Breast duct diverticulum

Case contributed by Dr Garth Kruger

Presentation

Nipple discharge single duct right breast

Patient Data

Gender: Female
Modality: Ultrasound

Enlarged image of a cystic structure behind the nipple. Note how the lesion tapers up toward the posterior aspect of the nipple.

Modality: Mammography

A large duct diverticulum.

Case Discussion

Galactography is a dying art. It takes time, effort and patience It makes sense only when a single duct is involved. The actual nature of the discharge does not predict the etiology. The traditional teaching that a bloody discharge is more sinister than others is not true in practice.

Bilateral nipple discharges would be more likely due to constitutional causes and most of those are idiopathic.

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Case Information

rID: 19032
Case created: 3rd Aug 2012
Last edited: 18th Dec 2015
System: Breast
Inclusion in quiz mode: Included

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