
DISCHARGES FROM THE NIPPLETHEIR CLINICAL SIGNIFICANCE AND MAMMOGRAPHIC INTERPRETATION
N. FREDERICK HICKEN, M.D.;
R. RUSSELL BEST, M.D.;
HOWARD B. HUNT, M.D.
Arch Surg. 1937;35(6):1079-1094.
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Nature frequently enshrouds pathologic changes of the mammary gland in a group of confusing symptoms. Correct interpretation of these inconstant and ever changing syndromes sorely taxes the diagnostic ingenuity of the physician. No two persons react similarly to identical lesions. A papilloma of the milk ducts may initiate a bloody discharge from the breast of one patient and a serous secretion from the breast of another, while there may be no discharge from the breast of a third patient. Likewise, a small infiltrating deep-seated carcinoma may be distinct and easily palpable in one breast and indefinite and indeterminable in another. Pain may or may not announce the presence of an intracystic hemorrhage, a growing neoplasm, a distended cyst or an infection of the milk ducts.
A discharge from the nipple of a nonlactating breast is frequently the initial symptom which impels the patient to seek medical advice. While the abnormal
. . . [Full Text PDF of this Article]
Author Affiliations
OMAHA
From the Departments of Surgery and Anatomy and the Department of Roentgenology, University of Nebraska College of Medicine.
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