Cytological diagnosis of ductal papilloma with apocrine hyperplasia of breast

Abstract

Intraductal papillomas of the breast are relatively rare benign lesions with an incidence of approximately 2-3% commonly seen in 20 - 40 years aged women and are rare after 50 years of age. We here in report a case of intraductal papilloma of breast in a 66 year old female with significant family history of breast carcinoma which is a rare presentation. She presented with bloody nipple discharge from right breast since one month. On examination, right nipple is enlarged up to 0.8cm in diameter. Mammogram showed no abnormality. Fine needle aspiration cytology (FNAC) of the enlarged nipple was done and a diagnosis of duct papilloma with apocrine hyperplasia was made. This case report emphasizes the role of FNAC in diagnosing this lesion and relieving the patient from physical and mental trauma at an early stage