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nipple bloody discharge (again...)
Hi,
I am 45 years old and I had bloody discharge from my right breast (2 ducts) about 4.5 years ago. After various tests had duct excision with the result being fibrosystic changes, not even a papilloma was found.
Well... now I have bloody discharge from my left breast (one duct, non-spontaneous). Mammogram is normal, ultrasound showed 2 intraductal nodules (4mm and 3mm) in the same duct. During my bloody discharge case 4.5 years ago US was normal... I am scheduled for a ductogram and then a biopsy of the nodules (2 different days since 2 different doctors will be doing these procedures). Needless to say I am freaking out... From my reading on internet I understand that having 2 potential nodules in the same duct is not a very favorable result...Is this right? The waiting game is really frustrating and frightening. Any comments would be greatly appreciated. Thank you!
I am 45 years old and I had bloody discharge from my right breast (2 ducts) about 4.5 years ago. After various tests had duct excision with the result being fibrosystic changes, not even a papilloma was found.
Well... now I have bloody discharge from my left breast (one duct, non-spontaneous). Mammogram is normal, ultrasound showed 2 intraductal nodules (4mm and 3mm) in the same duct. During my bloody discharge case 4.5 years ago US was normal... I am scheduled for a ductogram and then a biopsy of the nodules (2 different days since 2 different doctors will be doing these procedures). Needless to say I am freaking out... From my reading on internet I understand that having 2 potential nodules in the same duct is not a very favorable result...Is this right? The waiting game is really frustrating and frightening. Any comments would be greatly appreciated. Thank you!
You are welcome !
I certainly don't think you are a nut case at all.These are good questions to ask,but please note that I am not a doctor,therefore my knowledge and answers to your particular situation are limited.
I am really sorry if I can't be more helpful,but I am sure that you will get all your questions answered by your own Surgeon,who is your best source of information.If you are not satisfied with what you have been told by your present doctor,then you could seek a second opinion from a different breast surgeon.Ask all the questions you have asked here and don't leave his/her office until everything has been fully explained to you and you are completely satisfied with the answers given.I would be doing exactly the same if I was in your situation.
I wish you well....
I certainly don't think you are a nut case at all.These are good questions to ask,but please note that I am not a doctor,therefore my knowledge and answers to your particular situation are limited.
I am really sorry if I can't be more helpful,but I am sure that you will get all your questions answered by your own Surgeon,who is your best source of information.If you are not satisfied with what you have been told by your present doctor,then you could seek a second opinion from a different breast surgeon.Ask all the questions you have asked here and don't leave his/her office until everything has been fully explained to you and you are completely satisfied with the answers given.I would be doing exactly the same if I was in your situation.
I wish you well....
Thank you, Zouzi. You probably think that I am a nut case - it's time to relax and smell the roses now but I just cannot let it go...I am now thinking that the doctor might have taken out wrong duct... I perfectly understand that blood could be related to surgery since it only took place a week ago but I don't understand how it can be coming from the same place where my previously suspicious discharge was coming from if there is no duct there. It's coming from another duct as well (which had non-bloody discharge previously...). The doctor I used is a well known breast surgeon but since my discharge was not coming out the day of surgery she could have made a mistake... I am just trying to figure out if blood can be coming out from the nipple in the same place if no duct is there any longer..
My advise to you is to leave your nipple alone.You just had a Mammary duct excision and the bleeding could be due to the procedure.
Please consult your doctor if the bleeding is spontaneous,or if you need to be reassured that there is nothing there to worry about.
Take care now...
Please consult your doctor if the bleeding is spontaneous,or if you need to be reassured that there is nothing there to worry about.
Take care now...
It's been a week since my surgery and I noticed hat if I squeeze my nipple I have red blood coming out of the same place brown discharge was coming from. Is this normal? Where is it coming from if there is no duct there anymore?
Could be a silly question but I don't remember this happening with my previous surgery on the right breast
Thank you
Could be a silly question but I don't remember this happening with my previous surgery on the right breast
Thank you
The nurse called and results are benign!!! I am due for my post-op appointment on Friday so I will find out at that time what was causing my discharge. So relieved! It's been 41 days since they started various tests for this problem.
Yes I know dear... Waiting for the results is indeed very stressing.We all go through the same thing and there is nothing we can do about it.
All I can say to you,is to try to keep busy as much as you can.Go out,be with your family and friends,go shopping and pamper yourself a little.You’ll be surprised how fast time will go by and the waiting will seem much shorter.
I am keeping my fingers crossed for you and hopefully things will turn out just fine.
Good luck! :)
All I can say to you,is to try to keep busy as much as you can.Go out,be with your family and friends,go shopping and pamper yourself a little.You’ll be surprised how fast time will go by and the waiting will seem much shorter.
I am keeping my fingers crossed for you and hopefully things will turn out just fine.
Good luck! :)
Just to update - had my mammary duct excision on Friday, waiting for the results... Very scared and tired of waiting.
Hi again,
Well, I am glad that your MRI test looks normal.I think your chances are pretty good now,but I agree with your doctor that a mammary duct excision is necessary and the best thing to do to obtain a definite diagnosis.
This procedure is also done to relieve symptoms that the duct could be causing so this problem can be resolved .
All the best..
Well, I am glad that your MRI test looks normal.I think your chances are pretty good now,but I agree with your doctor that a mammary duct excision is necessary and the best thing to do to obtain a definite diagnosis.
This procedure is also done to relieve symptoms that the duct could be causing so this problem can be resolved .
All the best..
I finally got my MRI results - everything looks normal. My doctor still wants to go ahead and do a mummary duct excision next Friday. What are my chances of not having benign results with normal mammogram, normal MRI, normal ductogram and Ultrasound showing widened duct with some debris in it? I am happy my MRI came back normal but still concerned. Anyone can share their experience with me?
Thank you
Thank you
Hi again,
A dilated duct can be associated with several things, including infection. Debris in dilated ducts is a term used to describe particles found that are not fluid.These particles could be dead cells from the ductal lining,old blood or old residual infection.In the vast majority of cases, it's not too concerning and this condition is not generally associated with cancer.
Your doctor/radiologist is being cautious to further investigate this problem and an MRI would be very valuable to make sure that there is nothing serious there.
Take care now...
A dilated duct can be associated with several things, including infection. Debris in dilated ducts is a term used to describe particles found that are not fluid.These particles could be dead cells from the ductal lining,old blood or old residual infection.In the vast majority of cases, it's not too concerning and this condition is not generally associated with cancer.
Your doctor/radiologist is being cautious to further investigate this problem and an MRI would be very valuable to make sure that there is nothing serious there.
Take care now...
Went for biopsy today but the doctor could not peform it since there was nothing really specific in the duct with the exception that the duct was widened and there was "debri" it it. Next step is MRI on Friday...Scared :(
You are welcome and thanks for the update..
Well, it's a possibility that the radiologist missed the duct.Not all radiologist have the same level of skill re:ductogram,particularly if no discharge could be expressed from the nipple during the procedure.
If the bleeding persists,you could ask to have the test repeated preferably by a different radiologist or a Breast Surgeon.
Anyway, I am sure that your upcoming biopsy, regarding the small nodules in your breast duct,will determine exactly what's going on.
I wish you well and I hope that everything will turn out just fine for you :)
Well, it's a possibility that the radiologist missed the duct.Not all radiologist have the same level of skill re:ductogram,particularly if no discharge could be expressed from the nipple during the procedure.
If the bleeding persists,you could ask to have the test repeated preferably by a different radiologist or a Breast Surgeon.
Anyway, I am sure that your upcoming biopsy, regarding the small nodules in your breast duct,will determine exactly what's going on.
I wish you well and I hope that everything will turn out just fine for you :)
I had a ductogram this morning. Of course it was almost impossible to express bloody discharge during my appointment so it was really hard to locate the bleeding duct. I am not 100% sure the ductogram was done on the correct duct.... Ductogram was normal based on what radiologist told me during the procedure. I am curious how it's possible for ultrasound to show 2 intraductal nodules and for ductogram to be normal. Does this mean they definitely missed the right duct?
I am scheduled for biopsy on Monday morning - I assume they will be doing ultrasound again at that time to insure they biopsy the part.
Thank you for your input on this!
Foreign girl
I am scheduled for biopsy on Monday morning - I assume they will be doing ultrasound again at that time to insure they biopsy the part.
Thank you for your input on this!
Foreign girl
Hi,
It's really hard to say,but benign breast disease is the most common cause of nodules and can stem from cyst formation, obstructed ducts, inflammation, infection and not necessarily something serious.
Usually bloody nipple discharge represents an intraductal papilloma.The observation that the blood is coming from just one duct is against fibrocystic change and is associated about 9 times out of 10 with a benign intraductal papilloma and less common an intraductal carcinoma.It is possible to have 2 papillomas in the same milk duct and if the biopsy confirms it, then surgical removal is the standard of care.The primary reason for removing the papillomas,(even if benign) is to make sure that cancer or pre-cancerous cells are not "hiding". So, the full pathology exam is the only and best way to make certain that it's completely benign.
Best wishes and I hope your biopsy results will state benign findings..
It's really hard to say,but benign breast disease is the most common cause of nodules and can stem from cyst formation, obstructed ducts, inflammation, infection and not necessarily something serious.
Usually bloody nipple discharge represents an intraductal papilloma.The observation that the blood is coming from just one duct is against fibrocystic change and is associated about 9 times out of 10 with a benign intraductal papilloma and less common an intraductal carcinoma.It is possible to have 2 papillomas in the same milk duct and if the biopsy confirms it, then surgical removal is the standard of care.The primary reason for removing the papillomas,(even if benign) is to make sure that cancer or pre-cancerous cells are not "hiding". So, the full pathology exam is the only and best way to make certain that it's completely benign.
Best wishes and I hope your biopsy results will state benign findings..
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