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.	刘荣, 张迎, 刘惠萍. 溢液性乳腺病182例导管造影诊断分析. 中国误诊学杂志, 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, Gonçalo 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. 乳腺导管造影联合导管内窥镜对溢液性乳腺疾病的诊断价值. 中国中西医结合影像学杂志, 2015, 13(2): 165-168.
17.	欧阳伟, 王孝英, 邵学勇, 等. 伴乳头溢液乳腺癌的乳腺导管造影表现与病理对照研究. 放射学实践, 2006, 21(5): 494-497.
18.	曹桂景, 李桂华. 乳腺导管造影术在乳腺导管内癌中的应用. 中华实用诊断与治疗杂志, 2009, 23(12): 1178-1180.
19.	姜军, 杨新华, 张毅, 等. 选择性乳腺导管造影对乳头溢液乳腺癌的诊断价值. 中国实用外科杂志, 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.	欧阳伟, 夏薇, 杨文忠, 等. 伴有乳头溢液乳腺癌与导管内乳头状瘤的乳腺导管造影诊断. 放射学实践, 2014, 29(5): 533-536.
23.	罗锐, 陈华山, 何欢欢, 等. 乳腺导管造影在溢液性乳腺癌诊断中的应用. 放射学实践, 2012, 27(10): 1086-1088.
24.	刘慧, 朱文玲, 庄鑫, 等. 乳腺导管内乳头状癌在导管造影检查的X线表现. 医学影像及检验, 2011, 24(8): 3809-3810.
25.	潘芝梅, 俞琳玲, 李强. 乳腺导管造影对溢液性乳腺病的诊断价值. 中国医学影像技术, 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. 刘荣, 张迎, 刘惠萍. 溢液性乳腺病182例导管造影诊断分析. 中国误诊学杂志, 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, Gonçalo 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. 乳腺导管造影联合导管内窥镜对溢液性乳腺疾病的诊断价值. 中国中西医结合影像学杂志, 2015, 13(2): 165-168.
17. 欧阳伟, 王孝英, 邵学勇, 等. 伴乳头溢液乳腺癌的乳腺导管造影表现与病理对照研究. 放射学实践, 2006, 21(5): 494-497.
18. 曹桂景, 李桂华. 乳腺导管造影术在乳腺导管内癌中的应用. 中华实用诊断与治疗杂志, 2009, 23(12): 1178-1180.
19. 姜军, 杨新华, 张毅, 等. 选择性乳腺导管造影对乳头溢液乳腺癌的诊断价值. 中国实用外科杂志, 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. 欧阳伟, 夏薇, 杨文忠, 等. 伴有乳头溢液乳腺癌与导管内乳头状瘤的乳腺导管造影诊断. 放射学实践, 2014, 29(5): 533-536.
23. 罗锐, 陈华山, 何欢欢, 等. 乳腺导管造影在溢液性乳腺癌诊断中的应用. 放射学实践, 2012, 27(10): 1086-1088.
24. 刘慧, 朱文玲, 庄鑫, 等. 乳腺导管内乳头状癌在导管造影检查的X线表现. 医学影像及检验, 2011, 24(8): 3809-3810.
25. 潘芝梅, 俞琳玲, 李强. 乳腺导管造影对溢液性乳腺病的诊断价值. 中国医学影像技术, 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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