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Treatment for an intraductal papilloma depends on a number of factors, including the severity of symptoms and the overall health of the patient. Over-the-counter pain relievers and the use of warm compresses can often be used to control any discomfort caused by this condition. Stronger pain medications may sometimes be needed, and surgical intervention is often necessary. Surgical options include biopsy or removal of the papilloma and any affected ducts within the breast. Any questions or concerns about the most appropriate intraductal papilloma treatment for an individual situation should be discussed with a doctor or other medical professional.
While surgery is the standard intraductal papilloma treatment method, less invasive measures may be used in the beginning stages in an effort to control pain and inflammation. Warm compresses can be applied to the affected breast several times per day to reduce discomfort. Over-the-counter medications such as aspirin and ibuprofen can reduce the amount of inflammation present as well as help control mild to moderate pain. If over-the-counter medications do not provide sufficient relieve, stronger pain medications may be prescribed. These drugs are designed for short-term use due to possible side effects and complications from prolonged usage.
There are several different biopsy procedures available for the treatment of intraductal papilloma. A core biopsy, also referred to as a needle biopsy, is a minimally invasive procedure and involves the use of a needle to obtain a tissue sample for further testing. The primary reason for this type of biopsy is to determine if there are any cancer cells present so that a more detailed treatment program can be developed.
A vacuum-assisted biopsy requires a very small incision and uses imaging equipment to guide the surgeon as a small amount of tissue is removed from the intraductal papilloma. An excision biopsy is slightly more invasive and allows the surgeon to remove more of the abnormal tissue as well as a sample of the healthy surrounding tissue for comparison purposes. This type of biopsy may be performed alone or during surgery to remove the intraductal papilloma itself.
In most cases, intraductal papilloma treatment involves the surgical removal of the growth as well as any affected ducts. This operation is usually performed on an outpatient basis, although an overnight hospital stay is sometimes recommended so the patient can be monitored for any signs of potential complications. The rate of recurrence is relatively low, although the supervising physician may order periodic tests to make sure the intraductal papilloma has not returned.