Recent studies recommend the use of magnetic resonance imaging in cases of suspicious nipple discharge in which the mammography and ultrasound findings are normal. Because the reported sensitivity and specificity of ultrasound, it is important to use the correct technique to search for intraductal lesions in the retroareolar region. However, mammography has low sensitivity in cases of nipple discharge, because, typically, the lesions are small, are retroareolar, and contain no calcifications. Mammography and ultrasound should be used together as first-line imaging methods. The clinical examination is an essential part of the patient evaluation, allowing benign nipple discharge to be distinguished from suspicious nipple discharge, which calls for imaging. However, there is a 5% risk of malignancy, mainly ductal carcinoma in situ. The most common causes of pathologic nipple discharge are papilloma and ductal ectasia. The risk of malignancy is higher when the discharge is uniductal, unilateral, spontaneous, persistent, bloody, or serous, as well as when it is accompanied by a breast mass. It is usually limited and has a benign etiology. ![]() Nipple discharge is a common symptom in clinical practice, representing the third leading breast complaint, after pain and lumps. ![]() īreast imaging in patients with nipple dischargeĭe Paula, Ivie Braga Campos, Adriene Moraes If you're still having menstrual periods and your nipple discharge doesn't resolve. ![]() It also may be associated with menstrual hormone changes and fibrocystic changes.
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