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There are many conditions that can cause a benign breast tumor, including cysts, fat necrosis, fibroadenoma, intraductal pappilloma, infections and others. All lumps should be check out by a physician but 80% turn out to be benign.
I just had a pappilloma removed in Dec. It produces symptoms such as bloody nipple discharge and nipple dysfunctions. The itching could be anything from dry skin to breast infection. It's not cancer but DCIS (breast cancer of the milk ducts) can mimic an I.P. in a ultrasound so you really need to have it checked.
Intraductal Papillary Mucinous Tumor
The following are symptoms of Ductal Carcinoma In Situ: a breast lump, Fluids coming out of the nipple, and rashes on the nipple. Ductal breast cancer is non-invasive, which means it can't spread to other areas of the body.
Caused by: Acne could be caused by an unhealthy diet, pubrety, use of anabolic steroids, pregnancy, polycystic ovary syndrome (in women), cushings syndrome (rare) and stress. Warts could be caused by the herpes virus, the human pappilloma virus (Verruca, genital etc). Lead to: Acne or warts may lead to depression, because of the social stigma and appearance. Theres also the possible spread of those that are viral, which are a health hazard. The human pappiloma virus has been linked with cancer in the genital area.
DefinitionIntraductal papilloma is a small, noncancerous (benign) tumor that grows in a milk duct of the breast.Causes, incidence, and risk factorsIntraductal papilloma occurs most often in women ages 35 - 55. The causes and risk factors are unknown.SymptomsBreast enlargementBreast lumpBreast painNipple dischargeSigns and testsIntraductal papilloma is the most common cause of spontaneous nipple discharge from a single duct.The health care professional might feel a small lump beneath the nipple, but this lump cannot always be felt (palpable). A mammogram often does not show papillomas. Ultrasound may be helpful.Other tests include:A breast biopsyto rule out cancerAn examination of the discharge to see if the cells are cancerous (malignant)An x-ray with contrast dye injected into the affected duct (ductogram)TreatmentThe involved duct is surgically removed and the cells are checked for cancer (biopsy).Support GroupsThere may be support groups for women with breast disease in your area. Ask your doctor or other health care provider for a recommendation.Expectations (prognosis)The outcome is excellent for people with one tumor. People with many tumors, or who get them at an early age may have an increased risk of developing cancer, particularly if they have a family history of cancer or there are abnormal cells in the biopsy.ComplicationsComplications of surgery can include bleeding, infection, and anesthesia risks. If the biopsy shows cancer, you may need further surgery.Calling your health care providerCall your health care provider if you notice any breast discharge or a breast lump.PreventionThere is no known way to prevent intraductal papilloma. Breast self-examination and screening mammograms can help detect the disease early.
DefinitionNipple problems can include tenderness, skin changes, changes in shape, or discharge from the nipple portion of the breast.This article is about nipple problems or changes in women who are not breast-feeding or who have not just had a baby (postpartum).Alternative NamesDischarge from breasts; Milk secretions; Lactation - abnormal; Witch's milk; Galactorrhea; Inverted nipple; Nipple dischargeCauses, incidence, and risk factorsNipple tenderness or skin changes may be caused by:Bacterial or fungal infectionsDry skin in the areolar region (the darker area surrounding the nipple) of the breastInjury to or friction over the nipple areaPaget's disease.The likelihood of nipple discharge increases with age. It is somewhat common in women who have had at least one pregnancy or during the final weeks of pregnancy.A milky nipple discharge is rare in men or women, but it does occur. When it occurs in men or in women who have never been pregnant, it is likely to be caused by an underlying disease. However, even then nipple discharge has many other causes that are NOT breast cancer, including:A tumor in the brain called a prolactinoma or microadenomaA small, noncancerous growth in the breast called an intraductal papillomaBreast abscess located underneath the areola (most commonly seen in women during breast-feeding)Injury to the breast or chest wall (milky discharge)Pregnancy, usually during the second trimesterSevere hypothyroidismUse of certain drugs, including birth control pills, cimetidine, methyldopa, metoclopramide, phenothiazines, reserpine, tricyclic antidepressants, or verapamilWidening of the milk ducts (called ductal ectasia), normally not a cancerous problem"Witch's milk," a term used to describe nipple discharge in a newborn. The discharge is a response to hormones from the mother before birth, and should disappear within 2 weeks.Nipple inversion is a condition that you are born with. Nipple retraction may be caused by aging, duct ectasia, infections in the milk duct, or breast cancer.SymptomsBreast changes that may occur:Breast lump or irregularityBreast tenderness, swelling, or increased warmthChanges in the shape of the nipples may include:Inverted nipples, in which the nipple is indented into the areola, but will often come out with breast stimulation or during pregnancyRetracted nipples, in which the nipple was raised above the surface but begins to pull inward and does not come out when stimulatedNipple discharge may be:Milky (galactorrhea)Clear, bloody, or discolored (green or brown) dischargePresent only with pressure on the breast or without pressure (called spontaneous discharge)Present in one or both nipplesSkin changes around the nipple may include:Redness, tenderness, and cracking of the skin surface of the nippleDimples, puckers, or a rash on the skin of the nipple or the areola (darker skin that surrounds the nipple)Signs and testsThe health care provider will take your medical history and perform a physical examination.Tests that may be done to look for causes of nipple discharge:Prolactin levelThyroid function testsHead CT scan or MRI to look for pituitary tumorOther tests that may be done include:Mammography, performed in all casesUltrasound of the breastBreast biopsyif a mass or lump is found, if the mammogram is abnormal, or if the discharge is occurring on its own without any pressure on the breastDuctography or ductogram, an x-ray with contrast dye injected into the affected milk ductSkin biopsy, if Paget's disease is a concernTreatmentTreatment of nipple discharge caused by conditions outside of the breast include:Treatment for breast infections, hypothyroidism, and pituitary tumorsChanging any medications that caused the dischargeAbnormal findings on a mammogram or breast ultrasound will be biopsied and often removed.Most women with breast discharge who have a normal mammogram, breast ultrasound, and physical exam can be followed safely over 1 - 2 years with a mammogram and physical exam repeated during that time.Removing all or some of the breast ducts (called subareolar duct excision) may be done right away, or after a period of observation. Often a ductogram is done before surgery.Steroid creams, antifungal creams, and antibiotic creams may be used to treat skin changes around the nipple.For information on breast and nipple care while breast-feeding, see:Overcoming breastfeeding problemsBreastfeeding tipsBreastfeeding mothers - self-careExpectations (prognosis)Most women with inverted nipples who give birth are able to breast-feed without complications.In most cases nipple problems do not involve breast cancer. These problems will either go away with the right treatment, or they can be watched closely over time.ComplicationsNipple discharge may be a symptom of breast cancer or a pituitary tumor.Skin changes around the nipple may be caused by Paget's disease.Calling your health care providerCall for an appointment with your health care provider if:Your nipple becomes retracted or pulled in when it was not that way beforeYour nipple has changed in shapeYour nipple becomes tender and it is not related to your menstrual cycleYour nipple has skin changesYou have new nipple dischargeReferencesValea FA, Katz VL. Breast diseases: diagnosis and treatment of benign and malignant disease. In: Katz VL, Lentz GM, Lobo RA, Gershenson DM, eds. Comprehensive Gynecology. 5th ed. Philadelphia, PA: Mosby Elsevier; 2007:chap 15.Leitch AM, Ashfag R. Discharges and secretions of the nipple. In: Bland KI, Copeland EM III, eds. The Breast: Comprehensive Management of Benign and Malignant Disorders. 4th ed. Philadelphia, Pa: Saunders Elsevier;2009:chap 4.Gray RJ, Pockaj BA, Karstaedt PJ. Navigating murky waters: a modern treatment algorithm for nipple discharge. Am J Surg. 2007;194:850-854.