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Abnormal Nipple Discharge - probable intraductal papilloma

Jardon-Aites MDJ - MedPix (2010)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Abnormal Nipple Discharge - probable intraductal papilloma

History: 48 y/o AA female presents with several week h/o “coffee-colored” discharge from her R breast • Described as spontaneous, often noted in her bra at the end of the day • Denies prior h/o abnormal breast discharge • Denies pain, masses, or prior h/o malignancy • Admits to FHx of breast CA

Findings: •5 mm lobulated filling defect approx. 1.3 cm from nipple orifice at ductal bifurcation, most notable on Mag CC Ductogram of R breast •Mild duct ectasia noted on both MLO and CC views

Ddx: •Papilloma •Intraductal Hyperplasia •Intraductal Malignancy

Exam: •Moderately obese African American female •Breasts symmetrical, no obvious deformities/abnormalities •No masses or lymphadenopathy •Able to express discharge from a single duct with breast milking •Previous Screening Mammogram (NOV 2009) within normal limits -Asymptomatic at time of screening mammogram

No MeSH data available.


Screening Mammogram of L breast
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MPX2172_synpic52752: Screening Mammogram of L breast


Abnormal Nipple Discharge - probable intraductal papilloma

Jardon-Aites MDJ - MedPix (2010)

Screening Mammogram of L breast
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2172&req=5

MPX2172_synpic52752: Screening Mammogram of L breast

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Abnormal Nipple Discharge - probable intraductal papilloma

History: 48 y/o AA female presents with several week h/o “coffee-colored” discharge from her R breast • Described as spontaneous, often noted in her bra at the end of the day • Denies prior h/o abnormal breast discharge • Denies pain, masses, or prior h/o malignancy • Admits to FHx of breast CA

Findings: •5 mm lobulated filling defect approx. 1.3 cm from nipple orifice at ductal bifurcation, most notable on Mag CC Ductogram of R breast •Mild duct ectasia noted on both MLO and CC views

Ddx: •Papilloma •Intraductal Hyperplasia •Intraductal Malignancy

Exam: •Moderately obese African American female •Breasts symmetrical, no obvious deformities/abnormalities •No masses or lymphadenopathy •Able to express discharge from a single duct with breast milking •Previous Screening Mammogram (NOV 2009) within normal limits -Asymptomatic at time of screening mammogram

No MeSH data available.