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Intraductal Papilloma: Features on MR Ductography Using a Microscopic Coil

Nitya Bhattarai1, Yoshihide Kanemaki1, Yasuyuki Kurihara1, Yasuo Nakajima1, Mamoru Fukuda2 and Ichiro Maeda3

1 Department of Radiology, St. Marianna University School of Medicine, 2-16-1 Sugao, Miyamae-ku, Kawasaki City, Kanagawa, 216-8511 Japan.
2 Department of Surgery, St. Marianna University School of Medicine, Kanagawa, Japan.
3 Department of Pathology, St. Marianna University School of Medicine, Kanagawa, Japan.



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  		Fig. 1A —54-year-old woman with intraductal papilloma. Axial T1-weighted precontrast image shows hyperintense dilated proximal (P) and distal (D) duct with well-circumscribed isointense intraductal lesion 8 mm in diameter.

 


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  		Fig. 1B —54-year-old woman with intraductal papilloma. Axial T2-weighted image shows hyperintense dilated duct with well-circumscribed isointense intraductal lesion.

 


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  		Fig. 1C —54-year-old woman with intraductal papilloma. Early phase of T1-weighted contrast-enhanced image shows homogeneous enhancement of intraductal lesion.

 


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  		Fig. 1D —54-year-old woman with intraductal papilloma. Histopathology reveals epithelial fronds supported by fibrovascular stroma composed of epithelial cells and myoepithelial cells arising from duct. (H and E, x1)

 


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  		Fig. 1E —54-year-old woman with intraductal papilloma. Histopathology reveals epithelial cells (black arrow) lining luminal aspect of duct, myoepithelial cells (white arrow), and fibrovascular stroma (S). (H and E, x100)

 

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