- CDC
- Heart Failure
- Cardiovascular Clinical Consult
- Adult Immunization
- Hepatic Disease
- Rare Disorders
- Pediatric Immunization
- Implementing The Topcon Ocular Telehealth Platform
- Weight Management
- Monkeypox
- Guidelines
- Men's Health
- Psychiatry
- Allergy
- Nutrition
- Women's Health
- Cardiology
- Substance Use
- Pediatrics
- Kidney Disease
- Genetics
- Complimentary & Alternative Medicine
- Dermatology
- Endocrinology
- Oral Medicine
- Otorhinolaryngologic Diseases
- Pain
- Gastrointestinal Disorders
- Geriatrics
- Infection
- Musculoskeletal Disorders
- Obesity
- Rheumatology
- Technology
- Cancer
- Nephrology
- Anemia
- Neurology
- Pulmonology
Intraductal Carcinoma Presenting as Enlarging Nipple
Mammography showed a dense fine mass which, on fine needle aspiration, showed intraductal carcinoma.
A 67-year-old woman presented with the chief complaint of an enlarging left nipple. Neither nipple discharge nor spontaneous pain was noted.
Key point: The affected nipple appeared irregularly enlarged and was firm to palpation. Manipulation of the nipple elicited mild tenderness. No breast masses were detected. Because the differential diagnosis included mammary Paget disease, however, a mammogram was obtained. It showed an underlying a dense mass which, on fine-needle aspiration biopsy, demonstrated intraductal carcinoma.
Treatment: The patient was referred to a breast cancer clinic and offered the various appropriate therapeutic options. She chose mastectomy as monotherapy.
Note: Mastitis would be expected to be more painful/tender and is often associated with significant nipple discharge.
Biden Administration Announces First 10 Prescription Drugs Slated for Price Negotiations
August 29th 2023The first 10 drugs identified for negotiations under the Inflation Reduction Act include several well advertised agents indicated to treat diabetes, heart failure, and other chronic diseases.
