INTRAPAPILLARY DUCT DILATION

A NEW ULTRASONOGRAPHY SIGN

Authors

  • Hélio Sebastião Amâncio de Camargo Júnior Federação Brasileira das Associações de Ginecologia e Obstetrícia
  • Sandra Regina Campos Teixeira Universidade Estadual de Campinas
  • Marcia Martos Amâncio de Camargo CDE Diagnósticos por Imagem
  • Marcia Martos Amâncio de Camargo CDE Diagnósticos por Imagem
  • Juliana Azevedo CDE Diagnósticos por Imagem
  • Maurício de Souza Arruda

Keywords:

breast ultra-sonography, nipple discharge, mammary duct ectasia, papilloma, breast neoplasms

Abstract

Objective: To evaluate a not yet described ultrasound finding, the dilation of the intra-papillary portion of the lactiferous duct in patients with or without abnormal nipple discharge Methods: 24 patients with pathological nipple discharge and intrapapillary duct dilation and 1,255 asymptomatic patients (control group) were studied. Results: Just one asymptomatic patient had intrapapillary duct dilation. Among the symptomatic patients, 19 were biopsied: ten with exclusively percutaneous approach, six with exclusively surgical approach, and three with an initial percutaneous and then a surgical approach. There was one invasive carcinoma and two carcinomas in situ (15.8% of the biopsied patients). In 11 patients, a papilloma was found, three of them with atypia. In one patient, ultrasonography identified intrapapillary extension of microcalcifications, and another patient a changed duct diametrically opposite to the duct which had a trigger point. In these two patients, the examination changed the treatment strategy. In two other patients, an extra-papillary finding was identified only after the intrapapillary duct dilation has been encountered. Conclusion: The intrapapillary duct dilation is a new ultrasonography sign that adds sensitivity to the evaluation of the patient with pathological nipple discharge, besides helping to find the lesion and to guide the treatment. Further research is needed to determine its prevalence and its positive and negative predictive values for cancer, atypia and papilloma.

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Published

2018-01-20

How to Cite

Camargo Júnior, H. S. A. de, Teixeira, S. R. C., Camargo, M. M. A. de, Camargo, M. M. A. de, Azevedo, J., & Souza Arruda, M. de. (2018). INTRAPAPILLARY DUCT DILATION: A NEW ULTRASONOGRAPHY SIGN. Mastology, 28(1), 11–16. Retrieved from https://revistamastology.emnuvens.com.br/revista/article/view/534

Issue

Vol. 28 No. 1 (2018)

Section

Original Articles

License

Copyright (c) 2018 Hélio Sebastião Amâncio de Camargo Júnior, Sandra Regina Campos Teixeira, Marcia Martos Amâncio de Camargo, Marcia Martos Amâncio de Camargo, Juliana Azevedo, Maurício de Souza Arruda

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This work is licensed under a Creative Commons Attribution 4.0 International License.