Twenty-six female who presented with nipple discharge between August 1989 and September 1991 underwent mammary ductography (contrast mammography) using water soluble contrast media. The ages ranged from 29 to 75 with a mean of 41.7 years. Two patient had bilateral duct injections giving a total of 28 ductograms. The examination was simple and well tolerated by patients. The underlying causes of nipple discharge were clearly demonstrated. There were five cases of papilloma, one hematoma, one intraduct carcinoma, 11 duct ectasia, six fibrocystic disease of which four were normal. Ductography was found to be useful in the preoperative evaluation of patients with nipple discharge.
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