Common Breast Concerns

Rodden, Ann

doi:10.1016/j.pop.2008.10.006

Cited by 12 publications

(7 citation statements)

References 33 publications

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“…[3][4][5][6][7][8] Approximately 50%-80% of women in their reproductive years can express some type of fluid from the breast. 9 During the normal hormonal stimulation caused by pregnancy and breastfeeding, the mammary glands often produce physiologic discharge of milk and colostrum.…”

Section: Physiologic Dischargementioning

confidence: 99%

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Management of Nipple Discharge and the Associated Imaging Findings

Patel

Falcon

Drukteinis

2015

The American Journal of Medicine

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Section: Physiologic Dischargementioning

confidence: 99%

“…[3][4][5][6][7][8] Common causes of pathologic discharge are intraductal papilloma, duct ectasia, carcinoma, and infection. 11 Of these, the most commonly seen is a benign papilloma, identified in up to 57% of cases of pathologic nipple discharge.…”

Section: Pathologic Dischargementioning

confidence: 99%

Management of Nipple Discharge and the Associated Imaging Findings

Patel

Falcon

Drukteinis

2015

The American Journal of Medicine

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“…Reassurance, re-evaluation, and proper explanation of the condition have vital roles in the treatment of women with mastalgia. 40 Barros et al conducted a study on 121 women suffering from mastalgia to evaluate the results of the application of a nonpharmacologic treatment based on explanation and reassurance. 41 The subjects received reassurance and information and were followed up with a questionnaire 2-3 months later, and comparison of pain parameters of the patients before and after reassurance was made.…”

Section: Reassurancementioning

confidence: 99%

Mastalgia: A narrative literature review of current understanding and management

Salati¹,

Alhumaid²

2018

East. Cent. Afr. J. Surg.

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Mastalgia, or breast pain, is one of the most common breast symptoms experienced by women of reproductive age. The cyclical variant of mastalgia is predominant, and patients need proper assessment and management to allay their 2 chief concerns: (1) the severity of pain negatively impacting daily life and (2) the fear of harbouring malignancy. This article presents a brief review of various modalities of management for cyclical mastalgia and emphasizes data collected from peer-reviewed literature published in the last decade.

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“…Malignancy (typically ductal carcinoma in situ) is found in 5-15% of pathologic discharge patients [3,4]. physiological and benign pathological discharge are mostly bilateral, multiductal, not bloody as any color can be seen (clear, grey, yellow, green or brown) and can be stimulated by manipu-lation of the breast or nipple [5][6][7], while pathological suspicious discharge is mostly unilateral, uniductal, serous/ clear/bloody, spontaneous and may be associated with a breast mass [8][9][10][11][12][13][14].…”

Section: Introductionmentioning

confidence: 99%

Clinical Significance of Pathological Nipple Discharge as a Single Breast Symptom: A Single-institute Experience

Ramadan¹,

Ramadan²

2020

Act Sci wom hea

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Background: Nipple discharge is a common symptom which can cause anxiety although usually caused by benign etiologies and only reported as the presenting symptom in 15% of breast cancer cases. The evaluation and management of nipple discharge is diverse and confusing between breast clinics. The aim of this study was to identify clinical characteristics and preoperative examinations which can be used to identify malignancy as the underlying cause of nipple discharge, thereby facilitating patient tailored treatment. Patients and Methods: We retrospectively reviewed all patients with nipple discharge as a single symptom who attended our institution breast clinic from March 2018 till February 2020. Patients clinical, radiological, lab, pathological, surgical and follow up data were registered. Results: A total of 148 patients with nipple discharge were reviewed. Discharge was unilateral in 70.3%, Multiductal in 58.1%, bloody in 23% and induced on squeezing in 62.2% of the included patients. the causes of discharge in the operated cases (91 patients) were ductectasia in 47 patients (51.6%), benign papilloma in 28 patients (30.8%) and carcinoma in 12 patients (13.2%){DCIS in 7 patients (7.7%) and IDC in 5 patients (5.5%)}. Regarding discharge characteristics in cancer patients; it was unilateral in 58.3%, uniductal in 66.7%, bloody in 75% and induced in 75% of them. Conclusion: Pathological nipple discharge is a common breast complain and may indicate serious condition. Although unilateral, uniductal, bloody and induced discharge in patients above 50 years old with abnormal imaging and suspicious pathology are alarming signs of malignancy; non-bloody, bilateral, multiducatl and spontaneous discharge with normal imaging and non-suspicious pathology may still carry the risk of underlying malignancy.

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Common Breast Concerns

Cited by 12 publications

References 33 publications

Management of Nipple Discharge and the Associated Imaging Findings

Management of Nipple Discharge and the Associated Imaging Findings

Mastalgia: A narrative literature review of current understanding and management

Clinical Significance of Pathological Nipple Discharge as a Single Breast Symptom: A Single-institute Experience

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