"High risk" papillary lesion?

cdj

Hello,

I'm new here, but I've been reading the threads trying to learn as much as I can, ever since I found a lump (<1cm) near my nipple. I had a diagnostic mammogram, and a ultrasound, which found another <1cm mass about 3.5 cm away from the first one. Had a CNB, and a week later a nurse from the breast center called and gave me these results: "You have a cyst, which is benign. You also have a papillary lesion, which is benign, but it's high risk for turning malignant, so it should come out". She gave me an appt for a consult with a breast surgeon next month, which I'm fine with. If they're not supposed to be there, take them out!

Here's my question -- is the intraductal papilloma inherently a high risk lesion, because it can hide cancer, or have cancerous parts to it that the CNB missed? Or, is she saying that the lesion is high risk,because of the info below, from my pathology report?

Final Diagnosis:

A. Breast, left, core needle biopsy:

Fragments of a papillary lesion with epithelial proliferation, apocrine change and sclerosis. COMMENT: P63 highlights myoepithelial cells within the cores and in the periphery. the morphological features are consistent with a sclerosing intraductal papillioma. There is no atypia identified in sampled fragments.

Are there certain features of the mass, described above, that make the intraductal papilloma high risk, or did she say it's high risk because that's just how it's classified? Any info would be greatly appreciated!!!

Moderators

Hi again cdj,

We're so sorry you haven't received any responses to your post yet, but due to the US holiday, it's been a little quiet around here. We hope you'll get some responses soon.

In the meantime, it may be helpful for you to read the main Breastcancer.org site's pages on:

• Central Intraductal Papilloma
• Peripheral Intraductal Papilloma
• Papillary Aprocrine Change

We hope this helps and that you get some insight and answers soon!

--The Mods