Benign ductal disease (duct ectasia and intraductal papilloma)

Question 1

Define duct ectasia and intraductal papilloma

Answer 1

Duct ectasia is a cause of non infection mastitis-usually another word for non-peurperal mastitis-dilation of the duct causing discharge. walls thicken and clog

Intraductal papilloma is a wart like lump that develops within breast ducts-also causes discharge

Question 2

Aetiology and risk factors of duct ectasia and intraductal papilloma

Answer 2

Ectasia is dilation and shortening of terminal duct of breast (within 3cm of nipple)-normal variation
ectasia is more common the older-over 40.menopause, and NON smokers (periductal mastitis is-and present younger

intraductal papilloma-more common in younger women

risk factor:
Women
age

Question 3

Epidiemology of duct ectasia and intraductal papilloma

Answer 3

Duct ectasia-common

Papilloma-
very rare in men
common in women

Question 4

Signs and sx of duct ectasia and intraductal papilloma

Answer 4

Duct ectasia-menopause
often asympto
Nipple inversion and GREEN and thick
thats all-not painful, infected etc

Papilloma-
discharge from the nipple-clear or blood streaked
small lumps can be noticed BEHIND/Near nipple
not painful

Question 5

Investigation of duct ectasia and intraductal papilloma

Answer 5

mammography-can measure dilation for ectasia and see the lump

test the discharge-cells/infection markers make it less likely to be these

ductoscopy-can get imagine and sizing-best