# Rare Presentation and Diagnostic Challenges of Intraductal Papilloma in an Adolescent: A Case Report

## TL;DR

An 18-year-old girl was diagnosed with a rare breast tumor, highlighting the challenges in diagnosing such conditions in adolescents.

## Contribution

This case report presents a rare instance of intraductal papilloma in an adolescent and emphasizes diagnostic and treatment challenges.

## Key findings

- Intraductal papilloma was confirmed in an 18-year-old patient through surgical excision and pathology.
- Diagnostic delays were attributed to limitations in imaging techniques and initial clinical assessments.
- The case highlights the need for improved imaging and holistic treatment approaches for adolescent breast lesions.

## Abstract

Intraductal papillomas (IDPs) are rare benign breast tumors that predominantly affect adult women, with an exceptionally uncommon occurrence in adolescents. In this case, an 18-year-old woman presented with persistent bloody nipple discharge and surface erosion, challenging multiple healthcare providers' initial assessments. High-resolution ultrasound ultimately revealed a small 4.5 mm × 3.0 mm hypoechoic nodule, which was surgically excised and confirmed as an intraductal papilloma through pathological examination. The patient's diagnostic journey underscores the complex diagnostic landscape of adolescent breast lesions, revealing critical limitations in imaging techniques and the potential downstream consequences of diagnostic delays on treatment strategies. Her case emphasizes the paramount importance of precise diagnostic imaging and nuanced clinical evaluation, particularly in young patients. Moreover, it highlights the need for comprehensive treatment approaches that balance clinical intervention with psychological support and aesthetic considerations, ultimately aiming to optimize both medical outcomes and patient well-being.