Characteristics of nipple discharge lesions of the breast and contrast mammography
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Nipple discharge is frequently an embarassing sympton of breast disease. Twenty eight of 40 intraductal papillomas had bloody discharge (70 per cent). Among 240 carcinomas only 11, or 4.6 per cent had nipple discharge. The palpability of the intraductal papilloma with nipple discharge was 14 out of 37 (37.8 per cent), in contrast to 21 of 22 (95.4 per cent) mammary carcinomas. Diagnostic accuracy of contrast mammography was 91.9 per cent in unpalpable intraductal papilloma cases. Speculative blind mastectomy against nipple discharge lesion with unpalpable breast mass should be avoided.
Key Wordsbloody nipple discharge intraductal papilloma mammary carcinoma radical mastectomy unpalpable breast lesion contrast mammography microdochectomy
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