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51.Comprehensive Multidisciplinary Approach for Assessing and Managing Breast Nipple Discharge: Current Insights and Future Directions
Mohammad Usman, Saif ur Rahman and Anwar Syed
ABSTRACT
Objective: This study aimed to comprehensively evaluate and manage cases of breast nipple discharge utilizing a multidisciplinary approach at Saidu Group of Teaching Hospitals and Swat Medical Complex Teaching Hospital in Saidu Sharif, Swat, Pakistan.
Study Design: Clinical evaluation study
Place and Duration of Study: This study was conducted at the Saidu Group of Teaching Hospitals and Swat Medical Complex Teaching Hospital, Saidu Sharif, Swat, Pakistan from March 1, 2021, to May 31, 2022.
Materials and Methods: A total of 113 females aged 18 to 55 years were purposefully selected using non-random purposive sampling technique. Data collected from clinical examinations, laboratory reports, and radiological images were analyzed using the latest version of Statistical Package for the Social Sciences (SPSS) 24.
Results: Among the 113 participants selected for the study, 9 (14.51%) were aged 18-25 years, 52 (46.01%) were aged 26-35 years, 29 (25.66%) were aged 36-45 years, and 23 (20.35%) were aged 46-55 years. Clinical examination revealed unilateral discharge in 78 (69.02%) cases and bilateral discharge in 35 (30.98%) cases. Spontaneous discharge was observed in 21 (18.58%) cases, while non-spontaneous discharge was observed in 92 (81.41%) cases. Persistent discharge was noted in 18 (15.98%) cases, while intermittent discharge was reported in 95 (84.04%) cases. Additionally, nipple discharge was categorized by color: 27 (23.98%) cases had bloody discharge, 38 (33.62%) cases had green discharge, and 20 (17.69%) cases had yellow discharge. Cytopathology reports indicated 23 (20.35%) cases of papillomas and 68 (60.01%) cases of epithelial cells (most common), with 4 (3.53%) cases showing malignant cells.
Conclusion: This study demonstrates the efficacy of a multidisciplinary approach in assessing, diagnosing, and managing breast nipple discharge cases. Both conservative and surgical interventions were employed to effectively manage the condition. However, further research with a larger sample size and a more comprehensive multidisciplinary approach, coupled with increased resources, is recommended to enhance the accuracy of evaluation and management strategies for this condition.
Key Words: nipple discharge, cytopathology, malignancy, ductectesia
Citation of article: Usman M, Rahman S, Syed A. Comprehensive Multidisciplinary Approach for Assessing and Managing Breast Nipple Discharge: Current Insights and Future Directions. Med Forum 2023;34(8):221-224.doi:10.60110/medforum.340851.