Problemi speciali
La secrezione ematica dal capezzolo sotto l’anno di vita
Bloody nipple discharge in infants
Lisa Scurati-Manzoni1, Enrico Finale2, Gianbachisio Melis1, Andrea Guala1
1SOC di Pediatria, 2SOC di Ostetricia - Ginecologia, Ospedale Castelli, Verbania, ASL VCO - Regione Piemonte
Marzo 2015 - pagg. 177 -180
Abstract
Bloody nipple discharge very rarely occurs in infants and often is associated with benign
mammary duct ectasia. Just because it is a rare symptom and frequently associated
with adults’ mammary cancer, it is inadequately managed: inappropriate diagnostic
tools are used, consequently inappropriate treatments are given. A “wait and see” approach
is enough and avoid unnecessary invasive diagnostic procedures.
Classificazione MeSH
Contenuto riservato
Per leggere l'articolo completo è necessario effettuare il login.
Non sei ancora registrato? Registrati
Bibliografia
1. Berkowitz CD, Inkelis SH. Bloody nipple discharge
in infancy. J Pediatr 1983;103:755-6.
2. George AT, Donnelly PK. Bloody nipple discharge
in infants. The Breast 2006;15:253-4.
3. Fenster DL. Bloody nipple discharge. J Pediatr
1984;104:640.
4. Sigalas J, Roilides E, Tsanakas J, Karpouzas
J. Bloody nipple discharge in infants. J Pediatr
1985;107:484.
5. Stringel G, Perelman A, Jimenez C. Infantile
mammary duct ectasia: a cause of bloody
nipple discharge. J Pediatr Surg 1986;21:671-4.
6. Gershin T, Mogilner JG. Bloody nipple discharge
in an infant. Harefuah 1992;122:505-6.
7. West KW, Rescoria FJ, Scherer LR, et al. Diagnosis
and treatment of symptomatic breast
masses in the pediatric population. J Pediatr
Surg 1995;30:182-7.
8. Phan D, N’Guyęt H, David L. Bloody nipple
discharge in infants and young children. Arch
Pediatr 1996;3:194.
9. Weimann E. Clinical management of nipple
discharge in neonates and children. J Paediatr
Child Health 2003;39:155-6.
10. Kelly VM, Arif K, Ralston S, Greger N,
Scott S. Bloody nipple discharge in an infant
and a proposed diagnostic approach. Pediatrics
2006;117:e814-6.
11. De Praeter CD, Coen K, Vanneste K,
Vanhaesebrouck P. Unilateral bloody nipple
discharge in a two-month-old male. Eur J Pediatr
2008;167:457-9.
12. Bayrak IK, Yalin T, Nural MS, et al. Mammary
duct ectasia in infant breast with bloody
nipple discharge: sonographic findings. J Clin
Ultrasound 2008;36:229-30.
13. Gupta V, Yadav SK. Infantile bloody nipple
discharge: a case report and review of the literature.
Afr J Paediatr Surg 2009;6:63-4.
14. Ujiie H, Akiyama M, Osawa R, et al. Bloody
nipple discharge in an infant. Arch Dermatol
2009;145:1068-9.
15. Seo JY, Kim SJ, Lee SJ, et al. Bloody nipple
discharge in an infant. Korean J Pediatr 2010;
53:917-20.
16. Harmsen S, Mayatepek E, Klee D, et al.
Bloody nipple discharge in an 8-month-old girl
and a 9-month-old male-rational diagnostic approach.
Klin Padiatr 2010;222:79-83.
17. Zaid A, Carolan E, Sharif F. Bloody nipple
discharge in a 7-month-old boy. BMJ Case Rep
2011 Oct 28;2011. doi: 10.1136/bcr.01.2011.
3761.
18. McHoney M, Munro F, Mackinlay G.
Mammary duct ectasia in children: report of a
short series and review of the literature. Early
Hum Dev 2011;87:527-30.
19. Pampal A, Gokoz A, Sipahi T, Dogan H, Ergur
AT. Bloody nipple discharge in 2 infants
with interesting cytologic findings of extramedullary
hematopoiesis and hemophagocytosis.
J Pediatr Hematol Oncol 2012;34:229-31.
20. Djilas-Ivanovic D, Boban J, Katanic D,
Ivkovic-Kapicl T, Lucic MA. Bilateral bloody
nipple discharge in a male infant: sonographic
findings and proposed diagnostic approach. J
Pediatr Endocrinol Metab 2012;25:163-4.
21. Pleša Premilovac Z, Toki V. Bloody nipple
discharge in infancy: a case report and recommendations
for management. J Pediatr
Adolesc Gynecol 2013;26:16-8.
22. Aydin R, Gul SB, Polat AV. Detection of
duct ectasia of mammary gland by ultrasonography
in a neonate with bloody nipple discharge.
Pediatr Neonatol 2014;55:228-30.
23. Affranchino PN, Oglietti JP, Amoedo D,
Nastri M. Bloody nipple discharge: duct ectasia.
Arch Argent Pediatr 2013;111:e152-5.
24. Miller JD, Brownell MD, Shaw A. Bilateral
breast masses and bloody nipple discharge
in a 4-year-old boy. J Pediatr 1990;116:744-6.
25. Olcay I, Gokoz A. Infantile gynecomastia
with bloody nipple discharge. J Pediatr Surg
1993;27:103-4.
26. Karl SR, Ballantine TV, Zaino R. Juvenile
secretory carcinoma of the breast. J Pediatr
Surg 1985;20:368-71.
27. Longo OA, Mosto A, Hernandez-Moran
JC, Mosto J, Rives LE, Sobral F. Breast carcinoma
in childhood and adolescence: case report
and review of the literature. Breast J
1999;5:65-9.
28. Colao A, Loche S, Cappa M, Di Sarno A,
Landi ML, Sarnacchiaro F. Prolactinomas in
children and adolescents: clinical presentation
and long-term follow-up. J Clin Endocrinol
Metab 1998;83:2777-80.
29. McKierman J, Coyne J, Cahalane S. Histology
of breast development in early life. Arch
Dis Child 1988;63:136-9.
30. Brown L, Hicks M. Subclinical mastitis
presenting as acute, unexplained, excessive
crying in an afebrile 31-day-old female. Pediatr
Emerg Care 2001;17:189-90.
Corrispondenza: andrea.guala@aslvco.it
