Ascaso Matamata Ángela M, Amiguet Biain Mireia, Morales Ferruz Raquel, Sobrevia Elfau Ma Teresa, González García Gonzalo
Hospital Clínico Universitario "Lozano Blesa", Zaragoza, España.
Arch Argent Pediatr. 2018 Dec 1;116(6):e782-e784. doi: 10.5546/aap.2018.e782.
Bloody discharge from the nipple (thelorrhagia) is a rare symptom in childhood and is a cause of great concern due to the association with carcinoma in adults. The most common cause in children is mammary duct ectasia, which is a benign and self-limiting condition. It is characterized by dilatation of the mammary ducts, fibrosis and periductal inflammation. The etiology has not been identified and is multifactorial. Up to date, only isolated case reports have been published. Therefore, we present a review of the literature and we report a case of a fivemonth- old male infant that resolves spontaneously. We aimed to improve physicians' diagnosis accuracy, the knowledge of this condition and to avoid aggressive studies and treatments.
乳头血性溢液（乳头出血）在儿童期是一种罕见症状，由于其在成人中与癌症相关，故而备受关注。儿童最常见的病因是乳腺导管扩张症，这是一种良性且自限性的病症。其特征为乳腺导管扩张、纤维化以及导管周围炎症。病因尚未明确且是多因素的。迄今为止，仅发表了个别病例报告。因此，我们对文献进行了综述，并报告了一例5个月大男性婴儿自发缓解的病例。我们旨在提高医生的诊断准确性、对这种病症的认识，并避免进行激进的检查和治疗。
