Abstract
Intracystic (encysted) papillary cancer (IPC) is a rare form of breast neoplasia with an excellent prognosis and a low recurrence rate. It usually occurs in postmenopausal women. Its natural history and proper management are not fully acknowledged. The symptoms are not specific, explaining the late presentation for medical examination. Moreover, routine investigations such as mammography, breast ultrasound or cytology can misdiagnose the IPC. Conservative surgery is reported to be the most efficient, consisting in surgical excision of the lump with negative margins of 2 mm, with or without sentinel lymph node biopsy. Additional therapies are discussed by the multidisciplinary team. We report two cases of IPC and we present a short review of the literature.
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