Analiza metod diagnostycznych wycieku z brodawki sutkowej u pacjentek poddanych leczeniu operacyjnemu

Bibliogr. s. 21

Background: Spontaneous, one-ductal nipple discharge can be a symptom of intraductal breast hyperplasia. The aim of this study was to assess nipple discharge diagnostic methods and the established diagnostictherapeutic rules in these cases. Material/Methods: 81 women (18-79 years old) were examined at the RCO in Bydgoszcz. Each patient underwent a clinical medical examination, USG, mammography (for patients > 35 years old), galactography, and cytological examination o f nipple discharge. We analyzed the results o f these methods and compared them with histopathological results of operated patients. Results: In 20 of the 81 cases, breast changes were palpable. These could be visualized in 39/81 cases using USG and in 12/73 using mammography. Using galactography, we had diagnostic results in 78/81 cases, the most common symptom being a "filling” defect.. We found 54 papilloma intraductale and 4 carcinoma cases. Conclusions: Galactography is an indispensable diagnostic method in nipple discharge. The main cause of nipple discharge is papilloma.