Bloody nipple discharge during pregnancy: A rationale for conservative treatment
- 31 March 1990
- journal article
- research article
- Published by Wiley in Journal of Surgical Oncology
- Vol. 43 (4) , 228-230
- https://doi.org/10.1002/jso.2930430408
Abstract
Five cases of bloody nipple discharge during pregnancy without associated breast masses were seen over the past 3 years by the author. Because of the reported association of breast cancer with bloody nipple discharge, close follow‐up of these women at monthly intervals during pregnancy and trimonthly during the postpartum period was carried out. In all instances, the discharge appeared late during the second trimester or during the third trimester of pregnancy. It was unilateral and spontaneous and arose from multiple ducts, and it was associated with an increase in breast size and always with the larger breast of the two. The discharge cytologic study done on all cases was negative for neoplastic cells and the discharges resolved spontaneously within 2 months of onset. Postpartum follow‐up ranging from 6 months to 3 years has revealed no evidence of neoplastic changes thus far. Mammograms ordered before these patients were referred were not helpful due to the increase in density of the breast tissue secondary to the pregnancy. Because a few cases of breast cancer during pregnancy have presented solely with a bloody nipple discharge, I recommend extremely close follow‐up of these women and no surgical intervention unless a mass is discovered or the nipple discharge cytology is either suspicious or positive at the initial visit or during follow‐up.Keywords
This publication has 6 references indexed in Scilit:
- PROGNOSTIC SIGNIFICANCE OF ATYPICAL EPITHELIAL HYPERPLASIA IN NIPPLE ASPIRATES OF BREAST FLUIDThe Lancet, 1987
- Breast Cancer and PregnancyArchives of Surgery, 1985
- Management of nipple discharge by clinical findingsThe American Journal of Surgery, 1985
- Carcinoma of breast associated with pregnancy and lactationJournal of Surgical Oncology, 1980
- Nipple Secretion in Pregnancy:ACytologic and Histologic StudyAmerican Journal of Clinical Pathology, 1962
- Cancer and pregnancyAmerican Journal of Obstetrics and Gynecology, 1961