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URL: http://rjms.iums.ac.ir/article-1-1702-en.html
Bloody nipple discharge is among the most common problem in breast surgery. This is because the benign intraducatal papilloma is the leading cause of bloody nipple discharge, although in malignant carcinoma of the breast any discharge is bloody. This survey was carried in order to determine ranking rate of causes and coincidence of intraductal papilloma, bloody nipple discharge and breast mass, for avoidance of exaggerated or insufficiently appreciated treatment (unnecessary mastectomy versus insufficient local operation) in these patients. This study performed retrospectively by chart review of . 1218 patients with any impression of breast problems, who enconsecutively and admitted in Hazrat Rasul and Imam Khomeini University Hospitals during 10 years (1986-1995). Among these patients 28 cases with benign papilloma lesions were determined and classified to solitary intraductal papilloma (SIP, 15 cases), multiple intraductal papilloma (MIP, 9 cases) and papillomatosis ( 4 cases). The mean age of patients with SIP were 40.2 years and in MIP were 39.5 years. Nipple discharges were detected in 80% and palpable mass was also detected in 73.3% of patients with SIP. In patients with SIP 88.3% of discharges were bloody. In 53.3 % of patients with SIP discharges and breast mass were detected coincidentaly. In patients with MIP palpable mass was determined in 88.9% and discharge 66.7%. Carcinoma of the breast was not found in these patients. There were no significant relation between the rate of palpable breast mass, malignancy of lesions and nipple discharges in these patients. |
