The investigation and management of unilateral nipple discharge by breast units across Wessex.
Association of Breast Surgery ePoster Library. Clark S. 05/13/19; 257115; P071
Ms. Sarah Clark
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P071
Topic: Diagnosis/ Referral
Introduction: 15,000 - 45000 women present to UK breast clinics with nipple discharge each year. The incidence of malignancy in these women is 2.3-24.2%. Currently no formal guidelines are available on the best way to investigate and manage these women.This project aimed to evaluate variations in practice in the investigation and management of women presenting with nipple discharge across Wessex and identify factors that could reliably predict outcome. Methods :Breast units prospectively collected the following data on all new patients with unilateral nipple discharge: age, discharge colour, uniductal or multiductal, examination and imaging findings, cytology results and ultimately outcome. Results:5 units collected data on 228 patients. The incidence of malignancy was 4.4%.MalignancyNo malignancyAbnormal examination949PPV 15.5%Normal examination1169NPV 99.4%Abnormal MMG (M3,4,5)87PPV 53.3%Normal MMG (M1,2)2111NPV 98.2%Abnormal USS (U3,4,5)815PPV 65.2%Normal USS (U1,2)1147NPV 99.3%
Topic: Diagnosis/ Referral
Introduction: 15,000 - 45000 women present to UK breast clinics with nipple discharge each year. The incidence of malignancy in these women is 2.3-24.2%. Currently no formal guidelines are available on the best way to investigate and manage these women.This project aimed to evaluate variations in practice in the investigation and management of women presenting with nipple discharge across Wessex and identify factors that could reliably predict outcome. Methods :Breast units prospectively collected the following data on all new patients with unilateral nipple discharge: age, discharge colour, uniductal or multiductal, examination and imaging findings, cytology results and ultimately outcome. Results:5 units collected data on 228 patients. The incidence of malignancy was 4.4%.MalignancyNo malignancyAbnormal examination949PPV 15.5%Normal examination1169NPV 99.4%Abnormal MMG (M3,4,5)87PPV 53.3%Normal MMG (M1,2)2111NPV 98.2%Abnormal USS (U3,4,5)815PPV 65.2%Normal USS (U1,2)1147NPV 99.3%
P071
Topic: Diagnosis/ Referral
Introduction: 15,000 - 45000 women present to UK breast clinics with nipple discharge each year. The incidence of malignancy in these women is 2.3-24.2%. Currently no formal guidelines are available on the best way to investigate and manage these women.This project aimed to evaluate variations in practice in the investigation and management of women presenting with nipple discharge across Wessex and identify factors that could reliably predict outcome. Methods :Breast units prospectively collected the following data on all new patients with unilateral nipple discharge: age, discharge colour, uniductal or multiductal, examination and imaging findings, cytology results and ultimately outcome. Results:5 units collected data on 228 patients. The incidence of malignancy was 4.4%.MalignancyNo malignancyAbnormal examination949PPV 15.5%Normal examination1169NPV 99.4%Abnormal MMG (M3,4,5)87PPV 53.3%Normal MMG (M1,2)2111NPV 98.2%Abnormal USS (U3,4,5)815PPV 65.2%Normal USS (U1,2)1147NPV 99.3%
Topic: Diagnosis/ Referral
Introduction: 15,000 - 45000 women present to UK breast clinics with nipple discharge each year. The incidence of malignancy in these women is 2.3-24.2%. Currently no formal guidelines are available on the best way to investigate and manage these women.This project aimed to evaluate variations in practice in the investigation and management of women presenting with nipple discharge across Wessex and identify factors that could reliably predict outcome. Methods :Breast units prospectively collected the following data on all new patients with unilateral nipple discharge: age, discharge colour, uniductal or multiductal, examination and imaging findings, cytology results and ultimately outcome. Results:5 units collected data on 228 patients. The incidence of malignancy was 4.4%.MalignancyNo malignancyAbnormal examination949PPV 15.5%Normal examination1169NPV 99.4%Abnormal MMG (M3,4,5)87PPV 53.3%Normal MMG (M1,2)2111NPV 98.2%Abnormal USS (U3,4,5)815PPV 65.2%Normal USS (U1,2)1147NPV 99.3%
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