Diagnostic dilemmas in XXXX of the breast - Experience at Sultan Qaboos University Hospital in the Sultanate of Oman.

@entity1 @entity3923 @entity15779
OBJECTIVES: The aim of this retrospective study was to correlate the significance and accuracy of the colour of nipple discharge and breast ultrasound imaging in the diagnosis of @entity15779 . METHODS: This is a retrospective study of 34 @entity1 who underwent 36 microdochectomies in Sultan Qaboos University Hospital (SQUH) in the Sultanate of Oman, over a 4 year period of January 2009 till December 2012. The confounders considered were @entity1 age, physical examination findings, nipple discharge cytology result, ultrasound results and biopsy report following microdochectomy. Comparisons analysis, charts and graphs were made using the SPSS software (version 20). RESULTS: The mean age of the @entity1 was 44(27-73) years old. Twenty-seven out 36 (75%) @entity1 had presented with nipple discharge, 14 out 27 (52%) had blood stained nipple discharge and 13(48%) with coloured discharge (yellow, brown and green), 9 @entity1 had no discharge. The final histopathology showed @entity15779 13 (36%), duct ectasia 18(50%), DCIS 1 (2.7%), @entity3923 3(8.3%) and LCIS 1(2.7%). Thirteen out of 36 had @entity15779 on final histopathology. The correlation between blood stained discharge and final histopathology of @entity15779 was insignificant (p=0.44). CONCLUSION: Nipple discharge is irrelevant to the diagnosis of @entity15779 . Spontaneous nipple discharge regardless of color is to be referred to breast surgeon and to be assessed with triple assessment. Surgery remains the mainstay of treatment.
