PMID: 9543584Apr 17, 1998Paper

Evaluation of galactography for nipple discharge

Clinical Imaging
M F HouD K Wu

Abstract

Galactography is useful in the evaluation of spontaneous discharge from the nipple of a nonlactating breast. Without galactography, surgeons have relied on either masectomy or excision of the major duct system responsible for the discharge. From January 1989 to May 1996, 106 galactograms were performed with monofilament polypropylene suture guiding for duct cannulation in 105 cases. The discharge duct was identified by pre-operative galactography, followed by a selective excision of ductal-lobular unit. In all tissue specimens, the cause of the pathologic secretion was found histologically; most often, it was intraductal papilloma (42.6%). In 35.6% of the specimens, findings with a prospective significance (papillomatosis, hyperplasia, carcinoma) were discovered and further operative treatment was initiated. The color of the discharge allowed no prediction of the histological findings. The accuracy of galactography was 88.4%, 84.6%, and 77.4% in papilloma, cancer, and other benign lesions, respectively. It is better than physical examination and other tests. Galactography represents a useful test in the diagnostic workup of secretory breasts.

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Citations

Nov 25, 2003·Breast Cancer : the Journal of the Japanese Breast Cancer Society·Hiroshi NakaharaShozo Tamura
Feb 7, 2008·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Masanori HiroseTakehiko Gokan
Jul 13, 2012·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Diana M Ferris-JamesPriscilla J Slanetz
Jan 7, 2010·Women's Health·Stefanos ZervoudisIordanis Navrozoglou
Jan 16, 2007·Gynécologie, obstétrique & fertilité·M GrynbergC Quéreux
Jul 2, 2003·European Radiology·Jutta PetersThomas J Vogl
May 13, 2005·Annals of Surgical Oncology·Steffi LauToralf Reimer
Jan 4, 2006·Proceedings·J P LamontR C Jones

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