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VOL. 3, ISSUE 2 (2021)
Mammography and cytology as assessment tools in Iraqi patients with nipple discharge
Authors
Khaleel I Mohson
Abstract
Background: Nipple discharge is a symptomatic problem that causes women suffering and anxiety. Mammography is a supplement diagnostic and screening device in the exploration of the etiology of nipple discharge after the age of forty, the aim of the study is to evaluate the role of mammography in the diagnosis of diseases related to ducts in symptomatic patients with nipple discharge. Methods: A retrospective study included 100 patients who complained of nipple discharge attending the Early Detection clinic of Breast Tumors in the Oncology Teaching Hospital in Baghdad during the period from January 2019 to August 2020. Their age ranged from 40 to 75 years. Their mammographic findings were reviewed and correlated with the corresponding cytology results. Results: By assessing the nipple discharge cytology, inflammatory cells were observed in the majority of cases (70% of patients); 12% were cases that show duct ectasia, and 6% were diagnosed as fibrocystic changes. Neoplasia was detected in 8% of cases; the last 4% show acellular smear. When correlating the mammographic findings with cytology, the results reveal normal mammography in 71%. In all patients with a cytological diagnosis of intraductal papilloma, mammography showed changes consistent with retro areolar masses, focal asymmetry is seen in 5%, ductal calcification typical for duct ectasia seen in 8%, while 9% shows dense breast, the validity test shows that the mammography has 29% sensitivity and 50% specificity with an overall accuracy of 30% in detection the cause behind the nipple discharge. Conclusion: mammography is a required adjuvant tool, but not as a routine diagnostic method of investigation in defining the causes behind nipple discharge. Its value was so limited in comparison to ultrasound, the latter is more informative in localizing the ductal problems especially retro areolar region, as well as assessing the wall thickness and content of the lesion and in defining intraductal abnormalities, especially papillomatous types.
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Pages:27-30
How to cite this article:
Khaleel I Mohson "Mammography and cytology as assessment tools in Iraqi patients with nipple discharge ". International Journal of Radiology Research, Vol 3, Issue 2, 2021, Pages 27-30
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