Updated: 4/30/2015

Nipple Discharge

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  • Introduction
    • Types
      • milk (galactorrhea)
        • physical stimulation of nipple
          • e.g. sexual intercourse
        • ↑ prolactin
          • e.g. prolactinoma
        • primary hypothyroidism
          • secondary to ↑ thyrotropin-releasing factor (TRF)
          • TRF acts to ↑ prolactin
        • drugs
        • often bilateral
      • greenish/brown
        • mammary duct ectasia
      • purulent
        • acute mastitis
      • bloody
        • ductal cancer (older women)
        • intraductal papilloma (young women)

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