Duct Ectasia

Question 1

Where does duct ectasia affect?

Answer 1

Sub areolar ducts

Question 2

Presentation of duct ectasia?

Answer 2

Pain 
Acute episodic inflammatory change 
Bloody +/or purulent D/C 
Fistulation 
Nipple retraction and distortion

Question 3

Consequences of duct ectasia?

Answer 3

Sub-areolar duct dilation
Periductal inflammation
Periductal fibrosis
Scarring and distortion

Question 4

Management of duct ectasia?

Answer 4

Treat acute infections
Exclude malignancy
Stop smoking
Excise ducts