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Breast ductography: to do or not to do? A pictorial essay
Nipple discharge is a frequent breast disease clinical presentation. Although most cases of nipple discharge are physiologic, pathologic nipple discharge is not uncommon. Eight to 15% of pathological nipple discharge is associated with malignancy, requiring investigation. Some specialists believe th...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Vienna
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10667172/ https://www.ncbi.nlm.nih.gov/pubmed/37995065 http://dx.doi.org/10.1186/s13244-023-01547-x |
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author | Alikhassi, Afsaneh Curpen, Belinda |
author_facet | Alikhassi, Afsaneh Curpen, Belinda |
author_sort | Alikhassi, Afsaneh |
collection | PubMed |
description | Nipple discharge is a frequent breast disease clinical presentation. Although most cases of nipple discharge are physiologic, pathologic nipple discharge is not uncommon. Eight to 15% of pathological nipple discharge is associated with malignancy, requiring investigation. Some specialists believe that ductography is a challenging procedure that is better to be substituted by other methods, such as MRI. However, an experienced physician can perform ductography quickly and easily and still play an essential role in some clinical scenarios. Conventional imaging, such as mammography and sonography, commonly fails to detect the underlying causes of pathological nipple discharge. MRI has limitations of low specificity, cost, lengthy exam duration, accessibility, and patient factors such as claustrophobia. In addition, we can make a specific diagnosis and appropriate treatment by coupling ductography with other methods, such as ultrasound-guided or stereotactic biopsy. This study aims to present the ductography technique, possible findings, and the clinical settings where ductography is useful. Critical relevance statement Although ductography is currently less used in breast imaging, it still plays an essential role in some clinical scenarios. These clinical scenarios include pathological nipple discharge with negative conventional imaging, contraindicated MRI, unavailable MRI, unremarkable MRI results, and multiple MRI findings. Key points • Conventional imaging commonly fails to detect the underlying causes of pathological nipple discharge. • MRI in the setting of nipple discharge has some limitations. • Ductography still plays an essential role in some clinical scenarios. • Coupling ductography with other methods helps make a specific diagnosis. GRAPHICAL ABSTRACT: [Image: see text] |
format | Online Article Text |
id | pubmed-10667172 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Springer Vienna |
record_format | MEDLINE/PubMed |
spelling | pubmed-106671722023-11-23 Breast ductography: to do or not to do? A pictorial essay Alikhassi, Afsaneh Curpen, Belinda Insights Imaging Educational Review Nipple discharge is a frequent breast disease clinical presentation. Although most cases of nipple discharge are physiologic, pathologic nipple discharge is not uncommon. Eight to 15% of pathological nipple discharge is associated with malignancy, requiring investigation. Some specialists believe that ductography is a challenging procedure that is better to be substituted by other methods, such as MRI. However, an experienced physician can perform ductography quickly and easily and still play an essential role in some clinical scenarios. Conventional imaging, such as mammography and sonography, commonly fails to detect the underlying causes of pathological nipple discharge. MRI has limitations of low specificity, cost, lengthy exam duration, accessibility, and patient factors such as claustrophobia. In addition, we can make a specific diagnosis and appropriate treatment by coupling ductography with other methods, such as ultrasound-guided or stereotactic biopsy. This study aims to present the ductography technique, possible findings, and the clinical settings where ductography is useful. Critical relevance statement Although ductography is currently less used in breast imaging, it still plays an essential role in some clinical scenarios. These clinical scenarios include pathological nipple discharge with negative conventional imaging, contraindicated MRI, unavailable MRI, unremarkable MRI results, and multiple MRI findings. Key points • Conventional imaging commonly fails to detect the underlying causes of pathological nipple discharge. • MRI in the setting of nipple discharge has some limitations. • Ductography still plays an essential role in some clinical scenarios. • Coupling ductography with other methods helps make a specific diagnosis. GRAPHICAL ABSTRACT: [Image: see text] Springer Vienna 2023-11-23 /pmc/articles/PMC10667172/ /pubmed/37995065 http://dx.doi.org/10.1186/s13244-023-01547-x Text en © Crown 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Educational Review Alikhassi, Afsaneh Curpen, Belinda Breast ductography: to do or not to do? A pictorial essay |
title | Breast ductography: to do or not to do? A pictorial essay |
title_full | Breast ductography: to do or not to do? A pictorial essay |
title_fullStr | Breast ductography: to do or not to do? A pictorial essay |
title_full_unstemmed | Breast ductography: to do or not to do? A pictorial essay |
title_short | Breast ductography: to do or not to do? A pictorial essay |
title_sort | breast ductography: to do or not to do? a pictorial essay |
topic | Educational Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10667172/ https://www.ncbi.nlm.nih.gov/pubmed/37995065 http://dx.doi.org/10.1186/s13244-023-01547-x |
work_keys_str_mv | AT alikhassiafsaneh breastductographytodoornottodoapictorialessay AT curpenbelinda breastductographytodoornottodoapictorialessay |