What is duct ectasia?
A benign condition characterised by dilation of the large ducts in the breast
What is the presentation of duct ectasia?
Green nipple discharge
Tenderness or pain
Nipple retraction or inversion
A breast lump
What is the epidemiology of duct ectasia?
Occurs mostly in perimenopausal women
What imaging can be used to help diagnose duct ectasia?
Mammogram
Ultrasound
MRI
What other investigations can be helpful in the diagnosis of duct ectasia?
Ductography
Nipple discharge cytology
Ductoscopy
What is the management of duct ectasia?
Exclusion of cancer
Symptomatic management of mastalgia
Antibiotics if infection is suspected
Surgical excision of affected duct