What is endoporotic predation ;
Indominal thelioma is a benign breast lump that occurs singly or multiple within the milk ducts. Most often it will be found in the area behind the nipple, but it can be found anywhere in the breast. It is a benign tumour that should not be confused with papillary carcinoma, which is one of the rare types of breast cancer.
Indorsal thelioma occurs mainly in women over 40 years of age.
What are the symptoms of an intraporeal thrombus?
– It usually causes discharge from the nipple, which is often bloody and leads the woman to the doctor
– A lump, mostly behind the nipple
– Pain will rarely manifest, especially if the thelioma causes a complete blockage of the duct in which it is located
Does intraporeal thrombus increase the chances of developing breast cancer?
Very often within a thymoma there are cells with lesions, called atypical cells (atypia). In this case the chances of developing breast cancer are increased. Whether there are atypia is something that the biopsy will show and we cannot know from the clinical examination or radiological examination.
It is worth noting that women with multiple papillomatosis also have an increased chance of breast cancer.
How to diagnose endometrial papilloma; ?
To diagnose papilloma with certainty and safety, a Triple Breast Screening is required:
1) Clinical examination by a qualified breast surgeon – breast surgeon – mammologist. During this examination, a lump or bloody nipple discharge may be found.
2) Imaging examination by the radiologist (mammography, ultrasound and breast MRI), according to the instructions of the mammologist.
3) If it is found that there is a lump with papilloma features, this must be confirmed by ultrasound-guided biopsy of the lump.
The importance of biopsy lies in the fact that endoporotic thelioma is treated differently from most benign breast lumps and additionally may present with cellular atypia, in which case surgical treatment becomes mandatory. Without biopsy we cannot be sure of these things in order to make optimal treatment decisions.
What is the treatment of intrapubic breast papilloma?
Decisions regarding the treatment plan are made once we have the results of the papilloma biopsy. There we look for confirmation of the diagnosis and any coexistence of the papilloma with cellular atypia that increases the risk of developing breast cancer in the future.
A papilloma without atypia on biopsy and with fully benign features on radiological examination may be placed under close periodic monitoring to look for any changes. Often, of course, women opt for surgical exclusion to avoid the frequent screening and the anxiety it entails.
A thelioma without atypia on biopsy but with atypical features on imaging is preferable to be surgically excluded for complete histologic examination.
An intrapubic thelioma showing atypia on biopsy should clearly be surgically excluded to reduce the risk of developing breast cancer in the woman in the future.
Surgical management of intrapubic papilloma
There are two modes of surgery for a thymoma typically located posterior to the nipple:
1) Selective resection of the affected duct
In this method, the duct containing the thymoma is catheterized and exposed with minimal trauma to the remaining milk ducts. This method will be preferred mainly in young women who want to maintain the ability to breastfeed. Of course, the preservation of the ducts leaves open the possibility of another thrombosis occurring in the future.
2) Removal of all the ducts with nipple plasty
This is a more radical procedure, in which not only the affected milk duct is removed, but all of them. This means that in the future no new thymus can occur in the area. The woman undergoing this surgery will not be able to breastfeed from this breast.
Both types of surgery have excellent cosmetic results and are performed through a peritoneal incision. Before each surgery your doctor will also tell you about any complications.
