Selective galactography features in breast carcinoma patients with nipple discharge_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

ZHANGYan ,  YUJianqun , ZHUHongji , PENGLiqing , ZENGHanjiang , ZHANGLizhi

Department of Radiology, West China Hospital, Sichuan University, Chengdu 610041, P.R.China;

Corresponding?author：

YUJianqun, Email: cjr.yujianqun@vip.163.com

Keywords：

selective galactography; breast carcinoma; nipple discharge

DOI：

10.7507/1007-9424.201606057

Video：

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Objective To detect the features of breast carcinoma with nipple discharge using selective galactography and evaluate the value of this method. Methods The galactography findings of 39 cases of pathology proved breast carcinoma with nipple discharge were analyzed retrospectively. Results Among the 39 cases, the pathology diagnosis included 7 cases of intraductal papillary carcinoma, 13 cases of ductal carcinoma in situ, and 19 cases of invasive ductal carcinoma. The galactographic features included: duct filling defect (24 cases, 61.5%), ductal obstruction (15 cases, 38.5%), rigidity and disorder (31 cases, 79.5%), wormy erosion sign (18 cases, 46.2%), pond lake sign (4 cases, 10.3%), ductal interruption (17 cases, 43.6%), ductal stenosis (24 casesm, 61.5%), ductal dilatation (22 cases, 56.4%). Among all of the cases, the accuracy rate of mammography and galactography was 64.1% (25/39) and 87.2% (34/39), respectively (P＜0.05). Among the 13 cases of ductal carcinoma in situ, the accuracy rate of mammography and galactography was 61.5% (8/13) and 100% (13/13), respectively (P＜0.05). Conclusion Selective galactography could improve the detection rate of breast carcinoma, and has great value in the early diagnosis of ductal carcinoma in situ.

Citation： ZHANGYan, YUJianqun, ZHUHongji, PENGLiqing, ZENGHanjiang, ZHANGLizhi. Selective galactography features in breast carcinoma patients with nipple discharge. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2017, 24(1): 74-79. doi: 10.7507/1007-9424.201606057 Copy

1.	Sickles EA. Galactography and other imaging investigations of nipple discharge. Lancet, 2000, 356(9242): 1622-1623.
2.	Hou MF, Huang TJ, Liu GC. The diagnostic value of galactography in patients with nipple discharge. Clin Imag, 2001, 25(2): 75-81.
3.	Funovics MA, Philipp MO, Lackner B, et al. Galactography: method of choice in pathologic nipple discharge? Eur Radiol, 2003, 13(1): 94-99.
4.	Bellolio E, Pineda V, Burgos ME, et al. Predictive value of breast imaging report and database system (BIRADS) to detect cancer in a reference regional hospital. Rev Med Chil, 2015, 143(12): 1533-1538.
5.	Ballesio L, Maggi C, Savelli S, et al. Role of breast magnetic resonance imaging (MRI) in patients with unilateral nipple discharge: preliminary study. Radiol Med, 2008, 113(2): 249-264.
6.	劉榮, 張迎, 劉惠萍. 溢液性乳腺病182例導管造影診斷分析. 中國誤診學雜志, 2011, 11(36): 8966-8967.
7.	Lang JE, Kuerer HM. Breast ductal secretions: clinical features, potential uses, and possible applications. Cancer Control, 2007, 14(4): 350-359.
8.	Peters J, Thalhammer A, Jacobi V, et al. Galactography: an important and highly effective procedure. Eur Radiol, 2003, 13(7): 1744-1747.
9.	Kramer SC, Rieber A, Gorich J, et al. Diagnosis of papillomas of the breast: value of magnetic resonance mammography in comparison with galactography. Eur Radiol, 2000, 10(11): 1733-1736.
10.	Kim DY, Moon WK, Cho N, et al. MRI of the breast for the detection and assessment of the size of ductal carcinoma in situ. Korean J Radiol, 2007, 8(1): 32-39.
11.	Slawson SH, Johnson BA. Ductography: how to and what if? Radiographics, 2001, 21(1): 133-150.
12.	Carvalho MJ, Dias M, Gon?alo M, et al. What is the diagnostic value of nipple discharge cytology and galactography in detecting duct pathology? Eur J Gynaecol Oncol, 2009, 30(5): 543-546.
13.	Lamont JP, Dultz RP, Kuhn JA, et al. Galactography in patients with nipple discharge. Proc (BayI Univ Med Cent), 2000, 13(3): 214-216.
14.	Cho N, Moon WK, Chung SY, et al. Ductographic findings of breast cancer. Korean J Radiology, 2005, 6(1): 31-36.
15.	Cabioglu N, Hunt KK, Singletary SE, et al. Surgical decision making and factors determining a diagnosis of breast carcinoma in women presenting with nipple discharge. J Am Coll Surg, 2003, 196(3): 354-364.
16.	王玉霞. 乳腺導管造影聯合導管內窺鏡對溢液性乳腺疾病的診斷價值. 中國中西醫結合影像學雜志, 2015, 13(2): 165-168.
17.	歐陽偉, 王孝英, 邵學勇, 等. 伴乳頭溢液乳腺癌的乳腺導管造影表現與病理對照研究. 放射學實踐, 2006, 21(5): 494-497.
18.	曹桂景, 李桂華. 乳腺導管造影術在乳腺導管內癌中的應用. 中華實用診斷與治療雜志, 2009, 23(12): 1178-1180.
19.	姜軍, 楊新華, 張毅, 等. 選擇性乳腺導管造影對乳頭溢液乳腺癌的診斷價值. 中國實用外科雜志, 2005, 25(2): 82-83.
20.	Berna-Serna JD, Torres-Ales C, Berna-Mestre JD, et al. Role of galactography in the early diagnosis of breast cancer. Breast Care, 2013, 8(2): 122-126.
21.	Kim SH, Cha ES, Kim HS, et al. Galactography acquired with digital mammography in patients with nipple discharge: a retrospective analysis. Arch Gynecol Obstet, 2009, 280(2): 217-222.
22.	歐陽偉, 夏薇, 楊文忠, 等. 伴有乳頭溢液乳腺癌與導管內乳頭狀瘤的乳腺導管造影診斷. 放射學實踐, 2014, 29(5): 533-536.
23.	羅銳, 陳華山, 何歡歡, 等. 乳腺導管造影在溢液性乳腺癌診斷中的應用. 放射學實踐, 2012, 27(10): 1086-1088.
24.	劉慧, 朱文玲, 莊鑫, 等. 乳腺導管內乳頭狀癌在導管造影檢查的X線表現. 醫學影像及檢驗, 2011, 24(8): 3809-3810.
25.	潘芝梅, 俞琳玲, 李強. 乳腺導管造影對溢液性乳腺病的診斷價值. 中國醫學影像技術, 2002, 18(1): 37-38.

1. Sickles EA. Galactography and other imaging investigations of nipple discharge. Lancet, 2000, 356(9242): 1622-1623.
2. Hou MF, Huang TJ, Liu GC. The diagnostic value of galactography in patients with nipple discharge. Clin Imag, 2001, 25(2): 75-81.
3. Funovics MA, Philipp MO, Lackner B, et al. Galactography: method of choice in pathologic nipple discharge? Eur Radiol, 2003, 13(1): 94-99.
4. Bellolio E, Pineda V, Burgos ME, et al. Predictive value of breast imaging report and database system (BIRADS) to detect cancer in a reference regional hospital. Rev Med Chil, 2015, 143(12): 1533-1538.
5. Ballesio L, Maggi C, Savelli S, et al. Role of breast magnetic resonance imaging (MRI) in patients with unilateral nipple discharge: preliminary study. Radiol Med, 2008, 113(2): 249-264.
6. 劉榮, 張迎, 劉惠萍. 溢液性乳腺病182例導管造影診斷分析. 中國誤診學雜志, 2011, 11(36): 8966-8967.
7. Lang JE, Kuerer HM. Breast ductal secretions: clinical features, potential uses, and possible applications. Cancer Control, 2007, 14(4): 350-359.
8. Peters J, Thalhammer A, Jacobi V, et al. Galactography: an important and highly effective procedure. Eur Radiol, 2003, 13(7): 1744-1747.
9. Kramer SC, Rieber A, Gorich J, et al. Diagnosis of papillomas of the breast: value of magnetic resonance mammography in comparison with galactography. Eur Radiol, 2000, 10(11): 1733-1736.
10. Kim DY, Moon WK, Cho N, et al. MRI of the breast for the detection and assessment of the size of ductal carcinoma in situ. Korean J Radiol, 2007, 8(1): 32-39.
11. Slawson SH, Johnson BA. Ductography: how to and what if? Radiographics, 2001, 21(1): 133-150.
12. Carvalho MJ, Dias M, Gon?alo M, et al. What is the diagnostic value of nipple discharge cytology and galactography in detecting duct pathology? Eur J Gynaecol Oncol, 2009, 30(5): 543-546.
13. Lamont JP, Dultz RP, Kuhn JA, et al. Galactography in patients with nipple discharge. Proc (BayI Univ Med Cent), 2000, 13(3): 214-216.
14. Cho N, Moon WK, Chung SY, et al. Ductographic findings of breast cancer. Korean J Radiology, 2005, 6(1): 31-36.
15. Cabioglu N, Hunt KK, Singletary SE, et al. Surgical decision making and factors determining a diagnosis of breast carcinoma in women presenting with nipple discharge. J Am Coll Surg, 2003, 196(3): 354-364.
16. 王玉霞. 乳腺導管造影聯合導管內窺鏡對溢液性乳腺疾病的診斷價值. 中國中西醫結合影像學雜志, 2015, 13(2): 165-168.
17. 歐陽偉, 王孝英, 邵學勇, 等. 伴乳頭溢液乳腺癌的乳腺導管造影表現與病理對照研究. 放射學實踐, 2006, 21(5): 494-497.
18. 曹桂景, 李桂華. 乳腺導管造影術在乳腺導管內癌中的應用. 中華實用診斷與治療雜志, 2009, 23(12): 1178-1180.
19. 姜軍, 楊新華, 張毅, 等. 選擇性乳腺導管造影對乳頭溢液乳腺癌的診斷價值. 中國實用外科雜志, 2005, 25(2): 82-83.
20. Berna-Serna JD, Torres-Ales C, Berna-Mestre JD, et al. Role of galactography in the early diagnosis of breast cancer. Breast Care, 2013, 8(2): 122-126.
21. Kim SH, Cha ES, Kim HS, et al. Galactography acquired with digital mammography in patients with nipple discharge: a retrospective analysis. Arch Gynecol Obstet, 2009, 280(2): 217-222.
22. 歐陽偉, 夏薇, 楊文忠, 等. 伴有乳頭溢液乳腺癌與導管內乳頭狀瘤的乳腺導管造影診斷. 放射學實踐, 2014, 29(5): 533-536.
23. 羅銳, 陳華山, 何歡歡, 等. 乳腺導管造影在溢液性乳腺癌診斷中的應用. 放射學實踐, 2012, 27(10): 1086-1088.
24. 劉慧, 朱文玲, 莊鑫, 等. 乳腺導管內乳頭狀癌在導管造影檢查的X線表現. 醫學影像及檢驗, 2011, 24(8): 3809-3810.
25. 潘芝梅, 俞琳玲, 李強. 乳腺導管造影對溢液性乳腺病的診斷價值. 中國醫學影像技術, 2002, 18(1): 37-38.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Selective galactography features in breast carcinoma patients with nipple discharge

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