TP8.1.12 Diagnostic Utility of MRI in the Evaluation of Potential Malignancy in Patients Presented with Nipple Discharge

Abstract Aims Nipple discharge is a presentation commonly seen at breast clinics. It conventionally evaluated with physical examination and sonography( or mammography). The aim of this study to investigate the diagnostic value magnetic resonance imaging (MRI) as an additional tool in evaluation potential malignancy patients presented nipple discharge. Methods A retrospective 85 who underwent ultrasound (USS) MRI between 04/06/2008 25/10/2019 was conducted. Clinical notes, radiographic reports biopsy results were reviewed. Sensitivity, specificity, positive predictive negative USS calculated. Results Out (all female; mean age 45.33 +/- 12.93 years old) discharge, 11 found have biopsy-proven (invasive ductal carcinoma/ carcinoma situ; 12.94% risk). failed identify seven malignancies (27.27% sensitivity) while missed three (72.72% sensitivity). falsely identified four from 74 no (94.59% specificity) only one case (98.65% specificity). For (U1/U2/U3) (BI-RADS category 1,2 3), values 89.74% that 96.05%. are 42.86% 88.88% respectively. Conclusion Compared USS, has higher sensitivity, value. will be valuable addition standard workup help rule out malignancy.