A novel presentation of tubular adenoma of the breast as an intraductal mass: Diagnostic considerations and pathologic correlation

Sir, Tubular adenoma is a benign breast lesion, typically presenting as a palpable breast mass in a young woman. We present a novel case of tubular adenoma presenting as an intraductal mass, the first described case in the literature to our knowledge. There is limited information regarding the spectrum of imaging findings of this entity in the literature, which can pose a diagnostic and management challenge. We seek to broaden the realm of known imaging characteristics of tubular adenomas, and thus aid in accurate pathologic–radiologic correlation after tissue sampling. Lack of information on imaging characteristics has perhaps contributed to the standard recommendation for surgical resection in order to achieve diagnostic confirmation. Improving presurgical diagnostic confidence with both accepted radiological and pathological features would aid in cases where nonsurgical management is being sought. In addition, a more informed and confident discussion between the patient and the clinician could occur.