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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