Ultrasound Findings of Mammary Duct Ectasia Causing Bloody Nipple Discharge in Infancy and Childhood

Moon, Sungmin; Lim, Hyo Soon; Ki, So Yeon

doi:10.1002/jum.14970

Cited by 7 publications

(2 citation statements)

References 15 publications

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“…The patient only shows signs of nipple or areola pain and a "cheese"-like excretion on nipple squeezing. On ultrasound examination, the lesion is mostly flat, and the blood flow is sparse, with low velocity and low resistance [17][18][19]. Molybdenum target examination of the mammary gland shows an asymmetrical shadow with an increased density, a flame-like appearance, an uneven density accompanied by low-density tubular structures and scattered rod-shaped or hollow, small, round calcified shadows along the long axis of the catheter.…”

Section: Duct Dilatation Stagementioning

confidence: 99%

Current Understanding and Management of Plasma Cell Mastitis: Can We Benefit from What We Know?

Xing¹,

Zhang²,

Zha³

et al. 2021

Breast Care

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Background: Plasma cell mastitis (PCM), also known as mammary duct ectasia, is a chronic nonbacterial breast inflammation characterized by duct expansion and plasma cell infiltration. The severe and intense clinical manifestations profoundly affect the quality of life of female patients. Although the pathological process of PCM is known to include four stages (duct dilatation, inflammation, abscess and fistula), there is still lack of imaging techniques and serum markers with high specificity in clinical practice. Due to recurrent acute attacks and the prolonged healing process of the disease, most patients choose to accept mastectomy. Summary: We searched for studies, reports and reviews referring to PCM in the past 20 years; more than half of the results were related to animal studies, and little attention has been paid to human beings, which may explain the frequent misdiagnosis of PCM as breast cancer and the limited treatment options. This review focuses on the current diagnostic methods and markers for PCM and hierarchically discusses the typical clinical features, etiological causes and relevant molecular mechanisms of PCM. Key Messages: We herein highlight the urgent need to develop more specific and sensitive biomarkers in the clinical laboratory. It will help to establish a standardized flowchart for the diagnosis and treatment of PCM in order to improve recovery for female patients.

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Section: Duct Dilatation Stagementioning

confidence: 99%

Current Understanding and Management of Plasma Cell Mastitis: Can We Benefit from What We Know?

Xing¹,

Zhang²,

Zha³

et al. 2021

Breast Care

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“…The cystic lesions may be small and simple, or larger and multiseptated or complex (9-12). Moon et al reported 3 cases of mammary duct ectasia in infancy and childhood, with variable imaging findings, including complex cystic and solid lesions (13). Bilateral ductal dilatations were detected on ultrasonography in our two cases.…”

Section: Discussionmentioning

confidence: 46%

Bloody Nipple Discharge in Infants

Karabayır¹,

Eren²,

Canbeyli³

2020

jchild

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Çocuklarda meme ucu kanlı akıntısı çok nadir görülmekte olup, etyolojisi ve patofizyolojisi bilinmemektedir. En sık neden duktal ektazidir. Ebeveynleri endişelendirmesine rağmen sıklıkla spontan olarak gerileyen selim bir durumdur. Memeden kanlı akıntı nedeniyle kliniğimize başvuran 3 ve 6 aylık iki kız bebeğin yapılan fizik muayenelerinde özellik saptanmadı. Hemogram, aPTT, prothrombin zamanı ve estradiol değerleri normal bulunan olguların yapılan ultrasonografilerinde duktal ektaziye bağlı bilateral fibrokistik değişiklikler görüldü. Her iki olgunun takibinde kanamaların bir ay içinde kaybolduğu saptanırken, 6 aylık olan olgumuzda 10 ay sonra bir kez daha kanama tekrar etti. Sonuç olarak sıklıkla duktal ektazi sonucu gelişen meme ucu kanlı akıntısında kanama, tedaviye gerek kalmadan kendiliğinden kaybolmaktadır. Olgular detaylı bir şekilde değerlendirildikten sonra konservatif olarak takip edilmelidir.

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Breast

Hernandez,

Simsir

2023

Non-Neoplastic Cytology

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Ultrasound Findings of Mammary Duct Ectasia Causing Bloody Nipple Discharge in Infancy and Childhood

Cited by 7 publications

References 15 publications

Current Understanding and Management of Plasma Cell Mastitis: Can We Benefit from What We Know?

Current Understanding and Management of Plasma Cell Mastitis: Can We Benefit from What We Know?

Bloody Nipple Discharge in Infants

Breast

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