Intraductal papilloma - galactogram

Case contributed by Dr Garth Kruger

Presentation

Nipple discharge right breast

Patient Data

Age: Adult
Gender: Female

Ductography right breast

Fluoroscopy

Mammogram images post ductogram of a discharging duct right breast. Contrast injection of the duct opening under magnification.

Findings: duct ectasia and a filling defect at the duct bifurcation.

Case Discussion

The filling defect in the main duct is a papilloma. Ultrasound confirmed the lesion's intraductal location and FNA was performed under ultrasound guidance.

Galactography seems to be a dying art. It makes sense in reproducible 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.

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