American Journal of Roentgenology, Vol 159, 487-491, Copyright © 1992 by American Roentgen Ray Society

ARTICLES

Solitary breast papilloma: comparison of mammographic, galactographic, and pathologic findings

ER Woods, MA Helvie, DM Ikeda, SH Mandell, KL Chapel and DD Adler
Department of Radiology, Taubman Center, University of Michigan Hospitals, Ann Arbor 48109-0326.

OBJECTIVE. Our purpose was to determine the mammographic/galactographic features of solitary breast papillomas and to correlate these features with the pathologic findings. MATERIALS AND METHODS. Retrospective review of pathology files revealed 72 women in whom breast biopsy reports described a solitary papilloma. All patients with additional pathologic abnormalities were excluded from this study. Patients meeting the pathologic criteria and for whom mammograms, galactograms, or both were available and had been obtained within 6 months before biopsy were included. Twenty-four women met these criteria and form the basis of this study. Presenting clinical signs and symptoms were reviewed. Abnormal mammographic/galactographic findings were correlated with pathologic features. RESULTS. Nipple discharge was present in 21 (88%) of 24 patients, two (8%) of 24 patients had abnormal findings on screening mammography, and one patient had a palpable mass that was visible on mammograms. Eight (42%) of 19 mammograms had abnormal findings, including dilated duct(s) in five cases (26%), nodules in two cases (11%), and microcalcifications in one case (5%). All technically adequate galactograms (13/15) had abnormal findings, with 12 (92%) of 13 showing an intraluminal filling defect. The other technically adequate galactogram (8%) showed only a solitary obstructed duct. Ductal dilatation was greatest at or central to the papilloma on 12 (92%) of 13 galactograms. Imaging features correlated well with the histologic findings. CONCLUSION. Patients with solitary papillomas most commonly have nipple discharge, normal mammographic findings, and a galactographic filling defect. Galactography is useful for localizing papillomas.
CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    What's this?

This article has been cited by other articles:

				H. J. Shin, H. H. Kim, S. M. Kim, H. R. Yang, J.-H. Sohn, G. Y. Kwon, and G. Gong Papillary Lesions of the Breast Diagnosed at Percutaneous Sonographically Guided Biopsy: Comparison of Sonographic Features and Biopsy Methods Am. J. Roentgenol., March 1, 2008; 190(3): 630 - 636. [Abstract] [Full Text] [PDF]

				V. Sohn, J. Keylock, Z. Arthurs, A. Wilson, G. Herbert, J. Perry, M. Eckert, D. Smith, S. Groo, and T. Brown Breast Papillomas in the Era of Percutaneous Needle Biopsy Ann. Surg. Oncol., October 1, 2007; 14(10): 2979 - 2984. [Abstract] [Full Text] [PDF]

				W. W. M. Lam, W. C. W. Chu, A. P. Y. Tang, G. Tse, and T. K. F. Ma Role of Radiologic Features in the Management of Papillary Lesions of the Breast. Am. J. Roentgenol., May 1, 2006; 186(5): 1322 - 1327. [Abstract] [Full Text] [PDF]

				A. Koskela, M. Berg, T. Pietilainen, P. Mustonen, and R. Vanninen Breast Lesions Causing Nipple Discharge: Preoperative Galactography-Aided Stereotactic Wire Localization Am. J. Roentgenol., June 1, 2005; 184(6): 1795 - 1798. [Abstract] [Full Text] [PDF]

				D. E. March, B. F. Coughlin, J. R. Polino, R. A. Goulart, and G. Makari-Judson Single Dilated Lactiferous Duct Due to Papilloma: Ultrasonographically Guided Percutaneous Biopsy With a Vacuum-Assisted Device J. Ultrasound Med., January 1, 2002; 21(1): 107 - 111. [Full Text] [PDF]

				H.-P. DINKEL, A. M. GASSEL, T. MULLER, S. LOURENS, M. ROMINGER, and A. TSCHAMMLER Galactography and Exfoliative Cytology in Women With Abnormal Nipple Discharge Obstet. Gynecol., April 1, 2001; 97(4): 625 - 629. [Abstract] [Full Text] [PDF]

				S. H. Slawson and B. A. Johnson Ductography: How To and What If? RadioGraphics, January 1, 2001; 21(1): 133 - 150. [Abstract] [Full Text] [PDF]

				L. E. Philpotts, N. A. Shaheen, K. S. Jain, D. Carter, and C. H. Lee Uncommon High-Risk Lesions of the Breast Diagnosed at Stereotactic Core-Needle Biopsy: Clinical Importance Radiology, September 1, 2000; 216(3): 831 - 837. [Abstract] [Full Text]

				S. G. Orel, C. S. Dougherty, C. Reynolds, B. J. Czerniecki, E. S. Siegelman, and M. D. Schnall MR Imaging in Patients with Nipple Discharge: Initial Experience Radiology, July 1, 2000; 216(1): 248 - 254. [Abstract] [Full Text]

				M. A. Dennis, S. Parker, T. I. Kaske, A. T. Stavros, and J. Camp Incidental Treatment of Nipple Discharge Caused by Benign Intraductal Papilloma Through Diagnostic Mammotome Biopsy Am. J. Roentgenol., May 1, 2000; 174(5): 1263 - 1268. [Abstract] [Full Text] [PDF]

				E. D. Pisano, M. P. Braeuning, and E. Burke Case 8: Solitary Intraductal Papilloma Radiology, March 1, 1999; 210(3): 795 - 798. [Full Text]