Servicios Personalizados
Revista
Articulo
Indicadores
- Citado por SciELO
Links relacionados
- Similares en SciELO
Compartir
Archivos argentinos de pediatría
versión impresa ISSN 0325-0075
Resumen
AFFRANCHINO, Pablo Nicolás; OGLIETTI, Juan Pablo; AMOEDO, Diego y NASTRI, Mariana. Bloody nipple discharge: Duct ectasia. Arch. argent. pediatr. [online]. 2013, vol.111, n.6. ISSN 0325-0075. http://dx.doi.org/10.5546/aap.2013.e152.
Bloody discharge from the nipple (thelorrhagia) is a rare symptom in childhood and is a cause of great concern due to the mistaken association with carcinoma in adults. However, in children thelorrhagia is due to benign mammary duct ectasia in the majority of cases. Up to date, only isolated case reports or case series have been published and, although different theories have been postulated, no definite etiology has been identified. We report two cases with similar clinical features and outcome, in whom bleeding resolved spontaneously 4 and 6 weeks after onset. We present a review of the literature. Based on the benign and self-limiting process and in the absence of other findings on physical examination, we suggest a watch-and-wait approach with minimally invasive studies and reassurance and support for the family as most cases resolve spontaneously.
Palabras clave : Thelorrhagia; Duct ectasia; Bloody nipple discharge.