Ductographic findings of breast cancer.
Ductography has become the gold standard for the evaluation of patients exhibiting pathologic nipple discharges. In nine patients (age range, 29-67 years; median age, 51 years) with invasive (n=5) or intraductal (n=4) cancer, ductographic findings were recorded, then correlated with mammographic and sonographic findings. Common ductographic findings included complete ductal obstruction, multiple irregular filling defects in the nondilated peripheral ducts, ductal wall irregularities, periductal contrast extravasation, and ductal displacement. Faint microcalcifications or ill-defined masses, which were not opacified by contrast material, were often discovered adjacent to ductal abnormalities. Mammographically and sonographically occult diffusely spreading intraductal cancers often manifested as pathologic nipple discharge. In such cases, meticulous ductographic examinations and interpretations were crucial in order not to miss breast cancers.
Cho
Nariya
N
Department of Radiology, Seoul National University College of Medicine, Institute of Radiation Medicine, Seoul, Korea.
Moon
Woo Kyung
WK
Chung
Sun Yang
SY
Cha
Joo Hee
JH
Cho
Kyung Soo
KS
Kim
Eun Kyung
EK
Oh
Ki Keun
KK
D000328:Adult; D000368:Aged; D001943:Breast Neoplasms / Q000000981:diagnostic imaging*; D018270:Carcinoma, Ductal, Breast / Q000000981:diagnostic imaging*; D005260:Female; D006801:Humans; D008875:Middle Aged; D009558:Nipples / Q000000981:diagnostic imaging*; D011859:Radiography; D016217:Ultrasonography, Mammary