42 year old with bloody nipple discharge of the right breast
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Next Step?
Ductogram

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Ultrasound
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Diagnosis
Ductogram with filling defect
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Intraductal Papilloma

  • BIRADS 4
  • Any symptomatic suspicious mass is considered malignant
  • Surgical evaluation needed to exclude diagnosis of cancer
  • 5% of solitary duct discharges are due to cancer
  • Papilloma most common cause of serous/bloody discharge
Tags
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