Nipple Discharge: Current Clinical and Imaging Evaluation
Dipti Gupta, Ellen B. Mendelson, Ingolf Karst
Abstract
The problem-solving algorithm for evaluating suspicious nipple discharge is evolving. When diagnostic imaging for evaluation of pathologic nipple discharge is negative, management is based on clinical suspicion. If additional imaging is warranted, MRI is preferred because of its increased sensitivity, specificity, and patient comfort. Although central duct excision is the current standard for evaluation of malignancy in patients with pathologic nipple discharge, studies suggest that, given the high negative predictive value of MRI, surveillance may be a reasonable alternative to surgery.
Topics & Concepts
MedicineNipple dischargeCurrent (fluid)RadiologyMedical physicsMammographyInternal medicineBreast cancerElectrical engineeringCancerEngineeringBreast Lesions and CarcinomasCancer and Skin LesionsBreast Implant and Reconstruction