Please use this identifier to cite or link to this item: http://imsear.hellis.org/handle/123456789/73132
Title: Solitary intraductal papilloma of the breast--a diagnostic dilemma and the role of conferencing between surgeons and cytologist.
Authors: Meherbano, Kamal M
Jaywant, Mahadani
Girish, Jatkar
Kiran, Bharti
Sanjay, Khandekar
Anjali, Joshi
Nilima, Lodha
Dilip, Sarate
Vikas, Yedshikar
Ratnamala, Kamble
Walde, Mahesh S
Issue Date: 23-Oct-2006
Citation: Meherbano KM, Jaywant M, Girish J, Kiran B, Sanjay K, Anjali J, Nilima L, Dilip S, Vikas Y, Ratnamala K, Walde MS. Solitary intraductal papilloma of the breast--a diagnostic dilemma and the role of conferencing between surgeons and cytologist. Indian Journal of Pathology & Microbiology. 2006 Oct; 49(4): 582-5
Abstract: A 40 year female, presented with the complaints of spontaneous, sticky, blood stained discharge from the nipple of the left breast since 6 months. On examination there was no lump palpable in either breast. Cytology of the nipple discharge (ND) showed scanty cellularity consisting of tight papillary clusters of ductal cells in a hemorrhagic and inflammatory background. The nuclei were bland and showed degenerative atypia. Mammography showed no significant lesion. Our patient underwent microdochechtomy. Histopathology showed intraductal papilloma. Limitations of cytology must be kept in mind by both, the pathologist and the surgeon. The cytological diagnosis of a papillary tumor is provisional and the definitive diagnosis must await histological examination. In view of rarity of this lesion, combined with the overlapping of cytologic features in benign and malignant papillary lesions, conferencing and communication with the surgeon should be an integral part of patient evaluation and management. In our case this approach resulted in less radical excision of breast tissue.
URI: http://imsear.hellis.org/handle/123456789/73132
Appears in Collections:Indian Journal of Pathology & Microbiology

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