Flow Nipples and Breast Cancer: Value of Senological Assessment About 40 Cases and Review of the Literature

Abstract

Nipple discharge is defined as the outcome of a liquid by a variable aspect pore galactophoric outside of lactation and postpartum, c 'is a frequent reason for consultation en senology(3rd complaint breastafter mastodyniaand themasses),The pathologic nipple discharge is defined as a spontaneous flow, unilateral, usually unipore and not milky;although benign etiology in most cases, it may also be a telltale sign of breast cancer. Our retrospective study, involving 40 cases of pyramidectomy performed in 40 patients hospitalized and treated in the service of gynecology and obstetrics at the University Hospital HMIMV RABAT, over a period of 11 years from January 2000 to October 2012, aimed to compare radioclinical data and cytologic to histologic findings and the literature data.In this study it was noted the following characteristics: age, history, clinical, mammography ultrasonography, cytology, galactography, the surgical procedure, the final histology. Nipple discharge was more likely to be related to breast cancer, as in our study, there was a telltale sign of cancer in 4 cases, it is necessary to achieve a balance of complementary imaging to identify and locate the lesion at the origin of the flow.Imperfect sensitivity and specificity of these tests and the technical constraints of galactography have recently led to the search for new exploration flow nipple namely methods: galactoscopy; breast MRI.