| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Breast Imaging |
1 From the Departments of Radiology (S.G.O., E.S.S., M.D.S.) and Surgery (B.J.C.), the Hospital of the University of Pennsylvania, 3400 Spruce St, Philadelphia, PA 19104; the Radiology Regional Center, Fort Myers, Fla (C.S.D.); and the Mayo Clinic, Division of Anatomic Pathology, Rochester, Minn (C.R.). From the 1998 RSNA scientific assembly. Received July 21, 1999; revision requested September 24; revision received October 29; accepted November 2. Address correspondence to S.G.O. (e-mail: orel@oasis.rad.upenn.edu).
PURPOSE: To investigate the potential of magnetic resonance (MR) imaging in patients with nipple discharge.
MATERIALS AND METHODS: Between February 1992 and December 1998, 23 patients with nipple discharge underwent contrast material–enhanced MR imaging at 1.5 T. Mammographic findings were negative in 22 of 23 patients and revealed asymmetry in one patient. Galactography was attempted in two patients, with negative findings in one patient and no success in the other. Fifteen of 23 patients underwent excisional biopsy—seven of 15 with MR imaging–guided localization, and one of 15 with mammographic localization. Eight of 23 patients were followed up clinically (range, 7–24 months; mean, 20 months).
RESULTS: In 11 of the 15 (73%) patients who underwent excisional biopsy, MR imaging findings correlated with histopathologic findings. MR imaging demonstrated four of six benign papillomas and one of two fibroadenomas as circumscribed, enhancing subareolar masses. Findings of one MR imaging examination were negative, and benign tissue was found at excisional biopsy. MR imaging findings were suspicious in six of the seven patients with excisional biopsy findings of malignancy (regional enhancement [n = 2], ductal enhancement [n = 2], peripherally enhancing mass [n = 1], and spiculated mass [n = 1]). In one of the seven patients, a benign-appearing intraductal mass was identified at MR imaging; excisional biopsy revealed a benign papilloma with an adjacent focus of DCIS.
CONCLUSION: MR imaging can help identify both benign and malignant causes of nipple discharge. It potentially offers a noninvasive alternative to galactography.
Index terms: Breast, abnormalities, 00.311, 00.312, 00.324, 00.71 • Breast, biopsy, 00.1261 • Breast, MR, 00.121412, 00.121415, 00.12143 • Breast neoplasms, MR, 00.311, 00.312, 00.324, 00.71
This article has been cited by other articles:
|
|
 |
|
  S. A. Schwab, M. Uder, R. Schulz-Wendtland, W. A. Bautz, R. Janka, and E. Wenkel Direct MR Galactography: Feasibility Study Radiology, October 1, 2008; 249(1): 54 - 61. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 S. Orel Who Should Have Breast Magnetic Resonance Imaging Evaluation? J. Clin. Oncol., February 10, 2008; 26(5): 703 - 711. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. Morrogh, E. A. Morris, L. Liberman, P. I. Borgen, and T. A. King The Predictive Value of Ductography and Magnetic Resonance Imaging in the Management of Nipple Discharge Ann. Surg. Oncol., December 1, 2007; 14(12): 3369 - 3377. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 M. Hirose, H. Nobusawa, and T. Gokan MR Ductography: Comparison with Conventional Ductography as a Diagnostic Method in Patients with Nipple Discharge RadioGraphics, October 1, 2007; 27(suppl_1): S183 - S196. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. K. Kuhl Current Status of Breast MR Imaging * Part 2. Clinical Applications Radiology, September 1, 2007; 244(3): 672 - 691. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 N. Bhattarai, Y. Kanemaki, Y. Kurihara, Y. Nakajima, M. Fukuda, and I. Maeda Intraductal Papilloma: Features on MR Ductography Using a Microscopic Coil Am. J. Roentgenol., January 1, 2006; 186(1): 44 - 47. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Lau, I. Kuchenmeister, A. Stachs, B. Gerber, A. Krause, and T. Reimer Pathologic Nipple Discharge: Surgery Is Imperative in Postmenopausal Women Ann. Surg. Oncol., July 1, 2005; 12(7): 546 - 551. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Y. Kanemaki, Y. Kurihara, D. Itoh, K. Kamijo, Y. Nakajima, M. Fukuda, and M. Van Cauteren MR Mammary Ductography Using a Microscopy Coil for Assessment of Intraductal Lesions Am. J. Roentgenol., May 1, 2004; 182(5): 1340 - 1342. [Full Text] [PDF]
|
|
|
|
|
|
S. H. Slawson and B. A. Johnson Ductography: How To and What If? RadioGraphics, January 1, 2001; 21(1): 133 - 150. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| RADIOLOGY | RADIOGRAPHICS | RSNA JOURNALS ONLINE |
