title: Case report: galactography-guided wire localization of an intraductal papilloma.
abstract: Galactography is used to evaluate spontaneous unilateral nipple discharge by catheterization of the duct orifice and instillation of radiopaque contrast material. The most common cause of a bloody discharge is an intraductal papilloma which appears as a smooth lobulated intraluminal filling defect or a solitary obstructed duct on galactography. Carcinomas may be the cause of up to 13% [1] of abnormal nipple discharge and cannot be reliably distinguished from papillomas at galactography. Thus any intraductal filling defect or irregularity in symptomatic patients should be surgically evaluated to obtain a tissue diagnosis. Unfortunately, the histologic examination of the biopsy specimen does not always identify the lesion seen at galactography [2]. A potentially more reliable method of locating lesions identified on galactography is described. Chow, J. S. (2001). Clinical Radiology56, 72-73.
authors.affiliation: Department of Radiology, Brigham and Women's Hospital, 75 Francis Street, Boston, MA 02115, USA.
authors.forename: J S
authors.initials: JS
authors.lastname: Chow
authors.forename: D N
authors.initials: DN
authors.lastname: Smith
authors.forename: C M
authors.initials: CM
authors.lastname: Kaelin
authors.forename: J E
authors.initials: JE
authors.lastname: Meyer
mesh_terms: D000328:Adult; D001706:Biopsy / Q000379:methods; D001943:Breast Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology; D003287:Contrast Media; D005260:Female; D006801:Humans; D008327:Mammography / Q000379:methods; D018300:Papilloma, Intraductal / Q000000981:diagnostic imaging* / Q000473:pathology; D015641:Radiography, Interventional / Q000379:methods*
chemical_list: D003287:Contrast Media