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Surgery

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Breast

Question
11 out of 93
 

Commonest cause of blood discharge from single duct of nipple is



A Duct carcinoma
B Duct papilloma

C Chronic cystic mastitis
D Cystosarcoma phylloides

Ans. B Duct papilloma (REF. SABISTON SURGERY 18TH EDN PG 1399-1402)

Duct papilloma

a. Blood discharge from multiple duct of nipple –ca Brest

b. Nipple discharge is common and is rarely associated with an underlying carcinoma. In the absence of a palpable mass or a suspicious mammogram, discharge is rarely associated with cancer.

c. A milky discharge from both breasts is termed galactorrhea. In the absence of lactation or a history of recent lactation, galactorrhea may be associated with increased production of prolactin.

d. Unilateral, Non milky discharge coming from one duct orifice is surgically significant and warrants special attention. However, the underlying cause is rarely a breast malignancy.

e. The most common cause of spontaneous nipple discharge from a single duct is a solitary intraductal papilloma in one of the large subareolar ducts under the nipple.

f. Subareolar duct ectasia producing inflammation and dilation of large collecting ducts under the nipple is common and usually involves discharge from multiple ducts.

g. Cancer is a very unusual cause of discharge in the absence of other signs.

Breast Flashcard List

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