Management of nipple discharge and the associated imaging findings

Bhavika Patel, Shannon Falcon, Jennifer Drukteinis

Research output: Contribution to journalReview article

19 Scopus citations

Abstract

Nipple discharge is commonly encountered by health care providers, accounting for 2%-5% of medical visits by women. Because nipple discharge is the presenting symptom in 5% to 12% of breast cancers, it causes considerable anxiety for both patient and providers. Furthermore, the work-up and management of nipple discharge can be confusing. Fortunately, the cause of nipple discharge is usually benign, so the primary goal of evaluation and management is separation of patients with pathologic causes of discharge from those with benign or physiologic causes. The evaluation of nipple discharge requires a thorough history, careful physical examination, and an informed approach that selects the most suitable diagnostic modality. Primary care providers, working with their radiologists and surgeons, are well positioned to design appropriate diagnostic and management protocols to assess and treat nipple discharge. A thoughtful and prudent approach to nipple discharge should alleviate patient anxiety by efficiently and effectively defining the underlying etiology.

Original languageEnglish (US)
Pages (from-to)353-360
Number of pages8
JournalAmerican Journal of Medicine
Volume128
Issue number4
DOIs
StatePublished - Apr 1 2015
Externally publishedYes

Keywords

  • Bloody nipple discharge
  • Breast cancer
  • Intraductal mass
  • Nipple discharge
  • Papilloma

ASJC Scopus subject areas

  • Medicine(all)

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