Bloody Nipple Discharge (BND) in an 8 Months Old Girl and a 9 Months Old Male – Rational Diagnostic Approach

Abstract

Bloody nipple discharge in adults is, in men as well as in women, often a symptom of an underlying malignant disease. In respect of this, multiple invasive and mutilating diagnostic procedures have been performed in infants and older children. Apart from individual cases in older and pubertal children, in childhood benign conditions are most common and can be diagnosed by non-invasive diagnostic procedures. Here we discuss a rational diagnostic approach on the basis of 2 patients with bloody nipple discharge at the age of 8 and 9 months which resolved spontaneously without treatment after 3 and 6 months, respectively.

Zusammenfassung

Die blutige Sekretion der Mamillen ist im Erwachsenenalter sowohl bei Männern als auch bei Frauen ein Symptom, das in der Mehrzahl der Fälle der Diagnose einer malignen Grunderkrankung vorausgeht. Allein dieses Wissen führte in der Vergangenheit zu invasiver und teilweise verstümmelnder Diagnostik bei Säuglingen und Kleinkindern. Im Kindesalter überwiegen bis auf wenige Ausnahmen benigne Prozesse, die in den meisten Fällen zunächst durch nicht-invasive Untersuchungstechniken abgeklärt werden können. Wir diskutieren einen rationalen diagnostischen Ablauf bei 2 Säuglingen mit blutiger Mamillensekretion im Alter von 8 und 9 Monaten. Die blutige Mamillensekretion sistierte ohne Therapie spontan nach 3 bzw. 6 Monaten.

Key words

bloody nipple discharge in infancy and children - mammary duct ectasia - mammary cysts

Schlüsselwörter

blutige Sekretion der Mamillen im Säuglings- und Kleinkindesalter - mamilläre Gangektasien - mamilläre Zysten

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