Abstract
A new method of galactography using magnetic resonance imaging for a patient with nipple discharge is developed. The method is as follows; coronal T1-weight images are obtained after an injection of contrast medium of 1 mmol/L Gd-DTPA directly into the discharge duct, before and after rapid intravenous infusion of Gd-DTPA. A case of a 29-year-old woman with ductal carcinoma in situ with minimal invasion is reported, in which all portions of the entire discharge duct system is clearly shown as viewed from the surface and the surrounding area is enhanced with Gd-DTPA. The enhanced area is coincidental with the extent of the disease. This magnetic resonance galactography for patients with nipple discharge may be used to supplement conventional mammography and/or galactography especially for the evaluation of the extent of disease, although it is somewhat inferior to mammographic galactography in terms of differential diagnosis of ductal disease.
Similar content being viewed by others
References
Diner WC: Galactography: mammary duct contrast examination. AJR 137: 853–856, 1981
Tabar L, Dean PB, Pentek Z: Galactography: the diagnostic procedure of choice for nipple discharge. Radiology 149: 31–38, 1983
Ciatto S, Bravetti P, Berni D, Catarzi S, Bianchi S: The role of galactography in the detection of breast cancer. Tumori 74: 177–181, 1988
NIH consensus conference. Treatment of early-stage breast cancer. JAMA 265: 391–395, 1991
Fisher B, Redmond C, Poisson R et al.: Eight-year results of a randomized clinical trial comparing total mastectomy and lumpectomy with or without irradiation in the treatment of breast cancer. N Engl J Med 320: 822–828, 1989
Harris JR, Connolly JL, Schnitt SJ, Cohen RB, Hellman S: Clinico-pathologic study of early breast cancer treated by primary radiation therapy. J Clin Oncol 1: 184–189, 1983
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Yoshimoto, M., Kasumi, F., Iwase, T. et al. Magnetic resonance galactography for a patient with nipple discharge. Breast Cancer Res Treat 42, 87–90 (1997). https://doi.org/10.1023/A:1005703927922
Issue Date:
DOI: https://doi.org/10.1023/A:1005703927922