Papilomatosis múltiple de la mama. A propósito de un caso

Abstract

We present the case of a patient who comes to the Breast Oncology Surgery Service for presenting a small palpable lump in the right breast associated with nipple discharge. Mammography, breast ultrasound and magnetic resonance imaging workup revealed multiple nodular lesions in the right breast associated with ductal ectasia that compromised a large volume of breast. A single lesion suspicious for malignancy, was found in the left breast. The clinical and imaging diagnosis was multiple papillomatosis, findings that were confirmed by percutaneous biopsies of the most representative nodules in the right breast and the single lesion in the left breast. The importance of presenting this case lies in the fact that, multiple papillomatosis is an infrequent pathology, considered a high-risk lesion, with the possibility of being associated with a malignant neoplasm or becoming malignant over time, and there is no defined consensus for its management and follow-up.