De Praeter Claudine, De Coen Kris, Vanneste Katrien, Vanhaesebrouck Piet
Department of Neonatology, Ghent University Hospital, De Pintelaan 185, 9000, Ghent, Belgium.
Eur J Pediatr. 2008 Apr;167(4):457-9. doi: 10.1007/s00431-007-0482-3. Epub 2007 Apr 19.
Bloody nipple discharge is a rare but distressing finding in neonates and infants. We report on a 2-month-old boy with unilateral bloody nipple discharge. Ultrasound examination revealed dilated mammary ducts. This benign phenomenon is most likely to be caused by mammary ductal ectasia. Invasive investigations or surgery should be avoided in neonates or infants with bloody nipple discharge unless the discharge is unilateral, spontaneous, persistent and accompanied with a palpable mass. Otherwise only serial clinical follow-up is recommended until spontaneous resolution.
血性乳头溢液在新生儿和婴儿中是一种罕见但令人苦恼的表现。我们报告一例2个月大的单侧血性乳头溢液男婴。超声检查显示乳腺导管扩张。这种良性现象很可能是由乳腺导管扩张症引起的。对于有血性乳头溢液的新生儿或婴儿，除非溢液是单侧、自发、持续且伴有可触及肿块，否则应避免进行侵入性检查或手术。否则，建议仅进行系列临床随访直至自行消退。
