{"id":1422,"date":"2025-10-15T13:03:17","date_gmt":"2025-10-15T10:03:17","guid":{"rendered":"https:\/\/wiki.voka.io\/diseases\/uncategorized\/papiloma-intraductal\/"},"modified":"2025-12-10T17:42:13","modified_gmt":"2025-12-10T14:42:13","slug":"papiloma-intraductal","status":"publish","type":"diseases_post","link":"https:\/\/wiki.voka.io\/pt\/doencas\/oncologia\/papiloma-intraductal\/","title":{"rendered":"Papiloma intraductal: etiologia, apresenta\u00e7\u00e3o cl\u00ednica, diagn\u00f3stico e tratamento"},"content":{"rendered":"<p>O papiloma intraductal \u00e9 uma massa benigna localizada nos ductos mam\u00e1rios que se desenvolve como resultado de um crescimento excessivo anormal de c\u00e9lulas epiteliais. <\/p>\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/oncology\/intraductal-papilloma\/3d-model-of-ductal-carcinoma-in-situ.webp\" alt=\"Papiloma intraductal\"><figcaption class=\"wp-element-caption\">Papiloma intraductal: <a href=\"https:\/\/catalog.voka.io\/en\/models\/436c862c-ea12-40ad-b117-1cf8ef5cd7e1\/fc0e14a5-fb7d-4a87-a1a8-567305298de6\/03961573-ea89-4f91-98e6-1eb916cfe4bf\/695cbf99-bdc4-42b0-8a83-f0ab197d58e0\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">modelo 3D<\/a><\/figcaption><\/figure>\n<figure class=\"wp-block-video\" id=\"animacao-3d-papiloma-intraductal\"><video controls><source data-src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/oncology\/intraductal-papilloma\/intraductal-papilloma.webm\" type=\"video\/webm\"><\/source><\/video><figcaption class=\"wp-element-caption\">Anima\u00e7\u00e3o 3D: papiloma intraductal<\/figcaption><\/figure>\n<p>Os papilomas intraductais podem ser solit\u00e1rios ou m\u00faltiplos e localizados em qualquer quadrante da mama, mas s\u00e3o mais frequentemente localizados centralmente atr\u00e1s do mamilo, afetando o ducto central.<\/p>\n<p><strong>Fatores de risco para o desenvolvimento do papiloma intraductal<\/strong>:<\/p>\n<ul class=\"wp-block-list\">\n<li>Desequil\u00edbrio hormonal;<\/li>\n<li>Doen\u00e7as end\u00f3crinas associadas (obesidade, diabetes mellitus, doen\u00e7as da tireoide);<\/li>\n<li>Ingest\u00e3o de contraceptivos orais;<\/li>\n<li>Terapia de reposi\u00e7\u00e3o hormonal com agentes contendo estrog\u00eanio;<\/li>\n<li>Predisposi\u00e7\u00e3o heredit\u00e1ria.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\" id=\"etiologia-e-patogenese-do-papiloma-intraductal\">Etiologia e patog\u00eanese do papiloma intraductal<\/h2>\n<p>O desenvolvimento do papiloma intraductal se baseia no desequil\u00edbrio hormonal, ou seja, o aumento da sensibilidade do tecido mam\u00e1rio ao estrog\u00eanio e sua hiperprodu\u00e7\u00e3o. <\/p>\n<p>A hiperestrogenemia provoca a prolifera\u00e7\u00e3o de c\u00e9lulas epiteliais dos ductos mam\u00e1rios, levando \u00e0 hiperplasia do tecido mam\u00e1rio e dilata\u00e7\u00e3o dos ductos. Como resultado desses processos, n\u00f3dulos papilares se formam no l\u00famen do ducto, que s\u00e3o o papiloma intraductal. <\/p>\n<h2 class=\"wp-block-heading\" id=\"apresentacao-morfologica\">Apresenta\u00e7\u00e3o morfol\u00f3gica<\/h2>\n<p>O papiloma intraductal pode ser central (geralmente solit\u00e1rio e grande em tamanho) e perif\u00e9rico (pequeno em tamanho, pode ser m\u00faltiplo). Histologicamente, \u00e9 caracterizado pela presen\u00e7a de uma haste fibrovascular coberta de c\u00e9lulas epiteliais e mioepiteliais (papilas reais). <\/p>\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/oncology\/intraductal-papilloma\/1-intraductal-papilloma.webp\" alt=\"Apresenta\u00e7\u00e3o morfol\u00f3gica do papiloma intraductal\"><figcaption class=\"wp-element-caption\">Apresenta\u00e7\u00e3o morfol\u00f3gica do papiloma intraductal. Fonte: <em>WebPathology. Papiloma intraductal<\/em> [<a href=\"https:\/\/www.webpathology.com\/images\/breast\/benign-prolif-lesions\/intraductal-papilloma\/33430\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">8<\/a>]<\/figcaption><\/figure>\n<p>O papiloma intraductal pode sofrer eros\u00e3o e esclerotiza\u00e7\u00e3o, mas a prolifera\u00e7\u00e3o at\u00edpica, c\u00e9lulas escamosas ou metaplasia ap\u00f3crina com maligniza\u00e7\u00e3o subsequente e desenvolvimento de carcinoma ductal tamb\u00e9m \u00e9 poss\u00edvel.<\/p>\n<h2 class=\"wp-block-heading\" id=\"apresentacao-clinica\">Apresenta\u00e7\u00e3o cl\u00ednica<\/h2>\n<p>As manifesta\u00e7\u00f5es cl\u00ednicas do papiloma intraductal dependem do seu tamanho e localiza\u00e7\u00e3o. <\/p>\n<p>Os papilomas intraductais perif\u00e9ricos s\u00e3o geralmente assintom\u00e1ticos e detectados por ultrassonografia.<\/p>\n<p><strong>Os papilomas intraductais centrais<\/strong> s\u00e3o caracterizados pelos seguintes <strong>sintomas<\/strong>:<\/p>\n<ul class=\"wp-block-list\">\n<li>Uma secre\u00e7\u00e3o transparente amarelada a marrom avermelhada (com sangue) do mamilo \u00e9 o sintoma mais comum;<\/li>\n<li>A presen\u00e7a de uma massa palp\u00e1vel na regi\u00e3o da ar\u00e9ola atr\u00e1s do mamilo.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\" id=\"diagnostico-do-papiloma-intraductal\">Diagn\u00f3stico do papiloma intraductal<\/h2>\n<ol class=\"wp-block-list\">\n<li>Hist\u00f3rico m\u00e9dico, exame m\u00e9dico e palpa\u00e7\u00e3o das mamas;<\/li>\n<li>Ultrassonografia da mama e linfonodos perif\u00e9ricos: pode-se ver uma massa protuberante no l\u00famen do ducto ou cisto;<\/li>\n<li>Na maioria dos casos, a mamografia fornece poucas informa\u00e7\u00f5es e \u00e9 usada como m\u00e9todo de esclarecimento de diagn\u00f3stico quando h\u00e1 suspeita de carcinoma ductal. Radiologicamente, um papiloma intraductal pode ser definido como uma massa arredondada com contorno uniforme definido, semelhante a um cisto, por\u00e9m com maior densidade.<\/li>\n<li>Usa-se a ductografia para esclarecer o diagn\u00f3stico. Em radiografias, ap\u00f3s a inje\u00e7\u00e3o do agente de contraste, determina-se a dilata\u00e7\u00e3o e deformidade dos ductos, irregularidades do contorno com a presen\u00e7a de forma\u00e7\u00f5es em contraste e defeito de preenchimento (interrup\u00e7\u00e3o no padr\u00e3o de realce do contraste);<\/li>\n<li>Usa-se <span class=\"glossary-term\" data-title=\"RM (Resson\u00e2ncia magn\u00e9tica)\" data-tooltip=\"A resson\u00e2ncia magn\u00e9tica (RM) \u00e9 uma t\u00e9cnica de imagem moderna n\u00e3o invasiva que produz imagens em camadas altamente detalhadas de \u00f3rg\u00e3os e tecidos internos. O m\u00e9todo baseia-se no fen\u00f3meno da resson\u00e2ncia magn\u00e9tica nuclear. A principal vantagem da RM \u00e9 a aus\u00eancia de radia\u00e7\u00e3o ionizante.\" data-link=\"https:\/\/wiki.voka.io\/pt\/glossario\/rm\/\">RM<\/span> (resson\u00e2ncia magn\u00e9tica) para esclarecer o diagn\u00f3stico. Os papilomas intraductais s\u00e3o caracterizados pela presen\u00e7a de uma massa arredondada bem definida na RM, isointensa ou levemente hipointensa no modo T1 e com bom ac\u00famulo de contraste no modo T2;<\/li>\n<li>Exame citol\u00f3gico de secre\u00e7\u00e3o do mamilo;<\/li>\n<li>Pun\u00e7\u00e3o aspirativa por agulha fina do tumor;<\/li>\n<li>Biopsia por agulha grossa do tumor.<\/li>\n<\/ol>\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/oncology\/intraductal-papilloma\/2-intraductal-papilloma-on-ultrasound-image.webp\" alt=\"Papiloma intraductal na imagem da ultrassonografia\"><figcaption class=\"wp-element-caption\">Papiloma intraductal na imagem da ultrassonografia. Autor: Bruno Di Muzio. Fonte: <em>Radiopaedia<\/em> [<a href=\"https:\/\/radiopaedia.org\/cases\/intraductal-papilloma-of-breast\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">11<\/a>]<\/figcaption><\/figure>\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/oncology\/intraductal-papilloma\/3-mammogram-of-left-breast-in-two-projections-intraductal-papilloma.webp\" alt=\"Mamografia da mama esquerda em duas proje\u00e7\u00f5es: papiloma intraductal\"><figcaption class=\"wp-element-caption\">Mamografia da mama esquerda em duas proje\u00e7\u00f5es: papiloma intraductal. Autor: Ammar Ashraf. Fonte: <em>Radiopaedia<\/em> [<a href=\"https:\/\/radiopaedia.org\/cases\/intraductal-papilloma-of-breast-2\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">11<\/a>]<\/figcaption><\/figure>\n<p>Voc\u00ea pode ver radiografias e imagens de RM ilustrando um papiloma intraductal abaixo. Autores: Mohammad Taghi Niknejad, Bahman Rasuli. Fonte: <em>Radiopaedia<\/em> [<a href=\"https:\/\/radiopaedia.org\/cases\/intraductal-papilloma-breast-mri\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">11<\/a>]:<\/p>\n<div class=\"carousel-block\">\n<div class=\"swiper carousel-swiper carousel-swiper-block_69d77bf565452\">\n<div class=\"swiper-wrapper\">\n<div class=\"swiper-slide\"><img decoding=\"async\" class=\"carousel-image\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/oncology\/intraductal-papilloma\/ductography-of-right-breast.webp\" alt=\"Ductografia da mama direita: um defeito de preenchimento t\u00edpico de um papiloma intraductal \u00e9 detectado na radiografia. \"><span class=\"small-text-article text-main-text-color\">Ductografia da mama direita: um defeito de preenchimento t\u00edpico de um papiloma intraductal \u00e9 detectado na radiografia. Autor: Mohammad Taghi Niknejad<\/span><\/div>\n<div class=\"swiper-slide\"><img decoding=\"async\" class=\"carousel-image\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/oncology\/intraductal-papilloma\/mommo-picture-3.webp\" alt=\" Imagem de RM de papiloma intraductal com supress\u00e3o de gordura e ponderada em T2. \"><span class=\"small-text-article text-main-text-color\"> Imagem de RM de papiloma intraductal com supress\u00e3o de gordura e ponderada em T2. Autor: Bahman Rasuli<\/span><\/div>\n<div class=\"swiper-slide\"><img decoding=\"async\" class=\"carousel-image\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/articles\/en\/oncology\/intraductal-papilloma\/mammo-picture-4.webp\" alt=\"Imagem de RM de papiloma intraductal ponderada em T1. RM do papiloma intraductal. \"><span class=\"small-text-article text-main-text-color\">Imagem de RM de papiloma intraductal ponderada em T1. RM do papiloma intraductal. 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class=\"social-icon-link\" href=\"https:\/\/www.facebook.com\/VOKA3DAnatomyAndPathology\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/facebook.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.instagram.com\/voka.io\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/insta.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.linkedin.com\/company\/voka-io\/posts\/?feedView=all\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/linkedin.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.youtube.com\/@vokaio\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/youtube.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.pinterest.com\/voka3danatomyandpathology\/\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/pinterest.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/www.tiktok.com\/@voka.io\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/tiktok.svg\" alt=\"social link\"><\/a><a class=\"social-icon-link\" href=\"https:\/\/discord.gg\/7ejUpq8DRR\" target=\"_blank\" rel=\"nofollow noopener\"><img decoding=\"async\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/Social%20Icons\/discord.svg\" alt=\"social link\"><\/a><\/div>\n<\/div>\n<p><img decoding=\"async\" class=\"social-banner-image\" loading=\"lazy\" src=\"https:\/\/storage.googleapis.com\/dev_wiki_voka_io_303011\/common\/social-media-banner-mobile-image.webp\" alt=\"Banner background\"><\/div>\n<h2 class=\"wp-block-heading\" id=\"tratamento-do-papiloma-intraductal\">Tratamento do papiloma intraductal<\/h2>\n<p>O papiloma intraductal deve ser tratado cirurgicamente devido ao alto risco de maligniza\u00e7\u00e3o. Indica-se ressec\u00e7\u00e3o segmentar da mama (lumpectomia) com exame histol\u00f3gico subsequente do material removido.<\/p>\n<div>\n<h2 class=\"faq-title h2-article\" id=\"faq\">FAQ<\/h2>\n<div class=\"faq-section\">\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">1. Quais s\u00e3o as causas e fatores de risco para o desenvolvimento do papiloma intraductal?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">A principal causa do desenvolvimento \u00e9 o desequil\u00edbrio hormonal, ou seja, hiperestrogenemia (aumento dos n\u00edveis de estrog\u00eanio), que provoca a prolifera\u00e7\u00e3o anormal de c\u00e9lulas epiteliais nos ductos. Os principais fatores de risco incluem qualquer condi\u00e7\u00e3o associada a esse desequil\u00edbrio: doen\u00e7as end\u00f3crinas (obesidade, diabetes mellitus), a ingest\u00e3o de contraceptivos orais ou terapia de reposi\u00e7\u00e3o hormonal e predisposi\u00e7\u00e3o heredit\u00e1ria.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">2. Quais s\u00e3o os principais sintomas do papiloma intraductal?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">A apresenta\u00e7\u00e3o cl\u00ednica depende da localiza\u00e7\u00e3o. Os papilomas perif\u00e9ricos s\u00e3o geralmente assintom\u00e1ticos. No caso de centrais localizados pr\u00f3ximos ao mamilo, o sintoma mais comum \u00e9 a secre\u00e7\u00e3o do mamilo. As secre\u00e7\u00f5es podem variar em cor, de transparente amarelada a marrom avermelhada (com sangue). Com menos frequ\u00eancia, uma pequena massa na regi\u00e3o da ar\u00e9ola pode ser palpada.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">3. O papiloma intraductal \u00e9 considerado c\u00e2ncer e qual \u00e9 o risco de maligniza\u00e7\u00e3o?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">N\u00e3o, o papiloma intraductal por si s\u00f3 \u00e9 uma massa benigna. No entanto, \u00e9 considerado uma condi\u00e7\u00e3o pr\u00e9-cancerosa ou, mais especificamente, uma massa com um risco maior de transforma\u00e7\u00e3o maligna. Suas c\u00e9lulas podem desenvolver prolifera\u00e7\u00e3o at\u00edpica, que \u00e9 um precursor do carcinoma ductal in situ (CDIS). Devido ao risco de maligniza\u00e7\u00e3o, a estrat\u00e9gia de manejo para esses pacientes \u00e9 cir\u00fargica.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">4. Qual tratamento \u00e9 indicado para o papiloma intraductal?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">O papiloma intraductal est\u00e1 sujeito ao tratamento cir\u00fargico obrigat\u00f3rio. A terapia n\u00e3o cir\u00fargica e a estrat\u00e9gia de observa\u00e7\u00e3o n\u00e3o s\u00e3o indicadas por causa do risco de maligniza\u00e7\u00e3o. A cirurgia padr\u00e3o \u00e9 a ressec\u00e7\u00e3o segmentar da mama (lumpectomia): excis\u00e3o do ducto juntamente com o papiloma dentro dos tecidos saud\u00e1veis. O material removido deve ser enviado para exame histol\u00f3gico para excluir o diagn\u00f3stico de c\u00e2ncer.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">5. Um papiloma intraductal pode desaparecer ou resolver por si s\u00f3 sem tratamento?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Teoricamente, o papiloma pode sofrer necrose e esclerose espont\u00e2nea (substitui\u00e7\u00e3o por tecido cicatricial). No entanto, considerando que qualquer papiloma pode esconder um foco de atipia ou c\u00e2ncer j\u00e1 desenvolvido, a estrat\u00e9gia de esperar para ver n\u00e3o \u00e9 aplicada. Confiar no desaparecimento da massa n\u00e3o \u00e9 justificado clinicamente e \u00e9 perigoso. Um papiloma intraductal diagnostica \u00e9 um encaminhamento direto para cirurgia.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<div class=\"faq-item faq-answer-hidden\">\n<div class=\"question-block\">\n<div class=\"faq-question\">\n<p class=\" text-black h5-title\">6. Qual \u00e9 o progn\u00f3stico do papiloma intraductal ap\u00f3s o tratamento?<\/p>\n<\/div>\n<div class=\"faq-answer text-main-text-color main-text-medium\">Ap\u00f3s a remo\u00e7\u00e3o cir\u00fargica completa, o progn\u00f3stico \u00e9 geralmente excelente. Se o resultado do estudo histol\u00f3gico n\u00e3o apresentar nenhuma atipia ou sinais de c\u00e2ncer no material removido, o paciente \u00e9 considerado saud\u00e1vel. No entanto, o hist\u00f3rico de papiloma pode aumentar levemente o risco geral de desenvolver c\u00e2ncer de mama no futuro, exigindo um acompanhamento regular com um mastologista.<\/div>\n<\/div>\n<div class=\"expand-button-wrapper\"><button class=\"text-accent expand-button\">+<\/button><\/div>\n<\/div>\n<\/div>\n<p><script type=\"application\/ld+json\">\n    {\n    \"@context\": \"https:\/\/schema.org\",\n    \"@type\": \"FAQPage\",\n    \"mainEntity\": [\n        {\n            \"@type\": \"Question\",\n            \"name\": \"Quais s\u00e3o as causas e fatores de risco para o desenvolvimento do papiloma intraductal?\",\n            \"acceptedAnswer\": {\n                \"@type\": \"Answer\",\n                \"text\": \"A principal causa do desenvolvimento \u00e9 o desequil\u00edbrio hormonal, ou seja, hiperestrogenemia (aumento dos n\u00edveis de estrog\u00eanio), que provoca a prolifera\u00e7\u00e3o anormal de c\u00e9lulas epiteliais nos ductos. Os principais fatores de risco incluem qualquer condi\u00e7\u00e3o associada a esse desequil\u00edbrio: doen\u00e7as end\u00f3crinas (obesidade, diabetes mellitus), a ingest\u00e3o de contraceptivos orais ou terapia de reposi\u00e7\u00e3o hormonal e predisposi\u00e7\u00e3o heredit\u00e1ria.\"\n            }\n        },\n        {\n            \"@type\": \"Question\",\n            \"name\": \"Quais s\u00e3o os principais sintomas do papiloma intraductal?\",\n            \"acceptedAnswer\": {\n                \"@type\": \"Answer\",\n                \"text\": \"A apresenta\u00e7\u00e3o cl\u00ednica depende da localiza\u00e7\u00e3o. Os papilomas perif\u00e9ricos s\u00e3o geralmente assintom\u00e1ticos. No caso de centrais localizados pr\u00f3ximos ao mamilo, o sintoma mais comum \u00e9 a secre\u00e7\u00e3o do mamilo. As secre\u00e7\u00f5es podem variar em cor, de transparente amarelada a marrom avermelhada (com sangue). Com menos frequ\u00eancia, uma pequena massa na regi\u00e3o da ar\u00e9ola pode ser palpada.\"\n            }\n        },\n        {\n            \"@type\": \"Question\",\n            \"name\": \"O papiloma intraductal \u00e9 considerado c\u00e2ncer e qual \u00e9 o risco de maligniza\u00e7\u00e3o?\",\n            \"acceptedAnswer\": {\n                \"@type\": \"Answer\",\n                \"text\": \"N\u00e3o, o papiloma intraductal por si s\u00f3 \u00e9 uma massa benigna. No entanto, \u00e9 considerado uma condi\u00e7\u00e3o pr\u00e9-cancerosa ou, mais especificamente, uma massa com um risco maior de transforma\u00e7\u00e3o maligna. Suas c\u00e9lulas podem desenvolver prolifera\u00e7\u00e3o at\u00edpica, que \u00e9 um precursor do carcinoma ductal in situ (CDIS). Devido ao risco de maligniza\u00e7\u00e3o, a estrat\u00e9gia de manejo para esses pacientes \u00e9 cir\u00fargica.\"\n            }\n        },\n        {\n            \"@type\": \"Question\",\n            \"name\": \"Qual tratamento \u00e9 indicado para o papiloma intraductal?\",\n            \"acceptedAnswer\": {\n                \"@type\": \"Answer\",\n                \"text\": \"O papiloma intraductal est\u00e1 sujeito ao tratamento cir\u00fargico obrigat\u00f3rio. A terapia n\u00e3o cir\u00fargica e a estrat\u00e9gia de observa\u00e7\u00e3o n\u00e3o s\u00e3o indicadas por causa do risco de maligniza\u00e7\u00e3o. A cirurgia padr\u00e3o \u00e9 a ressec\u00e7\u00e3o segmentar da mama (lumpectomia): excis\u00e3o do ducto juntamente com o papiloma dentro dos tecidos saud\u00e1veis. O material removido deve ser enviado para exame histol\u00f3gico para excluir o diagn\u00f3stico de c\u00e2ncer.\"\n            }\n        },\n        {\n            \"@type\": \"Question\",\n            \"name\": \"Um papiloma intraductal pode desaparecer ou resolver por si s\u00f3 sem tratamento?\",\n            \"acceptedAnswer\": {\n                \"@type\": \"Answer\",\n                \"text\": \"Teoricamente, o papiloma pode sofrer necrose e esclerose espont\u00e2nea (substitui\u00e7\u00e3o por tecido cicatricial). No entanto, considerando que qualquer papiloma pode esconder um foco de atipia ou c\u00e2ncer j\u00e1 desenvolvido, a estrat\u00e9gia de esperar para ver n\u00e3o \u00e9 aplicada. Confiar no desaparecimento da massa n\u00e3o \u00e9 justificado clinicamente e \u00e9 perigoso. Um papiloma intraductal diagnostica \u00e9 um encaminhamento direto para cirurgia.\"\n            }\n        },\n        {\n            \"@type\": \"Question\",\n            \"name\": \"Qual \u00e9 o progn\u00f3stico do papiloma intraductal ap\u00f3s o tratamento?\",\n            \"acceptedAnswer\": {\n                \"@type\": \"Answer\",\n                \"text\": \"Ap\u00f3s a remo\u00e7\u00e3o cir\u00fargica completa, o progn\u00f3stico \u00e9 geralmente excelente. Se o resultado do estudo histol\u00f3gico n\u00e3o apresentar nenhuma atipia ou sinais de c\u00e2ncer no material removido, o paciente \u00e9 considerado saud\u00e1vel. No entanto, o hist\u00f3rico de papiloma pode aumentar levemente o risco geral de desenvolver c\u00e2ncer de mama no futuro, exigindo um acompanhamento regular com um mastologista.\"\n            }\n        }\n    ]\n}<\/script><\/div>\n<div class=\"sources-list-block sources-list-hidden\" id=\"referencias\">\n<div class=\"sources-list-content\">\n<div class=\"sources-list-title\">\n<p class=\"small-text-bold text-black sources-list-title-text\">Refer\u00eancias<\/p>\n<div class=\"sources-expand-button-wrapper-mobile\">\n<div class=\"sources-expand-button\"><svg width=\"32\" height=\"32\" viewbox=\"0 0 32 32\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M8 12L16 20L24 12\" stroke=\"#8C9AAB\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/div>\n<\/div>\n<\/div>\n<div class=\"sources-list-items\">\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">1.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">Cat\u00e1logo VOKA. [Recurso eletr\u00f4nico] <\/p>\n<p><span class=\"small-text-medium text-grey\">https:\/\/catalog.voka.io\/ <\/span><\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">2.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">A. V. Anisimov (\u0410. \u0412. \u0410\u043d\u0438\u0441\u0438\u043c\u043e\u0432). Sistema BI-RADS para ultrassonografia: descri\u00e7\u00e3o, classifica\u00e7\u00e3o, ilustra\u00e7\u00f5es (\u0421\u0438\u0441\u0442\u0435\u043c\u0430 BI-RADS \u0434\u043b\u044f \u0423\u0417\u0418: \u043e\u043f\u0438\u0441\u0430\u043d\u0438\u0435, \u043a\u043b\u0430\u0441\u0441\u0438\u0444\u0438\u043a\u0430\u0446\u0438\u044f, \u0438\u043b\u043b\u044e\u0441\u0442\u0440\u0430\u0446\u0438\u0438). \\[Artigo em russo] [Recurso eletr\u00f4nico]<\/p>\n<p><span class=\"small-text-medium text-grey\">https:\/\/www.medison.ru\/si\/art434.htm<\/span><\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">3.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">A. N. Sencha. Ultrassonografia da mama. Passo a passo. Do simples ao complexo. (\u0410.\u00a0\u041d. \u0421\u0435\u043d\u0447\u0430. \u0423\u043b\u044c\u0442\u0440\u0430\u0437\u0432\u0443\u043a\u043e\u0432\u043e\u0435 \u0438\u0441\u0441\u043b\u0435\u0434\u043e\u0432\u0430\u043d\u0438\u0435 \u043c\u043e\u043b\u043e\u0447\u043d\u044b\u0445 \u0436\u0435\u043b\u0435\u0437. \u0428\u0430\u0433 \u0437\u0430 \u0448\u0430\u0433\u043e\u043c. \u041e\u0442 \u043f\u0440\u043e\u0441\u0442\u043e\u0433\u043e \u043a \u0441\u043b\u043e\u0436\u043d\u043e\u043c\u0443.) \\[Livro em russo] 2\u00aa edi\u00e7\u00e3o.<\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">4.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">A.\u00a0N.\u00a0Sencha, Yu.\u00a0V.\u00a0Bikeev. Exame ultrassonogr\u00e1fico das gl\u00e2ndulas mam\u00e1rias. Atlas. (\u0421\u0435\u043d\u0447\u0430 \u0410.\u00a0\u041d., \u0411\u0438\u043a\u0435\u0435\u0432 \u042e.\u00a0\u0412. \u0423\u043b\u044c\u0442\u0440\u0430\u0437\u0432\u0443\u043a\u043e\u0432\u043e\u0435 \u0438\u0441\u0441\u043b\u0435\u0434\u043e\u0432\u0430\u043d\u0438\u0435 \u043c\u043e\u043b\u043e\u0447\u043d\u044b\u0445 \u0436\u0435\u043b\u0435\u0437. \u0410\u0442\u043b\u0430\u0441.) \\[Book in Russian]<\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">5.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">S. K. Ternovoy, A. B. Abduraimov. Mamologia de radia\u00e7\u00e3o. (\u0421.\u00a0\u041a. \u0422\u0435\u0440\u043d\u043e\u0432\u043e\u0439, \u0410.\u00a0\u0411. \u0410\u0431\u0434\u0443\u0440\u0430\u0438\u043c\u043e\u0432. \u041b\u0443\u0447\u0435\u0432\u0430\u044f \u043c\u0430\u043c\u043c\u043e\u043b\u043e\u0433\u0438\u044f.) \\[Livro em russo]<\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">6.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">Pathology Outlines. [Recurso eletr\u00f4nico] <\/p>\n<p><span class=\"small-text-medium text-grey\">https:\/\/www.pathologyoutlines.com<\/span><\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">7.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">Leithner D., Wengert G.J., Helbich T.H., Thakur S., Ochoa-Albiztegui R.E., Morris E.A., Pinker K. Papel cl\u00ednico da RM da mama atual e futuro (Clinical Role of Breast MRI Now and Going Forward). [Recurso eletr\u00f4nico] <\/p>\n<p><span class=\"small-text-medium text-grey\">https:\/\/www.clinicalradiologyonline.net\/article\/S0009-9260(17)30521-4\/fulltext <\/span><\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">8.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">WebPathology. Papiloma intraductal (Intraductal Papilloma). [Recurso eletr\u00f4nico] <\/p>\n<p><span class=\"small-text-medium text-grey\">https:\/\/www.webpathology.com\/ <\/span><\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">9.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">E. A. Oksanchuk, E. V. Meskikh, T. V. Sherstneva, V. O. Kleshneva, M. A. Ershtein. Possibilidades do m\u00e9todo de radia\u00e7\u00e3o no diagn\u00f3stico do papiloma intraductal. <\/p>\n<\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">10.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">Papiloma intraductal (Intraductal Papilloma). Allen Li; Lindsey Kirk. [Recurso eletr\u00f4nico]<\/p>\n<p><span class=\"small-text-medium text-grey\">https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK519539\/ <\/span><\/div>\n<\/div>\n<div class=\"source-item\">\n<p class=\"main-text-semibold text-black\">11.<\/p>\n<div class=\"source-item-content\">\n<p class=\"main-text-semibold text-black\">Radiopaedia. [Recurso eletr\u00f4nico] <\/p>\n<p><span class=\"small-text-medium text-grey\">https:\/\/radiopaedia.org\/ <\/span><\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"sources-expand-button-wrapper\">\n<div class=\"sources-expand-button\"><svg width=\"32\" height=\"32\" viewbox=\"0 0 32 32\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M8 12L16 20L24 12\" stroke=\"#8C9AAB\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"><\/path><\/svg><\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>O papiloma intraductal \u00e9 uma massa benigna localizada nos ductos mam\u00e1rios que se desenvolve como resultado de um crescimento excessivo anormal de c\u00e9lulas epiteliais. Os papilomas intraductais podem ser solit\u00e1rios ou m\u00faltiplos e localizados em qualquer quadrante da mama, mas s\u00e3o mais frequentemente localizados centralmente atr\u00e1s do mamilo, afetando o ducto central. Fatores de risco [&hellip;]<\/p>\n","protected":false},"author":9,"featured_media":0,"template":"","diseases_category":[352],"class_list":["post-1422","diseases_post","type-diseases_post","status-publish","hentry","diseases_category-oncologia"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v25.0 (Yoast SEO v26.5) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Papiloma intraductal: sintomas, causas, diagn\u00f3stico e tratamento<\/title>\n<meta name=\"description\" content=\"Papiloma intraductal: apresenta\u00e7\u00e3o cl\u00ednica, diagn\u00f3stico e estrat\u00e9gia de manejo. 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