Breast Lesions Causing Nipple Discharge: Preoperative Galactography-Aided Stereotactic Wire Localization
Anna Koskela1,
Marja Berg1,
Timo Pietiläinen2,
Paula Mustonen3 and
Ritva Vanninen1
1 Department of Clinical Radiology, Kuopio University Hospital and Kuopio
University, Puijonlaaksontie 2, FIN-70210 Kuopio, Finland.
2 Department of Pathology, Kuopio University Hospital and Kuopio University,
Kuopio, Finland.
3 Department of Surgery, Kuopio University Hospital and Kuopio University,
Kuopio, Finland.
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Fig. 1A. —51-year-old woman with brownish bloody discharge from left
breast for 6 months. Craniocaudal galactography image reveals ectatic duct
segment with 3-mm filling defect 6 cm from mammilla (arrow).
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Fig. 1B. —51-year-old woman with brownish bloody discharge from left
breast for 6 months. Confirmed enlargement of area of interest
(arrow) in A.
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Fig. 1C. —51-year-old woman with brownish bloody discharge from left
breast for 6 months. Immediately after galactography, craniocaudal mammogram
shows stereotactic wire localization was performed with ectatic duct as target
(arrow).
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Fig. 2A. —65-year-old woman with intermittent bloody nipple discharge
for 8 months. Cannulation of duct was successful only on third galactography
attempt, mainly because there was no discharge at time of procedure.
Crainocaudal stereotactic image (A) and craniocaudal galactographic
image (B) show ectatic duct with segmental narrowing and filling
defect; area was marked with coils under stereotactic guidance immediately
after diagnostic galactography.
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Fig. 2B. —65-year-old woman with intermittent bloody nipple discharge
for 8 months. Cannulation of duct was successful only on third galactography
attempt, mainly because there was no discharge at time of procedure.
Crainocaudal stereotactic image (A) and craniocaudal galactographic
image (B) show ectatic duct with segmental narrowing and filling
defect; area was marked with coils under stereotactic guidance immediately
after diagnostic galactography.
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Fig. 2C. —65-year-old woman with intermittent bloody nipple discharge
for 8 months. Cannulation of duct was successful only on third galactography
attempt, mainly because there was no discharge at time of procedure. Confirmed
preoperative sonography-guided wire localization (arrowheads) of coil
(arrow).
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Fig. 2D. —65-year-old woman with intermittent bloody nipple discharge
for 8 months. Cannulation of duct was successful only on third galactography
attempt, mainly because there was no discharge at time of procedure.
Craniocaudal mammogram confirms localization of wire and coil.
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Copyright © 2005 by the American Roentgen Ray Society.
