February 2021 PMID 33295815

Nipple Discharge: Current Clinical and Imaging Evaluation.

Dipti Gupta, Ellen B Mendelson, Ingolf Karst

Mentions

7
Peak: 3 in Dec 2020
across 3 sources since Dec 2020

Extended reach

49,200
potential audience

Total likes

10

Video views

810

Mentions per month

Dec 2020 – Dec 2024

Where it's discussed

  • X / Twitter4 posts
  • Facebook2 posts
  • YouTube1 videos

AI synopsis

What people are saying

The overall discussion reflects agreement on the shift toward using MRI's high negative predictive value as an alternative to surgery, with phrases like 'surveillance may be preferred' and 'reasonable alternative' signifying acceptance of new approaches. The tone balances professional endorsement with interest in practical implications, emphasizing both the clinical effectiveness and patient comfort of MRI, which contribute to its high impact as a proposed change in management.

AgreementStrong agreement

Most posts agree that MRI surveillance could be a viable alternative to the traditional surgical approach, reflecting strong support for the clinical shift.

InterestModerate interest

Posts show moderate interest, particularly focusing on the potential to reduce invasive procedures instead of just general awareness.

EngagementModerate engagement

Discussions reference specific diagnostic methods like MRI and duct excision, indicating some depth in understanding and dialogue.

ImpactHigh impact

The posts highlight a significant change in clinical practice, with mentions of reduced surgeries and the potential for improved patient management.

Abstract in brief

  • Nipple discharge is a common issue, initially assessed through clinical examination, with imaging like mammography and ultrasound used for further evaluation of pathologic cases.
  • MRI is increasingly favored over ductography due to its higher sensitivity, specificity, and patient comfort, especially when initial imaging is negative but suspicion remains high.
  • While central duct excision has traditionally been used to diagnose malignancy, recent studies suggest that MRI surveillance might be a suitable alternative given its high negative predictive value.

Top posts

Most liked on X and Bluesky
AJR
@AJR_Radiology · X

Although central duct excision is the current standard for evaluation of malignancy in patients with pathologic nipple discharge, studies suggest that surveillance may be a reasonable alternative to surgery. https://t.co/P8Gzsk85Le

Dec 12, 2020 · 2 likes · 2 shares · 14,615 followers View post →
Anika McGrath MD
@mcgrath_md · X

Management of clinically suspicious #nippledischarge: Given high NPV of #breastMRI (96-100%) combined with low incidence of underlying cancer (5-15%), surveillance may be preferred to surgery. #breastimaging #breastcancer @AJR_Radiology @NUBreastImaging https://t.co/wRwtcNovAa https://t.co/QYPIp2MqOt

Feb 16, 2021 · 1 like · 250 followers View post →
María J. Díaz Candamio
@Vilavaite · X

RT @AJR_Radiology: Although central duct excision is the current standard for evaluation of malignancy in patients with pathologic nipple d…

Dec 13, 2020 · 2 shares · 21,677 followers View post →
الـفيزياء الطبيـة☢
@aleneziahmed1 · X

RT @AJR_Radiology: Although central duct excision is the current standard for evaluation of malignancy in patients with pathologic nipple d…

Dec 14, 2020 · 2 shares · 11,836 followers View post →

All mentions

Anika McGrath MD
@mcgrath_md · X

Management of clinically suspicious #nippledischarge: Given high NPV of #breastMRI (96-100%) combined with low incidence of underlying cancer (5-15%), surveillance may be preferred to surgery. #breastimaging #breastcancer @AJR_Radiology @NUBreastImaging https://t.co/wRwtcNovAa https://t.co/QYPIp2MqOt

Feb 16, 2021 · 1 like · 250 followers View post →
الـفيزياء الطبيـة☢
@aleneziahmed1 · X

RT @AJR_Radiology: Although central duct excision is the current standard for evaluation of malignancy in patients with pathologic nipple d…

Dec 14, 2020 · 2 shares · 11,836 followers View post →
María J. Díaz Candamio
@Vilavaite · X

RT @AJR_Radiology: Although central duct excision is the current standard for evaluation of malignancy in patients with pathologic nipple d…

Dec 13, 2020 · 2 shares · 21,677 followers View post →
AJR
@AJR_Radiology · X

Although central duct excision is the current standard for evaluation of malignancy in patients with pathologic nipple discharge, studies suggest that surveillance may be a reasonable alternative to surgery. https://t.co/P8Gzsk85Le

Dec 12, 2020 · 2 likes · 2 shares · 14,615 followers View post →