CASE N°12 – Nipple Discharge
History of bloody nipple discharge of one month duration. Physical examination revealed an ovoid mass measuring 1.5 x 1 centimeters above the left nipple
Cytological material: Nipple discharge
Papillary lesion: Histolgy examination required
Histological material: Nodule excision
Ductal carcinoma in situ (DCIS), G II. Solid, papillary & micropapillary aspects.
Blood-containing discharge secreting unilaterally from one duct orifice always need cytology evaluation. When cytology reveals papillary aggregates of epithelial cells (with or without nuclear atypia), surgical removal of the lesion is suggested, which is also the treatment for the symptom. Such discharge is most commonly caused by a benign intraductal papilloma; however, carcinoma is found in 10-15% of cases.