Duct Excision is Still Necessary to Rule out Breast Cancer in Patients Presenting with Spontaneous Bloodstained Nipple Discharge

Table 2

Breast cancers identified following surgery for spontaneous isolated nipple discharge.

Age	Discharge type	Single duct?	Initial surgery	Initial histology	Final histology	Treatment
32	Fresh blood	Yes	Micro	DCIS	Intermediate grade DCIS	Mx + ANS + recon
43	Fresh blood	No	TDE	DCIS	Extensive intermediate grade DCIS	Mx + ANS + recon
51	Fresh blood/serous	Yes	TDE	DCIS	High grade DCIS	Mx + ANS
58	Fresh blood	Yes	TDE	IDC	3 mm grade 3 IDC + extensive DCIS	Mx + ANC + recon
60	Fresh blood	Yes	Micro	DCIS	High grade DCIS	Mx + ANS
68	Fresh blood	Yes	TDE	IDC	3 mm grade 2 IDC + DCIS	Mx + ANC
69	Fresh blood	Yes	Micro	DCIS	Multifocal intermediate grade DCIS	Mx + ANS
72	History of fresh blood; serous discharge identified, dipstick +++ for blood	Yes	TDE	IDC	10 mm grade 2 IDC + DCIS	Mx+ ANC
74	Altered blood	Yes	TDE	IDC	10 mm grade 2 IDC + widespread DCIS	Mx and ANC
78	Fresh blood	Yes	TDE	DCIS	Multifocal intermediate grade DCIS	Simple Mx
88	Fresh blood	Yes	TDE	DCIS	Low grade DCIS	Simple Mx

Initial operation: Micro: microdochectomy; TDE: total duct excision.
Histology: DCIS: ductal carcinoma insitu; IDC: invasive ductal carcinoma.
Treatment: Mx: mastectomy; ANS: axillary node sampling; ANC: axillary node clearance; Recon: reconstruction.