Display options
Cite
Aljarrah A, Malik KA, Jamil H, et al. Diagnostic dilemmas in Intraductal papillomas of the breast - Experience at Sultan Qaboos University Hospital in the Sultanate of Oman. Pak J Med Sci. 2015;31(2):431-4doi: 10.12669/pjms.312.6476.
Aljarrah, A., Malik, K. A., Jamil, H., Jaffer, Z., Sawhney, S., & Lakhtakia, R. (2015). Diagnostic dilemmas in Intraductal papillomas of the breast - Experience at Sultan Qaboos University Hospital in the Sultanate of Oman. Pakistan journal of medical sciences, 31(2), 431-4. https://doi.org/10.12669/pjms.312.6476
Aljarrah, Adil, et al. "Diagnostic dilemmas in Intraductal papillomas of the breast - Experience at Sultan Qaboos University Hospital in the Sultanate of Oman." Pakistan journal of medical sciences vol. 31,2 (2015): 431-4. doi: https://doi.org/10.12669/pjms.312.6476
Aljarrah A, Malik KA, Jamil H, Jaffer Z, Sawhney S, Lakhtakia R. Diagnostic dilemmas in Intraductal papillomas of the breast - Experience at Sultan Qaboos University Hospital in the Sultanate of Oman. Pak J Med Sci. 2015 Mar-Apr;31(2):431-4. doi: 10.12669/pjms.312.6476. PMID: 26101505; PMCID: PMC4476356.
Copy Download .nbib Format: NLM
Share it on

Pak J Med Sci. 2015 Mar-Apr;31(2):431-4. doi: 10.12669/pjms.312.6476.

Diagnostic dilemmas in Intraductal papillomas of the breast - Experience at Sultan Qaboos University Hospital in the Sultanate of Oman.

Pakistan journal of medical sciences

Adil Aljarrah, Kamran Ahmad Malik, Husam Jamil, Zoheb Jaffer, Sukhpal Sawhney, Ritu Lakhtakia

Affiliations

  1. Adil Aljarrah, Breast Unit, Department of Surgery, Sultan Qaboos University Hospital, Muscat, Sultanate of Oman.
  2. Kamran Ahmad Malik, Breast Unit, Department of Surgery, Sultan Qaboos University Hospital, Muscat, Sultanate of Oman.
  3. Husam Jamil, Breast Unit, Department of Surgery, Sultan Qaboos University Hospital, Muscat, Sultanate of Oman.
  4. Zoheb Jaffer, Breast Unit, Department of Surgery, Sultan Qaboos University Hospital, Muscat, Sultanate of Oman.
  5. Sukhpal Sawhney, Breast Unit, Department of Radiology, Sultan Qaboos University Hospital, Muscat, Sultanate of Oman.
  6. Ritu Lakhtakia, Breast Unit, Department of Pathology, COM&HS, Sultan Qaboos University Hospital, Muscat, Sultanate of Oman.

PMID: 26101505 PMCID: PMC4476356 DOI: 10.12669/pjms.312.6476

Abstract

OBJECTIVES: The aim of this retrospective study was to correlate the significance and accuracy of the colour of nipple discharge and breast ultrasound imaging in the diagnosis of intraductal papilloma.

METHODS: This is a retrospective study of 34 patients who underwent 36 microdochectomies in Sultan Qaboos University Hospital (SQUH) in the Sultanate of Oman, over a 4 year period of January 2009 till December 2012. The confounders considered were patient age, physical examination findings, nipple discharge cytology result, ultrasound results and biopsy report following microdochectomy. Comparisons analysis, charts and graphs were made using the SPSS software (version 20).

RESULTS: The mean age of the patients was 44(27-73) years old. Twenty-seven out 36 (75%) patients had presented with nipple discharge, 14 out 27 (52%) had blood stained nipple discharge and 13(48%) with coloured discharge (yellow, brown and green), 9 patients had no discharge. The final histopathology showed intraductal papilloma 13 (36%), duct ectasia 18(50%), DCIS 1 (2.7%), fibrocystic disease 3(8.3%) and LCIS 1(2.7%). Thirteen out of 36 had intraductal papilloma on final histopathology. The correlation between blood stained discharge and final histopathology of intraductal papilloma was insignificant (p=0.44).

CONCLUSION: Nipple discharge is irrelevant to the diagnosis of intraductal papilloma. Spontaneous nipple discharge regardless of color is to be referred to breast surgeon and to be assessed with triple assessment. Surgery remains the mainstay of treatment.

Keywords: Breast Intraductal Papilloma; Duct Ectasia; Ductal Carcinoma In Situ (DCIS); Lobular Carcinoma In Situ LCIS; Microdochectomy; Nipple Discharge

References

  1. Clin Radiol. 2008 Nov;63(11):1265-73 - PubMed
  2. Br J Radiol. 2006 Oct;79(946):843-9 - PubMed
  3. J Comput Assist Tomogr. 2011 Jan-Feb;35(1):153-7 - PubMed
  4. AJR Am J Roentgenol. 2008 Sep;191(3):700-7 - PubMed
  5. Breast. 2011 Dec;20(6):501-4 - PubMed
  6. J Ultrasound. 2011 Dec;14(4):182-7 - PubMed
  7. Breast. 2008 Jun;17(3):309-13 - PubMed
  8. AJR Am J Roentgenol. 2011 Mar;196 (3):723-9 - PubMed
  9. J Ultrasound. 2012 Jun;15(2):99-101 - PubMed

Publication Types