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If a woman because of abnormalities in the breast of a female doctor who interviewed according to the knowledge of the patient, is more or less detail in the fashion described above. And: Is there already known breast findings? If the person concerned has had surgery on his chest? Does the patient have breast complaints (see above)? Then he checked palpation and thoroughly examine women. If only in the second half of the cycle, it may be advisable to check the chest in the first half of the new cycle following, shortly after the next menstruation. Because breast tissue changes depending on hormones and should be judged better with a touch in the first half of the cycle.

Sometimes, however, an accurate diagnosis suggested timely. This concerns in ultrasound (sonography, breast sonography) and X-ray (mammogram) of the breast. Women younger than 40 years, usually have very dense breast tissue. Hence, an ultrasound examination with them in the first place. This also applies during pregnancy and lactation. If necessary, the doctor did today, but even in this situation with mammography.

The range used for evaluation striking (touch) discovered X-ray examination of the breast is different from mammography screening women "healthy breast", referred to mammography as a diagnostic or curative.

Sometimes you can even complement breast magnetic resonance imaging (MRI) may be required. It is, however, subject to certain questions.

With special features, such as secretion (liquid) from breast milk ducts can be represented by a contrast agent is injected into the X-ray image. Galactography This is a variant of mammography. Viscous secretion or growth, of any type, can impede the flow of contrast media. In the X-ray of termination or filling defects dairy aisle can then be displayed.

Investigation uncomfortable to painful. Previously, the fluid itself is checked containing cells and bacteria. Allergy is a contrast agent because of contraindications (relative contraindications). Previously, patients can receive drugs largely suppress allergic reactions. The investigation is only possible if the milk ducts or the discharge current can squeeze. Only in this way can be seen where the tooth needs to be investigated. Before contrast mammography imaging normal progress should be present.

Most are benign fluid secretion. Even after a bloody discharge is not always put malignant change. Is this so, but can only be determined after a closer inspection.

! Important: Although no abnormal cells are found in the nipple discharge must be simultaneously present at the node or suspicious findings on chest X-ray or Ultrschallbildern tissue sample (biopsy, usually as Stanzbiospie) is removed and examined histologically.

Apart from a few exceptions, such as abnormal cysts in a knot so that the histological examination of tissue samples for diagnosis is often required. This means that even a "solid", made of solid, non-liquid content of existing stove, which is not palpable, but seen in diagnostic imaging, should be clarified as a rule in tissue samples.

The tissue sample is usually obtained in the outpatient palpable findings by minimally invasive needle biopsy. Minimally invasive means that only a very small incision is required. Rare made a clarification on a short surgical procedure than open biopsy (diagnostic excisional biopsy). This happens, for example, questioned whether the suspect imaging findings, previous core biopsy, however, no clear conclusions brought, or if a minimally invasive intervention for some reason is not possible.

A fine needle is used today in the diagnosis of breast cyst aspiration essentially only for or maybe for the examination of lymph nodes in the armpit.

More for the diagnosis including mammography screening breast cancer contributions, chapter "Early detection and diagnosis," and - thematic - in other chapters of this post.