Duct ectasia with inspissated secretions

Case contributed by Garth Kruger , 1 Jun 2013
Diagnosis almost certain
Changed by Henry Knipe, 20 Oct 2019

Updates to Case Attributes

Presentation was changed:
A 65 year old female presents with a tubularTubular density in the subareolar right breast on mammogram.
Age changed from 65 to 65 years.
Body was changed:

The ultrasound images confirm duct ectasia of the right breast. The ducts contain echogenic material with no flow on Doppler imaging. The diagnosis is inspissated secretions in the duct and no further management is indicated. The Doppler images are key to differentiate this condition from a papilloma: the papilloma should show some blood flow on Doppler.

The inspissated secretions do not have to extend in a sausage-like  fashionfashion along the duct; they can be focal and quite difficult to distinguish from a papilloma. Pay attention to the Doppler images.

  • -<p>The ultrasound images confirm duct ectasia of the right breast. The ducts contain echogenic material with no flow on Doppler imaging. The diagnosis is inspissated secretions in the duct and no further management is indicated. The Doppler images are key to differentiate this condition from a papilloma: the papilloma should show some blood flow on Doppler.</p><p>The inspissated secretions do not have to extend in a sausage-like  fashion along the duct; they can be focal and quite difficult to distinguish from a papilloma. Pay attention to the Doppler images.</p>
  • +<p>The ultrasound images confirm <a title="Mammary duct ectasia" href="/articles/mammary-duct-ectasia">duct ectasia</a> of the right breast. The ducts contain echogenic material with no flow on Doppler imaging. The diagnosis is inspissated secretions in the duct and no further management is indicated. The Doppler images are key to differentiate this condition from a papilloma: the papilloma should show some blood flow on Doppler.</p><p>The inspissated secretions do not have to extend in a sausage-like fashion along the duct; they can be focal and quite difficult to distinguish from a papilloma. Pay attention to the Doppler images.</p>

Updates to Study Attributes

Findings was added:

The ectatic ducts show echogenic material on ultrasound. Images are in cross-section and in length along the ducts.

Images Changes:

Image Ultrasound ( update )

Description was removed:
The ectatic ducts show echogenic material on ultrasound. Images are in cross section and in length along the ducts.

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