Intraductal papilloma - galactogram
Nipple discharge right breast
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Ductography right breast shows duct ectasia and a filling defect at the duct bifurcation.
The filling defect in the main duct is a papilloma. Ultrsound confirmed the lesions intraductal location and FNA was performed under ultrasound guidance.
Galactography seems to be a dying art. It makes sense in reproducable single duct discharges. There is no correlation between the color of the discharge and the final histology. Patients with multiple duct discharges or bilateral discharges do not qualify for ductography.