Mammary Duct Ectasia
- Smoking is a major risk factor
- Nipple discharge, often blood stained
- Mastalgia (non-cyclical)
- Nipple inversion/retraction
- Occasional associated with a palpable subareolar mass.
- Treat conservatively and it often settles spontaneously.
- If persists surgical excision is an option.
- Usually present around the post menopause
- Can present with a serous or bloody discharge from the nipple
- Small (2-3mm) wart like lesion within a breast duct
- They can obstruct the duct causing cysts or twist and become necrotic causing bleeding
- Investigate with breast ductography (injection of contrast to visualise the breast ductal system).
- Benign but can represent and increase risk of cancer
- Treated mostly with surgical excision and vigilant breast screening
- An acute(usually bacterial) infection of the breast tissue
- May be associated with fever, pus discharge from the nipple and local erythema, tenderness and heat
- Treat with antibiotics. May require incision and drainage surgically.