CASE N°12 – Nipple Discharge

Clinical History:

Age:39

Sex: female

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 Images:

Cytological material: Nipple discharge

PAP

PAP

PAP

PAP

PAP

PAP

Cytological Report:

Papillary lesion: Histolgy examination required

Histological Images:

Histological material: Nodule excision

 H/E 

 H/E 

 H/E

 H/E 

 H/E

Histological Report:

Ductal carcinoma in situ (DCIS), G II. Solid, papillary & micropapillary aspects. 

Discussion:

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.

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s

%d bloggers like this: