Papillary carcinoma 

Papillary carcinoma is a unique type of breast cancer that primarily develops within the milk ducts. Papillary breast cancer often affects postmenopausal women.

Our cancer specialists at Advocate Cancer Institute are here for you to help you understand papillary carcinoma breast cancer. From genetic testing to access to clinical trials, we offer the most comprehensive cancer care in Illinois.

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Is papillary breast cancer aggressive?

Papillary breast cancer is often less aggressive compared to other breast cancers. However, invasive papillary carcinoma – the most aggressive type – can be more concerning as it spreads to other tissues.

Risk factors for papillary carcinoma

Several factors can increase your risk of developing papillary carcinoma:

• Age: Most prevalent in postmenopausal women between 45 and 55.
• Family history: A history of breast cancer in the family can increase your risk.
• Genetic predispositions: Certain genetic factors such as mutations of the BRCA1 and BRCA2 genes passed down from a parent.
• Hormone replacement therapy: Post-menopausal hormone therapy can contribute to risk.

Papillary carcinoma symptoms

Most of the time, papillary carcinoma breast cancer shows no symptoms and is discovered through a routine self-exam or an annual mammogram. If there are noticeable symptoms of papillary carcinoma they may include:

• Skin changes: Dimpling or other texture changes on the breast skin.
• Nipple discharge: Especially if it’s clear or bloody.
• Changes in breast: Noticeable changes in breast shape, size, or feeling.
• Breast lumps: New or unusual lumps in the breast.

If you experience any of these symptoms, it’s important to consult with your doctor to find the source of these changes and rule out a more aggressive form of breast cancer.

Diagnosing papillary carcinoma

To diagnose papillary carcinoma breast cancer, a combination of imaging tests and a biopsy is typically used. Tests include:

• Mammogram: Often the first step in detecting breast cancer. A mammogram can reveal the presence of a lump or abnormality in your breast tissue.
• Ultrasound: If a mammogram shows an abnormality, an ultrasound can provide a clearer picture of the lump. It helps determine whether the lump is solid or filled with fluid.
• Biopsy: If imaging tests suggest papillary carcinoma, your doctor will likely recommend a biopsy. During this procedure, a small sample of the lump is removed and examined under a microscope to confirm the diagnosis. There are different types of biopsies, including core needle biopsy and excisional biopsy, depending on the size and location of the tumor.

Early detection and receiving an accurate diagnosis are crucial for treating papillary carcinoma breast cancer. If you’re diagnosed with papillary carcinoma, your doctor will discuss the next steps and treatment options with you.

Treatment options for papillary breast cancer

Your treatment plan will be customized to meet your specific needs. Treatment for papillary carcinoma depends on its type and stage, commonly involving:

• Surgery: Removing the tumor through lumpectomy or mastectomy.
• Radiation therapy: Targeted radiation to eliminate remaining cancer cells.
• Hormone therapy: For cancers that are hormone receptor positive.
• Chemotherapy: Utilized for more invasive forms to destroy cancer cells.

Your care team at Advocate Health Care will use a collaborative approach to provide the best treatment possible. Additionally, supportive care services such as counseling, nutrition therapy, palliative care, and physical therapy may be offered to help you manage the physical and emotional challenges of cancer treatment.

What is the prognosis of papillary carcinoma?

The prognosis for papillary carcinoma is typically positive, especially for in situ types. With early detection and appropriate treatment, even invasive papillary carcinoma can have a good prognosis. Regular monitoring and follow-up care are essential to ensuring your long-term health and preventing any potential cancer recurrence.