The Japanese journal of surgery

, Volume 4, Issue 2, pp 112–120 | Cite as

Characteristics of nipple discharge lesions of the breast and contrast mammography

  • Takeo Amaaki
  • Kohji Enomoto
  • Akio Kosaka
  • Leslie J. Faulkin
Article
  • 30 Downloads

Abstract

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 Words

bloody nipple discharge intraductal papilloma mammary carcinoma radical mastectomy unpalpable breast lesion contrast mammography microdochectomy 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Atkin, H., and Wolff, B.: Discharge from the nipple. Brit. J. Surg., 51: 602–606, 1964.Google Scholar
  2. 2.
    Buhl-Jørgensen, S. E., Fishermann, K., Johansen, H., and Petersen, B.: Cancer risk in intraductal papilloma and papillomatosis. Surg. Gynec. Obstet., 127: 1307–1312, 1968.PubMedGoogle Scholar
  3. 3.
    Forrest, H.: Intraductal papilloma of the breast. Brit. J. Surg., 53: 1028–1032, 1966.PubMedGoogle Scholar
  4. 4.
    Funderburk, W. W. and Syphax, B.: Evaluation of nipple discharge in benign and malignant diseases, Cancer, 24: 1290–1296, 1969.PubMedCrossRefGoogle Scholar
  5. 5.
    Kline, T. S. and Lash, S.: Nipple secretion in pregnancy. A cytologic and histologic study. Amer. J. Clin. Path., 37: 626–632, 1962.Google Scholar
  6. 6.
    Kraus, F. T. and Neubecker, R. D.: The differential diagnosis of papillary tumors of the breast. Cancer, 15: 444–455, 1962.PubMedCrossRefGoogle Scholar
  7. 7.
    Madalin, H. E., Clagett, O. T. and McDonald, J. R.: Lesions of the breast associated with discharges from the nipple. Ann. Surg., 146: 751–763, 1957.PubMedGoogle Scholar
  8. 8.
    Mathieson, A. J. M.: The bleeding nipple. Its significance and the problem of its management. Brit. J. Surg., 50: 830–833, 1963.Google Scholar
  9. 9.
    McLaughlin, C. W. and Coe, J.: A study of nipple discharge in the nonlactating breast. Ann. Surg., 157: 810–816, 1963.PubMedGoogle Scholar
  10. 10.
    McPherson, V. A. and Mac Kenzie, W. C.: Lesions of the breast associated with nipple discharge: Prognosis after local excision of benign lesions. Canad. J. Surg., 5: 6–11, 1962.Google Scholar

Copyright information

© The Japan Surgical Society 1974

Authors and Affiliations

  • Takeo Amaaki
    • 1
  • Kohji Enomoto
    • 1
  • Akio Kosaka
    • 1
  • Leslie J. Faulkin
    • 2
  1. 1.Department of Surgery and Breast Service ClinicKeio UniversityTokyo
  2. 2.Department of AnatomyUniversity of California at DavisU.S.A.

Personalised recommendations