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10-Apr-2020 00:32

The patient who is curious to check for discharge may cause continuous mechanical stimulation and as a consequence, have production of fluid.

Women are advised to avoid checking themselves for discharge since benign discharge may resolve when the nipple is left alone.

Nipple discharge is the third most common complaint among women after breast pain or a breast mass.

Up to 50% of women in their reproductive years can express one or more drops of fluid from the breast. Nevertheless, it does raise the concern about two uncommon but serious conditions. Common Features: • Unilateral or bilateral discharge • Cycle variation • Induced or spontaneous discharge • Discharge may be clear, serous, milky, yellow, green, pink or slightly bloody, brown or black (old blood) • Discharge may originate from one or multiple ducts Normal/Benign Discharge: During pregnancy and up to two years after delivery nipple discharge is normal and milky in nature.

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It may lead to nipple inversion and may present with serosanguineous and thick nipple discharge.Up to 60% of nipple discharges associated with ductal ectasia containing bacteria.Ductal ectasia does not indicate a predisposition to cancer.The presence of multiple papillomas is referred to as papillomatosis. Papillomas usually affect women from 35- 50 years of age. The papilloma usually involves a single duct and is present in one breast.

Although not considered a true precursor of cancer, women with papillomas may be at a slightly higher lifetime risk for carcinoma (5%).

This is due to the possibility of the coexistence of other proliferative lesions.