What should be done to check for nipple discharge

Many girls do not seek timely treatment when they have various abnormal symptoms of nipples, which often leads to nipple inflammation or various abnormal breast manifestations. If you want to protect your breasts, of course you need to understand some common abnormal reactions, and then use effective treatments to detect and control them early. We should also pay attention to some common examination items in our daily life. What examinations should be done for nipple discharge?

Nipple discharge is currently a relatively common breast disease. What are the main examination methods? In addition to detailed inquiry into medical history, comprehensive physical examination and observation of the nature of the discharge, the commonly used diagnostic methods are: 1. Ultrasound imaging examination: mainly used to determine whether there are changes in the mammary ducts; whether there are tumors in the breast, and to distinguish whether the tumor is cystic or solid. Cystic masses can sometimes be aspirated under ultrasound guidance; if fluid is aspirated, surgery may not be necessary. 2. Mammographic X-ray: Mammographic X-ray can detect ductal in situ A, which is mainly manifested by thickening of the ductal shadow and tiny calcification points; selective breast ductography has diagnostic value for duct ectasia or cystic breast hyperplasia and intraductal papilloma.

3. Other imaging diagnostic methods: CT and MRI examinations are helpful in diagnosing the cause of nipple discharge, especially for intraductal papilloma and intraductal A, with high accuracy. This examination can be used as a supplement to mammography, but it is not used as a routine examination method. 4. Mammary duct endoscopy: Mammary duct endoscopy is the main examination method for mammary duct discharge. It can directly observe whether the mammary duct is dilated, the ductal epithelium and various conditions in the ductal lumen, such as: stiffness of the mammary duct wall, disappearance of local annular folds, stenosis or even occlusion of the lumen, bleeding on the tumor surface, and characteristic manifestations of duct A. During breast ductoscopy, various treatments can be performed based on the judgment, and the intraductal neoplastic lesions seen can be directly located, sampled, and biopsied.

5. Fine needle aspiration cytology: Fine needle aspiration should be performed on patients with nipple discharge and breast tumors. The puncture biopsy can be performed under imaging positioning, and the corresponding surgery can be performed according to the pathological diagnosis.

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