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Ultrasound‐guided wire localization of focal ductal dilatation in the evaluation and treatment of pathologic nipple discharge |
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| Authors: | Anya Romanoff MD Benjamin Nulsen MD Jolinda Mester MD Shabnam Jaffer MD Christina Weltz MD |
| Affiliation: | 1. Department of Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA;2. Department of Internal Medicine, Icahn School of Medicine at Mount Sinai, New York, NY, USA;3. New York Medical Imaging, New York, NY, USA;4. Department of Pathology, Icahn School of Medicine at Mount Sinai, New York, NY, USA |
| Abstract: | 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. |
| Keywords: | breast cancer breast ultrasound focal ductal dilatation papilloma pathologic nipple discharge |