Chapter 147 Breast: Duct Ectasia INTRODUCTION Description: Duct ectasia is dilation of the ducts of the breast with inspissation of normal secretions, arising from chronic intraductal and periductal inflammation. Prevalence: Relatively common in asymptomatic form. Predominant Age: Older than 50. Genetics: No genetic pattern. ETIOLOGY AND PATHOGENESIS Causes: Chronic intraductal and periductal inflammation. Risk Factors: Mastitis, breast abscess. CLINICAL CHARACTERISTICS Signs and Symptoms • Thick gray to black nipple discharge • Pain and nipple tenderness • Thickening often present; may be difficult to distinguish from cancer (firm, rounded, and fixed, with skin retraction) • Nipple retraction common (ductal ectasia is the most common cause of an acquired nipple inversion) DIAGNOSTIC APPROACH Differential Diagnosis • Galactocele • Lipoma • Fibrocystic change • Fibroadenoma • Breast abscess Only gold members can continue reading. Log In or Register to continue Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window) Related Related posts: Anemia Toxic Shock Syndrome Uterine Anomalies: Bicornuate, Septate, and Unicornuate Uterus Cervical Cancer Stay updated, free articles. Join our Telegram channel Join Tags: Netters Obstetrics and Gynecology Jun 6, 2016 | Posted by admin in GYNECOLOGY | Comments Off on Breast: Duct Ectasia Full access? Get Clinical Tree
Chapter 147 Breast: Duct Ectasia INTRODUCTION Description: Duct ectasia is dilation of the ducts of the breast with inspissation of normal secretions, arising from chronic intraductal and periductal inflammation. Prevalence: Relatively common in asymptomatic form. Predominant Age: Older than 50. Genetics: No genetic pattern. ETIOLOGY AND PATHOGENESIS Causes: Chronic intraductal and periductal inflammation. Risk Factors: Mastitis, breast abscess. CLINICAL CHARACTERISTICS Signs and Symptoms • Thick gray to black nipple discharge • Pain and nipple tenderness • Thickening often present; may be difficult to distinguish from cancer (firm, rounded, and fixed, with skin retraction) • Nipple retraction common (ductal ectasia is the most common cause of an acquired nipple inversion) DIAGNOSTIC APPROACH Differential Diagnosis • Galactocele • Lipoma • Fibrocystic change • Fibroadenoma • Breast abscess Only gold members can continue reading. Log In or Register to continue Share this:Click to share on Twitter (Opens in new window)Click to share on Facebook (Opens in new window) Related Related posts: Anemia Toxic Shock Syndrome Uterine Anomalies: Bicornuate, Septate, and Unicornuate Uterus Cervical Cancer Stay updated, free articles. Join our Telegram channel Join Tags: Netters Obstetrics and Gynecology Jun 6, 2016 | Posted by admin in GYNECOLOGY | Comments Off on Breast: Duct Ectasia Full access? Get Clinical Tree