title: Solitary intraductal papilloma of the breast--a diagnostic dilemma and the role of conferencing between surgeons and cytologist.
abstract: 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.
authors.affiliation: Department of Pathology, Shri V. N. Govt. Medical College, Yavatmal, Nagpur. drkamal3@rediffmail.com
authors.forename: Kamal M
authors.initials: KM
authors.lastname: Meherbano
authors.forename: Mahadani
authors.initials: M
authors.lastname: Jaywant
authors.forename: Jatkar
authors.initials: J
authors.lastname: Girish
authors.forename: Bharti
authors.initials: B
authors.lastname: Kiran
authors.forename: Khandekar
authors.initials: K
authors.lastname: Sanjay
authors.forename: Joshi
authors.initials: J
authors.lastname: Anjali
authors.forename: Lodha
authors.initials: L
authors.lastname: Nilima
authors.forename: Sarate
authors.initials: S
authors.lastname: Dilip
authors.forename: Yedshikar
authors.initials: Y
authors.lastname: Vikas
authors.forename: Kamble
authors.initials: K
authors.lastname: Ratnamala
authors.forename: Mahesh S
authors.initials: MS
authors.lastname: Walde
mesh_terms: D000328:Adult; D001943:Breast Neoplasms / Q000175:diagnosis* / Q000473:pathology*; D003581:Cytodiagnosis; D005260:Female; D013502:General Surgery; D006801:Humans; D033183:Interdisciplinary Communication; D009558:Nipples / Q000378:metabolism / Q000473:pathology; D018300:Papilloma, Intraductal / Q000175:diagnosis* / Q000473:pathology*; D010336:Pathology