Treatments and drugs
By Mayo Clinic staffMammary duct ectasia often improves without treatment. If your symptoms are bothersome, however, treatment options may include:
- Antibiotics. Your doctor may prescribe a 10- to 14-day course of antibiotics to treat any infection caused by mammary duct ectasia. Even if your symptoms greatly improve or disappear completely, it's important to take the entire course of medication. While waiting for the antibiotics to take effect, you may want to take a mild pain reliever, such as acetaminophen (Tylenol, others) or ibuprofen (Advil, Motrin IB, others), as needed for breast discomfort. Follow your doctor's recommendation on which pain reliever is best for you.
- Surgery. If antibiotics and self-care methods don't work, the affected milk duct may be surgically removed. This procedure is done through a tiny incision at the edge of the colored tissue around your nipple (areola). However, surgery rarely is needed for mammary duct ectasia.
References
- Non-cancerous breast conditions. American Cancer Society. http://www.cancer.org/acs/groups/cid/documents/webcontent/003180-pdf.pdf. Accessed April 24, 2012.
- Hari S, et al. Bilateral severe mammary duct ectasia. Acta Radiologica. 2007;48:398.
- Understanding breast changes: A health guide for women. National Cancer Institute. http://www.cancer.gov/cancertopics/screening/understanding-breast-changes/page1/AllPages. Accessed April 24, 2012.
- Rosen PP. Rosen's Breast Pathology. 3rd ed. Philadelphia, Pa.: Lippincott Williams & Wilkins; 2009:33.
- Guray M, et al. Benign breast diseases: Classification, diagnosis, and management. The Oncologist. 2006;11:435.
- Santen RJ, et al. Benign breast disorders. New England Journal of Medicine. 2005;353:275.
- Miltenberg DM, et al. Benign breast disease. Obstetrics and Gynecology Clinics of North America. 2008;35:285.
- Pruthi S (expert opinion). Mayo Clinic, Rochester, Minn. May 10, 2012.


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