Research Article
Duct Excision is Still Necessary to Rule out Breast Cancer in Patients Presenting with Spontaneous Bloodstained Nipple Discharge
Table 2
Breast cancers identified following surgery for spontaneous isolated nipple discharge.
| Age | Discharge type | Single duct? | Initial surgery | Initial histology | Final histology | Treatment |
| 32 | Fresh blood | Yes | Micro | DCIS | Intermediate grade DCIS | Mx + ANS + recon | 43 | Fresh blood | No | TDE | DCIS | Extensive intermediate grade DCIS | Mx + ANS + recon | 51 | Fresh blood/serous | Yes | TDE | DCIS | High grade DCIS | Mx + ANS | 58 | Fresh blood | Yes | TDE | IDC | 3 mm grade 3 IDC + extensive DCIS | Mx + ANC + recon | 60 | Fresh blood | Yes | Micro | DCIS | High grade DCIS | Mx + ANS | 68 | Fresh blood | Yes | TDE | IDC | 3 mm grade 2 IDC + DCIS | Mx + ANC | 69 | Fresh blood | Yes | Micro | DCIS | Multifocal intermediate grade DCIS | Mx + ANS | 72 | History of fresh blood; serous discharge identified, dipstick +++ for blood | Yes | TDE | IDC | 10 mm grade 2 IDC + DCIS | Mx+ ANC | 74 | Altered blood | Yes | TDE | IDC | 10 mm grade 2 IDC + widespread DCIS | Mx and ANC | 78 | Fresh blood | Yes | TDE | DCIS | Multifocal intermediate grade DCIS | Simple Mx | 88 | Fresh blood | Yes | TDE | DCIS | Low grade DCIS | Simple Mx |
|
|
Initial operation: Micro: microdochectomy; TDE: total duct excision. Histology: DCIS: ductal carcinoma insitu; IDC: invasive ductal carcinoma. Treatment: Mx: mastectomy; ANS: axillary node sampling; ANC: axillary node clearance; Recon: reconstruction.
|