Nipple Discharge

Question 1

serous nipple discharge is most likely what?

Answer 1

benign fibrocystic changes

Question 2

bloody discharge from nipples is most likely from what condition?

Answer 2

neoplastic papilloma or carcinoma

Question 3

if nipple discharge is bilateral it is most likely what type of etiology?

Answer 3

Endocrine

Question 4

two types of FCC causes in the non lactating woman of nipple discharge?

Answer 4

Duct Ectasia
Intraductal papilloma

Question 5

if a non lactating woman has milky discharge and you suspect hyperprolactinemia, what labs should you run?

Answer 5

serum prolactin (to rule out pituitary tumor)
TSH (to rule out hyperthyroidism)

*antipsychotic meds would also elevate prolactin levels

Question 6

Oral contraceptives and estrogen replacement could cause what type of discharge from your nipples?

Answer 6

clear, serous, or milky discharge

Question 7

what type of discharge from nipples would you see in a breast abscess?

Answer 7

purulent discharge

Question 8

how often should someone with nipple discharge be reexamined if workup does not show malignancy?

Answer 8

every 3 to 4 months for a year