Abstract
The histology obtained from 1256 female patients undergoing breast surgery was reviewed. Mammary duct ectasia was noted in 51 (4.2%) patients who had associated symptoms and in 103 (8.1%) patients where duct ectasia was recognized as an incidental finding. The syndrome is defined by primary (nipple change or sepsis) and secondary (pain and lump) symptoms. Formal duct excision gives good results for symptomatic duct ectasia. It is postulated that many women have nonsymptomatic mammary duct ectasia. Secondary infection gives rise to nipple change, lump and pain. In the severe form abscess and fistula formation occurs which necessitates repeated surgical treatment, and rarely mastectomy.
Full text
PDFSelected References
These references are in PubMed. This may not be the complete list of references from this article.
- ASCH T., FREY C. Radiographic appearance of mammaryduct ectasia with calcification. N Engl J Med. 1962 Jan 11;266:86–87. doi: 10.1056/NEJM196201112660208. [DOI] [PubMed] [Google Scholar]
- Dixon J. M., Chetty U. The clinical syndrome of mammary duct ectasia. Br J Surg. 1983 Jan;70(1):57–58. [PubMed] [Google Scholar]
- HADFIELD J. Excision of the major duct system for benign disease of the breast. Br J Surg. 1960 Mar;47:472–477. doi: 10.1002/bjs.18004720504. [DOI] [PubMed] [Google Scholar]
- Hale J. E., Perinpanayagam R. M., Smith G. Bacteroides: an unusual cause of breast abscess. Lancet. 1976 Jul 10;2(7976):70–71. doi: 10.1016/s0140-6736(76)92288-1. [DOI] [PubMed] [Google Scholar]
- Preece P. E., Mansel R. E., Bolton P. M., Hughes L. M., Baum M., Gravelle I. H. Clinical syndromes of mastalgia. Lancet. 1976 Sep 25;2(7987):670–673. doi: 10.1016/s0140-6736(76)92477-6. [DOI] [PubMed] [Google Scholar]
- Rees B. I., Gravelle I. H., Hughes L. E. Nipple retraction in duct ectasia. Br J Surg. 1977 Aug;64(8):577–580. doi: 10.1002/bjs.1800640814. [DOI] [PubMed] [Google Scholar]
- SANDISON A. T., WALKER J. C. Inflammatory mastitis, mammary duct ectasia, and mammillary fistula. Br J Surg. 1962 Jul;50:57–64. doi: 10.1002/bjs.18005021915. [DOI] [PubMed] [Google Scholar]
- Thomas W. G., Williamson R. C., Davies J. D., Webb A. J. The clinical syndrome of mammary duct ectasia. Br J Surg. 1982 Jul;69(7):423–425. doi: 10.1002/bjs.1800690724. [DOI] [PubMed] [Google Scholar]
- URBAN J. A. Excision of the major duct system of the breast. Cancer. 1963 Apr;16:516–520. doi: 10.1002/1097-0142(196304)16:4<516::aid-cncr2820160413>3.0.co;2-0. [DOI] [PubMed] [Google Scholar]