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We provide a comprehensive continuum of cancer services, including prevention, outreach, diagnostic, treatment and support services delivered by our highly skilled staff with compassion and care.
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The Center for Women & Children's Health is a hub for supporting women's and children's individual healthcare needs. The center provides support, research and unmatched patient-centered care.
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Emergency and Trauma Services is the only Level I Trauma Center in the area and serves as the tertiary referral center for medical care in East Tennessee, serving Knox County and 21 surrounding counties.
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The Heart Lung Vascular Institute brings together expertise in clinical care, teaching and research. Patients receive exceptional healthcare combined with patient-centered care.
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Intraductal papilloma
Definition
Intraductal papilloma is a small, noncancerous (benign) tumor that grows in a milk duct of the breast.
Causes, incidence, and risk factors
Intraductal papilloma occurs most often in women ages 35 - 55. The causes and risk factors are unknown.
Symptoms
- Breast lump
- Breast pain
- Nipple discharge
Signs and tests
Intraductal papilloma is the most common cause of spontaneous nipple discharge from a single duct.
The health care professional might feel a small lump beneath the nipple, but this lump cannot always be felt (palpable). A mammogram often does not show papillomas. Ultrasound may be helpful.
Other tests include:
- A breast biopsy to rule out cancer
- An examination of the discharge to see if the cells are cancerous (malignant)
- An x-ray with contrast dye injected into the affected duct (ductogram)
Treatment
The involved duct is surgically removed and the cells are checked for cancer (biopsy).
Support Groups
There may be support groups for women with breast disease in your area. Ask your doctor or other health care provider for a recommendation.
Expectations (prognosis)
The outcome is excellent for people with one tumor. People with many tumors, or who get them at an early age may have an increased risk of developing cancer, particularly if they have a family history of cancer or there are abnormal cells in the biopsy.
Complications
Complications of surgery can include bleeding, infection, and anesthesia risks. If the biopsy shows cancer, you may need further surgery.
Calling your health care provider
Call your health care provider if you notice any breast discharge or a breast lump.
Prevention
There is no known way to prevent intraductal papilloma. Breast self-examination and screening mammograms can help detect the disease early.
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