{"id":16,"date":"2013-09-15T06:27:06","date_gmt":"2013-09-15T06:27:06","guid":{"rendered":"http:\/\/www.breastguide.com\/breastcancerblog\/?p=16"},"modified":"2013-09-16T00:13:43","modified_gmt":"2013-09-16T00:13:43","slug":"nipple-discharge","status":"publish","type":"post","link":"http:\/\/www.breastguide.com\/breastcancerblog\/nipple-discharge\/","title":{"rendered":"Nipple Discharge"},"content":{"rendered":"<h2>Unilateral Nipple Discharge &#8211; spontaneous and persistent<\/h2>\n<ul>\n<li>Associated with a increased risk of carcinoma.<\/li>\n<li>Can be clear, serous, serosanguinous or bloody<\/li>\n<li>Nipple aspirate cytology isn&#8217;t popular as a diagnostic<\/li>\n<li>Most common etiologies are intraductal papilloma and mammary duct ectasia<\/li>\n<li>Doesn&#8217;t matter what&#8217;s found on radiology, open surgical biopsy is preferred<\/li>\n<li><strong>Directed duct excision plus excision of the surround area after ductogram. <\/strong>\u00a0Rule out papillary carcinoma of the breast.<\/li>\n<li>Central duct excision (non-directed duct excision) is <strong>not as accurate.<\/strong><\/li>\n<li>If the lesion is deep, radiologist may help with needle localization with excision<\/li>\n<li>DCIS = Ductal Carcinoma In Situ is the malignancy most commolny found in intraductal lesions with pathological nipple discharge.<\/li>\n<li>Papillary carcinoma of the breast is a subset of DCIS.<\/li>\n<\/ul>\n<h3>Intraductal Papilloma<\/h3>\n<ul>\n<li>Benign<\/li>\n<li>Most common cause of <em>bloody<\/em> nipple discharge<\/li>\n<li>A single intraductal papilloma doesn&#8217;t increase the risk of breast cancer, but multiple papillomas does increase the risk slightly.<\/li>\n<\/ul>\n<h3>Mammary duct ectasia<\/h3>\n<ul>\n<li>Milk ducts beneath the nipple become dilated, thickened, and filled with fluid and thus have some discharge<\/li>\n<li>Benign<\/li>\n<li>Often improves without treatment.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Unilateral Nipple Discharge &#8211; spontaneous and persistent Associated with a increased risk of carcinoma. Can be clear, serous, serosanguinous or bloody Nipple aspirate cytology isn&#8217;t popular as a diagnostic Most common etiologies are intraductal papilloma and mammary duct ectasia Doesn&#8217;t matter what&#8217;s found on radiology, open surgical biopsy is preferred Directed duct excision plus excision &hellip; <a href=\"http:\/\/www.breastguide.com\/breastcancerblog\/nipple-discharge\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Nipple Discharge<\/span> <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3,32,30,29,31,33],"tags":[],"class_list":["post-16","post","type-post","status-publish","format-standard","hentry","category-breast-cancer","category-ductal-carcinoma-in-situ","category-intraductal-papilloma","category-mammary-duct-ectasia","category-nipple-discharge","category-papillary-carcinoma-of-the-breast"],"_links":{"self":[{"href":"http:\/\/www.breastguide.com\/breastcancerblog\/wp-json\/wp\/v2\/posts\/16","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.breastguide.com\/breastcancerblog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.breastguide.com\/breastcancerblog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.breastguide.com\/breastcancerblog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.breastguide.com\/breastcancerblog\/wp-json\/wp\/v2\/comments?post=16"}],"version-history":[{"count":2,"href":"http:\/\/www.breastguide.com\/breastcancerblog\/wp-json\/wp\/v2\/posts\/16\/revisions"}],"predecessor-version":[{"id":39,"href":"http:\/\/www.breastguide.com\/breastcancerblog\/wp-json\/wp\/v2\/posts\/16\/revisions\/39"}],"wp:attachment":[{"href":"http:\/\/www.breastguide.com\/breastcancerblog\/wp-json\/wp\/v2\/media?parent=16"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.breastguide.com\/breastcancerblog\/wp-json\/wp\/v2\/categories?post=16"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.breastguide.com\/breastcancerblog\/wp-json\/wp\/v2\/tags?post=16"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}