--- title: "Intraductal Papilloma in Curitiba — Femi Saúde" canonical_url: "https://femisaude.com.br/en/treatment/papiloma-intraductal" meta: description: "Intraductal papilloma in Curitiba: a benign breast duct lesion that causes nipple discharge, diagnosed and surgically removed. Femi Saúde." "og:description": "Intraductal papilloma in Curitiba: a benign breast duct lesion that causes nipple discharge, diagnosed and surgically removed. Femi Saúde." "og:title": "Intraductal Papilloma in Curitiba — Femi Saúde" "twitter:description": "Intraductal papilloma in Curitiba: a benign breast duct lesion that causes nipple discharge, diagnosed and surgically removed. Femi Saúde." "twitter:title": "Intraductal Papilloma in Curitiba — Femi Saúde" --- Clínica Femi Saúde — Home Clínica Femi Saúde — Home Individualized breast assessment # Intraductal Papilloma A benign duct lesion that causes nipple discharge Consulta Consulta + procedimento ## What it is Intraductal papilloma is a small, benign, wart-like growth that forms inside a breast duct, usually close to the nipple, in women between ages 35 and 55. The most common sign is spontaneous nipple discharge, clear or bloody, from a single side; sometimes there is a small palpable lump behind the areola. Diagnosis involves a clinical exam, ultrasound, mammography and, often, a biopsy; MRI and ductography help in selected cases. Since needle biopsy does not always rule out the presence of atypical cells, the usual approach is surgical removal of the papilloma and the affected duct, under anesthesia, with a discreet incision around the areola, and complete analysis of the material. Multiple papillomas require closer follow-up. ## Most common symptoms - Spontaneous nipple discharge, on one side only - Clear, yellowish or bloody fluid that stains the bra - A small palpable lump behind the areola or near the nipple - Tenderness or mild discomfort around the nipple - Increased fullness in the areola, in some cases - No symptoms, found on an imaging exam ## Causes and risk factors - Benign growth of the cells lining the breast duct - Age between 35 and 55, the range where it is most frequent - Hormonal stimulation of the ducts, which favors proliferation - Multiple papillomas, farther from the nipple and in younger women - History of other proliferative benign breast lesions ## How it is diagnosed The investigation begins with the history of the discharge and a clinical exam, in which your breast specialist compresses the areola to identify the duct the fluid comes from and checks for a lump behind the nipple. Ultrasound, performed on site, usually shows the dilated duct with the lesion inside it; mammography is ordered depending on age. Ultrasound-guided biopsy confirms the diagnosis in most cases, and MRI or ductography helps when the imaging is not conclusive. ## How we treat it at Femi Saúde Because needle biopsy does not always rule out atypical cells inside the papilloma, the usual approach is surgical removal of the lesion and the affected duct, with complete analysis of the material. The breast health team at Femi Saúde plans the surgery with a discreet incision around the areola, under anesthesia, generally with same-day discharge and a gradual return to activities. In selected cases, when the biopsy is extensive and shows no atypia, follow-up with periodic exams may be an alternative, decided together with the patient. Multiple papillomas call for closer surveillance. The plan is individualized for each case. ## When to see a gynecologist Spontaneous nipple discharge, especially clear or bloody and on one side only, should be evaluated even when there is no pain or lump. Also see your breast specialist if you notice a lump behind the areola or a change in the appearance of the nipple. Book a consultation: early investigation allows the right approach to be defined. ## What we offer 1 Investigation of nipple discharge 2 Targeted imaging exams and biopsy 3 Surgical removal with a discreet incision 4 Complete analysis of the removed material 5 Follow-up after treatment ## Mastology specialists [![Dra. Vanessa Amoroso](https://femisaude.com.br/images/doctors/thumbnails/vanessa-amoroso-400x400.jpg)

Dra. Vanessa Amoroso

Gynecologist and Mastologist](https://femisaude.com.br/en/doctors/dra-vanessa-amoroso) ## Mastology treatments at Femi Saúde [

Clinical Breast Exam

Breast assessment during the consultation with the breast specialist](https://femisaude.com.br/en/treatment/exame-clinico-mamas) [

Screening with Mammography

When to start, frequency and interpreting the result](https://femisaude.com.br/en/treatment/rastreamento-mamografia) [

Breast Ultrasound

Assessment of lumps, cysts and dense breasts](https://femisaude.com.br/en/treatment/ultrassonografia-mamaria) [

Breast Self-Exam and Warning Signs

Knowing your own body to notice changes](https://femisaude.com.br/en/treatment/autoexame-mamas) [

Breast Cancer Risk Assessment

Family history and personalized screening](https://femisaude.com.br/en/treatment/avaliacao-risco-cancer-mama) [

Breast Fine-Needle Aspiration and Biopsy

Ultrasound-guided diagnosis of lumps and cysts](https://femisaude.com.br/en/treatment/puncao-biopsia-mama) [See all Mastology treatments ](https://femisaude.com.br/en/specialties/mastologia) ## Ready to schedule? Schedule your consultation and discover how this procedure can transform your quality of life. [Schedule via WhatsApp]() ## Sitemap See the full [sitemap](/sitemap.md) for all pages.