Duct Ectasia
Duct ectasia, also known as mammary duct ectasia, is a benign (non-cancerous) breast condition that occurs when a milk duct in the breast widens and its walls thicken. This can cause the duct to become blocked and lead to fluid build-up. It’s more common in women who are getting close to menopause. But it can happen after menopause, too.
Diagnosis
Often, this condition causes no symptoms and is found when a biopsy (removal of small pieces of breast tissue to be checked under a microscope) is done for another breast problem.
Less often, duct ectasia may cause a nipple discharge, which is often sticky and thick. The nipple and nearby breast tissue may be tender and red. The nipple may be pulled inward. Sometimes scar tissue around the abnormal duct causes a hard lump that may be confused with cancer. An ultrasound and/or mammogram may be done to learn more about the changed part of your breast.
If there’s a lump, a biopsy may be needed to make sure it’s not cancer. A hollow needle is used to take a tiny piece of tissue from the area so it can be checked in the lab for cancer cells.
Treatment
Duct ectasia sometimes gets better without treatment. Warm compresses and antibiotics may be used in some cases. If the symptoms do not go away, the abnormal duct may need to be removed with surgery.
How does duct ectasia affect your risk for breast cancer?
Duct ectasia does not increase your breast cancer risk.
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Dixon JM, Pariser KM. Nonlactational mastitis in adults. UpToDate. 2019. Accessed at https://www.uptodate.com/contents/nonlactational-mastitis-in-adults on August 12, 2019.
Guray M, Sahin AA. Benign breast diseases: Classification, diagnosis, and management. Oncologist. 2006;11;435-449.
Last Revised: September 10, 2019
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