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Case report
Large breast lump with bloody nipple discharge: benign intraductal papilloma
  1. Sin Dee Cheah and
  2. Abdul Hadi Imi Sairi
  1. Breast and Endocrine Unit, Department of Surgery, Hospital Raja Perempuan Zainab II, Kota Bharu, Malaysia
  1. Correspondence to Dr Sin Dee Cheah; cheah_sin_dee{at}


A 32-year-old woman presented with a 3 cm×3 cm left breast lump associated with bloody nipple discharge during her early pregnancy. Examination and ultrasonography showed benign features, whereas core needle biopsies revealed a benign papilloma. Six months after her delivery, a 6 cm×6 cm benign papilloma was completely excised via circumareolar incision. The majority of intraductal papillomas are small; however, they can also present as a large mass rarely. We should be wary of a malignant papillary lesion when there is the presence of atypia on core needle biopsy or imaging-histology discordance. A concordant benign papilloma with benign imaging findings is otherwise reassuring. Clinicians need to be aware of this uncommon presentation of large intraductal papilloma as a complete curative excision can be achieved through a cosmetically placed incision.

  • breast surgery
  • breast cancer

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  • Contributors SDC contributed to the conception, design and drafting of the work, AHI contributed by revising it critically for important intellectual content and final approval of the version.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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