruction is incorporated is among the factors addressed in the complete protocol — details beyond this general direction are available in full below.
DOI: 10.1097/CM9.0000000000001533
When the lesions are multiple and involve the whole breast, prophylactic mastectomy or subcutaneous mastectomy with or without prosthesis reconstruction can be considered.
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