Indian Journal of Pathology and Microbiology


Year
: 2006  |  Volume : 49  |  Issue : 4  |  Page : 582--5

Solitary intraductal papilloma of the breast--a diagnostic dilemma and the role of conferencing between surgeons and cytologist.


Kamal M Meherbano, M Jaywant, J Girish, B Kiran, K Sanjay, J Anjali, L Nilima, S Dilip, Y Vikas, K Ratnamala, Mahesh S Walde 
 Department of Pathology, Shri V. N. Govt. Medical College, Yavatmal, Nagpur

Correspondence Address:
Kamal M Meherbano
Department of Pathology, Shri V. N. Govt. Medical College, Yavatmal, Nagpur

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.


How to cite this article:
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 J Pathol Microbiol 2006;49:582-5


How to cite this URL:
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 J Pathol Microbiol [serial online] 2006 [cited 2023 Jan 27 ];49:582-5
Available from: https://www.ijpmonline.org/article.asp?issn=0377-4929;year=2006;volume=49;issue=4;spage=582;epage=5;aulast=Meherbano;type=0