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(Radiology. 2001;218:576-579.)
© RSNA, 2001

Technical Developments

Benign Intraductal Papilloma: Diagnosis and Removal at Stereotactic Vacuum-assisted Directional Biopsy Guided by Galactography1

Mark A. Guenin, MD

1 From Tristán Associates, 4518 Union Deposit Rd, Harrisburg, PA 17111. Received December 3, 1999; revision requested January 19, 2000; final revision received May 15; accepted June 1. Address correspondence to the author (e-mail: mguenin@tristans.com).

Galactography was performed in women who had problematic nipple discharge. In five women who had a focal intraductal filling defect, immediate stereotactic vacuum-assisted directional biopsy of the filling defect was performed; results were a benign intraductal papilloma in each, with atypia in one. In the four women who did not have atypia, the procedure was diagnostic and appears to have been therapeutic as well, since nipple discharge ceased after the procedure.

Index terms: Breast, biopsy, 00.1267 • Breast, diseases, 00.312 • Breast, ducts, 00.127, 00.312 • Breast neoplasms, diagnosis, 00.127 • Breast neoplasms, localization, 00.1267 • Breast neoplasms, radiography, 00.1267, 00.127




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