Open AccessUltrasound‐guided wire localization of focal ductal dilatation in the evaluation and treatment of pathologic nipple discharge
Author(s) -
Romanoff Anya,
Nulsen Benjamin,
Mester Jolinda,
Jaffer Shabnam,
Weltz Christina
Publication year - 2017
Publication title -
the breast journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.533
H-Index - 72
eISSN - 1524-4741
pISSN - 1075-122X
DOI - 10.1111/tbj.12936
Subject(s) - medicine , nipple discharge , intraductal papilloma , radiology , ultrasound , atypia , occult , ductal carcinoma , lesion , papilloma , mammography , carcinoma , pathology , breast cancer , cancer , alternative medicine
Patients presenting with pathologic nipple discharge (PND) often pose a diagnostic and therapeutic challenge. We used ultrasound to identify focal ductal dilatation—hypothesized to be a radiographic manifestation of the causative lesion—in patients with PND and no relevant clinical or radiographic findings. Twenty‐two excisions guided by ultrasound wire localization of focal duct dilation were performed. Surgical pathology revealed papilloma in 20 cases (91%); atypia or carcinoma was detected in 7 cases (32%). The ultrasound finding of focal duct dilatation enables excision of otherwise occult though clinically significant lesions and is worthy of further study.