Nippel Discharge as Presentation of Underlingbreast Diseases
1M.B.Ch.B, Mc.S In General Surgery At Baqubah Teaching Hospital
2M.B.Ch.B, F.I.B.M.S In General Surgery At Baqubah Teaching Hospital
3M.B.Ch.B, Mc.S In General Surgery At Baqubah Teaching Hospital
Firas Munther Mutaab
Abstract: Background: The nipple discharge is the release of any fluid from the nipple of breast and represent a common symptomatic problem that causes many women discomfort and anxiety and may be a first complain of a patient. Nipple discharge can be the earliest presenting symptom of malignant breast diseases.
Patients & methods A prospective study of (86) patients at Baqubah teaching hospital from 1st October 2013 till 31st March 2014. Only females included in the study. The chief complain of all patient included in our study was nipple discharge. Clinical examination, mammography, ultrasound, and cytology was done for all patients. Fine Needle Aspiration Cytology (FNAC), and definitive histological examination was done for patients presented with nipple discharge associated with breast lump
Result: The common age group of women complaining from nipple discharge was from (30-39) 32.5% , and the most common type of nipple discharge were bloody nipple discharge (40.8%) and, abnormal nipple discharge are more common with benign than malignant breast diseases. The direct cytology from nipple discharge had a good efficacy in diagnosis of malignant breast diseases (79.1%). The best modality for diagnosis of malignant breast diseases was the histopathology (100%) and the other diagnostic tests were the FNAC(78.5%).
Conclusions: Any type of nipple discharge mainly bloody and purulent should not be neglected because it may be the presentation of benign or malignant breast diseases. Direct cytology from nipple discharge have a good value in diagnosis of malignant breast diseases. The histopathology has the difentive diagnosis of malignant breast diseases when there is associated mass.
Aim of The Study
The present study was constructed to:
1. Determine the importance of nipple discharge as a presenting symptom of breast diseases.
2. Determine the most common type of nipple discharge that related to breast diseases and age.
3. Know the relationship between nipple discharge and presence of breast mass in breast diseases.
4. Know the relationship between nipple discharge and malignant breast diseases.
Keywords: Nipple discharge, breast diseases, malignant, breast mass.