Conclusion:

Vacuum assisted excision of intraductal papillomas can become the mainstay of treatment for non-malignant papilloma without any atypia on pre-exision biopsy.

Most of these lesions are identified incidentally on screening population and some of them present with nipple discharge.

Radiologist should not only play an important role in detection of these lesions but also in guiding management by offering this minimally invasive, outpatient technique to patients as an alternative to surgery.

A VAE is less invasive than surgical excision of the lesion. It is also often better tolerated than surgical excision because a local anaesthetic is used instead of general. This will reduce your recovery time and you will not have to stay in hospital overnight. Residual scarring is also reduced.

Emerging role of vacuum assisted excision of other small non-malignant lesions, evacuation of large complex collections has also been performed at our institute.