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Breast Lumps

Breast Papillomas

​​​​​Breast papillomas (or intraductal papillomas) are wart-like growths in a breast duct. They are usually seen on your breast imaging. They are not cancerous (benign).

A papilloma attaches to the lining of a breast duct by a stalk. Papillomas that are large enough can block the duct.

You can have 1 or more papillomas in a duct or in a few ducts. Breast papillomas are usually painless. We don't know why they happen.

Breast papillomas most often happen when you're between the ages of 35 and 50.

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Symptoms

Usually, you will not be able to feel a breast papilloma. It will often be behind the nipple but can be elsewhere in the breast.

The most common symptom of a breast papilloma is a sudden and unexpected clear or bloody discharge that comes out on its own from a nipple.

Diagnosis

A healthcare provider will usually diagnose a breast papilloma with an ultrasound and less often with a special x-ray called a galactogram.

A breast papilloma is not cancerous, but it can be related to a more serious lesion nearby. Your healthcare provider may send you for a biopsy (a small tissue sample) of the papilloma to decide if you need more tests or if it needs to be removed.

Most breast papillomas d​o not need to be removed unless they keep causing symptoms, such as nipple discharge.​​​

Current as of: August 16, 2023

Author: Women’s Health, Alberta Health Services

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