Evidence map›Paper›PMID 42338287›Full record

ArticleThoracic cancer2026

Clinical and Imaging Characteristics in the Diagnosis and Surgical Management of Nipple Discharge Without Clinically Palpable Masses: A Retrospective Cohort Study.

Yang Yang, Ting Lin, Jiaxuan Li, Houpu Yang, Fei Xie, Siyuan Wang, Dingbao Chen, Shu Wang, Lei Chen, Miao Liu

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Article in Thoracic cancer, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Yang YangBreast Disease Center, Peking University People's Hospital, Beijing, China.
Ting LinDepartment of Breast Surgery, Tangshan People's Hospital, Tangshan, China.
Jiaxuan LiDepartment of Radiation Oncology, Peking University People's Hospital, Beijing, China.
Houpu YangBreast Disease Center, Peking University People's Hospital, Beijing, China.
Fei XieBreast Disease Center, Peking University People's Hospital, Beijing, China.
Siyuan WangBreast Disease Center, Peking University People's Hospital, Beijing, China.
Dingbao ChenDepartment of Pathology, Peking University People's Hospital, Beijing, China.
Shu WangBreast Disease Center, Peking University People's Hospital, Beijing, China.ORCID https://orcid.org/0000-0002-8651-4795
Lei ChenDepartment of Radiology, Peking University People's Hospital, Beijing, China.
Miao LiuBreast Disease Center, Peking University People's Hospital, Beijing, China.ORCID https://orcid.org/0009-0005-1957-4316

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe study aimed to investigate clinical and imaging features in the diagnosis and surgical management of nipple discharge without palpable masses.

methodsConsecutive patients undergoing surgery for nipple discharge without palpable masses (January 2014-December 2024) were retrospectively enrolled. Clinical, imaging (ultrasound, mammography, MRI), surgical, and pathological data were analyzed. Diagnostic performance of imaging modalities for intraductal lesions/malignancy and their role in incision selection were evaluated. Multivariate regression identified independent risk factors.

resultsAmong 664 patients (676 breasts), 512 were pathology-positive cases. Older age (> 50 years), postmenopausal status, bloody/yellow discharge, and single-duct involvement correlated with intraductal-lesions/malignancy (p < 0.05). MRI demonstrated superior sensitivity for detecting intraductal-lesions (81.25%) and cancer (87.32%) versus ultrasound (64.51%/74.26%) and mammography (26.46%/50.39%), with 84.62% concordance in surgical localization. Bloody/yellow discharge, positive ultrasound, and MRI independently predicted intraductal-lesions (p < 0.05).

conclusionMRI offers optimal diagnostic sensitivity and precise spatial guidance for surgery. Bloody/yellow discharge, along with positive ultrasound and MRI findings, informs risk stratification and surgical intervention.

Indexed as

Breast NeoplasmsNipple DischargeAdultAgedFemaleHumansMagnetic Resonance ImagingMammographyMiddle AgedRetrospective Studiesbreast cancerbreast MRIintraductal lesionsnipple discharge

Identifiers

PMID42338287
PMCPMC13291552

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.