Kristin Leigh Harris DO, Presenter: Nothing to Disclose

Vanessa Van Duyn Wear MD, Abstract Co-Author: Nothing to Disclose

Evaluation of bloody nipple discharge is a frequent diagnostic dilemma for many breast imagers. When standard imaging is non-diagnostic, breast MRI is a non-invasive modality that has been proven to increase the sensitivity of identifying intraductal pathology. The purpose of this exhibit is:  1. To illustrate benign and malignant causes of bloody nipple discharge, including a multimodality pictorial review of common intraductal pathology. 2. To review the traditional imaging approach and potential pitfalls that may limit the standard evaluation of nipple discharge, including: mammography, ultrasound, and ductography. 3. To emphasize the emerging role of breast MRI in the evaluation of pathologic nipple discharge    

1. Normal ductal anatomy 2. Common benign and malignant etiologies of bloody nipple discharge: - Intraductal papilloma - Ductal hyperplasia - DCIS - Invasive ductal carcinoma 3. Standard approach to pathologic nipple discharge: Imaging findings and potential pitfalls of conventional techniques, including: - Mammography - Ultrasound - Ductography - Pictorial review of select intraductal pathology 4. Emerging role of MRI in evaluation of pathologic nipple discharge - Indications/advantages - Review of current literature 5. Sample cases: MRI appearance of select intraductal pathology   

http://abstract.rsna.org/uploads/2014/14002772/14002772_iyir.pdf

Harris, K, Wear, V, Bloody Nipple Discharge: Is Breast MRI the Way of the Future?.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14002772.html