Stringel G, Perelman A, Jimenez C
J Pediatr Surg. 1986 Aug;21(8):671-4. doi: 10.1016/s0022-3468(86)80383-9.
Bloody nipple discharge in infancy has been rarely reported in the medical literature. Its cause is unknown. We report a three-year-old male infant and a five-month-old female infant with bloody nipple discharge. Because of persistent bloody discharge, a subcutaneous mastectomy was performed in the boy; the problem resolved in the girl after a period of observation. The specimen showed histologic changes identical to those seen in adult mammary duct ectasia. All the endocrinologic work-up was normal. We suspect that bloody nipple discharge in infancy is underreported. This is a benign condition with histologic changes similar to adult mammary duct ectasia and if persistent, should be properly investigated; biopsy or excision are not indicated.
婴儿期血性乳头溢液在医学文献中鲜有报道。其病因不明。我们报告了一名3岁男婴和一名5个月大的女婴出现血性乳头溢液的病例。由于男婴持续性血性溢液，对其实施了皮下乳房切除术；女婴经过一段时间观察后问题得到解决。标本显示组织学变化与成人乳腺导管扩张症所见相同。所有内分泌检查均正常。我们怀疑婴儿期血性乳头溢液的报道不足。这是一种良性病症，组织学变化与成人乳腺导管扩张症相似，若持续存在，应进行适当检查；不建议活检或切除。
