Tanya W Moseley, Beatriz E Adrada, Elsa M Arribas, Hannah L Chung, Megha M Kapoor, Miral M Patel, Sammar Ghannam, Mary S Guirguis
{"title":"Solitary Dilated Ducts 2.0 - Multimodality Imaging Detection, Assessment, and Management.","authors":"Tanya W Moseley, Beatriz E Adrada, Elsa M Arribas, Hannah L Chung, Megha M Kapoor, Miral M Patel, Sammar Ghannam, Mary S Guirguis","doi":"10.1093/jbi/wbaf012","DOIUrl":null,"url":null,"abstract":"<p><p>The BI-RADS 5th Edition recommends that a solitary dilated duct should be assessed as a BI-RADS category 4 lesion and recommended for biopsy. More recently, 3 studies published after the fifth edition of BI-RADS have reported lower rates of malignancy associated with solitary dilated ducts ranging from 0% to 3.4%. According to these studies, clinical considerations and additional imaging characteristics can help determine which solitary ducts should be managed conservatively and which should undergo tissue biopsy. This review examines the latest research on solitary dilated ducts and proposes an updated management approach.</p>","PeriodicalId":43134,"journal":{"name":"Journal of Breast Imaging","volume":" ","pages":""},"PeriodicalIF":2.0000,"publicationDate":"2025-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Breast Imaging","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1093/jbi/wbaf012","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ONCOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
The BI-RADS 5th Edition recommends that a solitary dilated duct should be assessed as a BI-RADS category 4 lesion and recommended for biopsy. More recently, 3 studies published after the fifth edition of BI-RADS have reported lower rates of malignancy associated with solitary dilated ducts ranging from 0% to 3.4%. According to these studies, clinical considerations and additional imaging characteristics can help determine which solitary ducts should be managed conservatively and which should undergo tissue biopsy. This review examines the latest research on solitary dilated ducts and proposes an updated management approach.
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