[You may click on the abnormal areas of the mamogram for spot views]

This 37 y/o female presented with a palpable right breast mass. Selected images from her mammogram and breast ultrasound shown above demonstrate a focal area of architectural distortion and spiculated mass formation with ill defined, lobulated margins and posterior shadowing. Excisional biopsy of this ACR BIRADS 5 lesion was performed and the pathologic diagnosis was sclerosing papilloma.

  1. Han BK, Choe YH, Ko YH, Yang JH, Nam SJ. Benign papillary lesions of the breast: sonographic-pathologic correlation. J Ultrasound Med 1999 Mar;18(3):217-23 UI:99180393
  2. Kalisher L, Rickert RR, Sharo RJ. Solitary peripheral papilloma of the breast: a radiologic-pathologic correlation of a benign lesion that may mimic breast cancer on mammography. AJR Am J Roentgenol 1998 Sep;171(3):605-9 UI:98391098
  3. Yang WT, Suen M, Metreweli C. Sonographic features of benign papillary neoplasms of the breast: review of 22 patients. J Ultrasound Med 1997 Mar;16(3):161-8 UI:97309396
  4. Cahn MD, Tran T, Theur CP, Butler JA. Hormone replacement therapy and the risk of breast lesions that predispose to cancer. Am Surg 1997 Oct;63(10):858-60 UI:97463956
  5. Piccoli CW, Feig SA, Vala MA. Breast imaging case of the day. Benign intraductal papilloma with focal atypical papillomatous hyperplasia. Radiographics 1998 May-Jun;18(3):783-6 UI:98261765
  6. Woods ER, Helvie MA, Ikeda DM, Mandell SH, Chapel KL, Adler DD. Solitary breast papilloma: comparison of mammographic, galactographic, and pathologic findings. AJR Am J Roentgenol 1992 Sep;159(3):487-91 UI:92367654
  7. Cardenosa G, Eklund GW. Benign papillary neoplasms of the breast: mammographic findings. Radiology 1991 Dec;181(3):751-5 UI:92053091
  8. Liberman L, Bracero N, Vuolo MA, Dershaw DD, Morris EA, Abramson AF, Rosen PP. Percutaneous large-core biopsy of papillary breast lesions. AJR Am J Roentgenol 1999 Feb;172(2):331-7 UI:99127967
  9. Raju U, Vertes D. Breast papillomas with atypical ductal hyperplasia: a clinicopathologic study. Hum Pathol 1996 Nov;27(11):1231-8 UI:97069856
  10. Page DL, Salhany KE, Jensen RA, Dupont WD. Subsequent breast carcinoma risk after biopsy with atypia in a breast papilloma. Cancer 1996 Jul 15;78(2):258-66 UI:96284292
  11. McKinney CD, Fechner RE. Papillomas of the breast. A histologic spectrum including atypical hyperplasia and carcinoma in situ. Pathol Annu 1995;30 Pt 2:137-78 UI:96124069
  12. Jeffrey PB, Ljung BM. Benign and malignant papillary lesions of the breast. A cytomorphologic study. Am J Clin Pathol 1994 Apr;101(4):500-7 UI:94212860
  13. Schneider JA. Invasive papillary breast carcinoma: mammographic and sonographic appearance. Radiology 1989 May;171(2):377-9 UI:89202686
  14. Keen ME, Murad TM, Cohen MI, Matthies HJ. Benign breast lesions with malignant clinical and mammographic presentations. Hum Pathol 1985 Nov;16(11):1147-52 UI:86031899

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