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  • GALACTORRHOEA – Prolactin >1000 mIU/L

  • DRUGS

  • DUCT ECTASIA – Dilatation and shortening of the terminal ducts within 3cm of the nipple) – CREAMY DISCHARGE. CAN HAVE RETRACTED NIPPLES

  • DUCT PAPILLOMAS – BLOODY OR SEROUS.

    • SOLITARY / MULTIPLE / JUVENILE

    • RARELY CAN HAVE MULTIPLE PAPILLOMAS. PRESENT AS A MASS. HAVE MALIGNANT POTENTIAL IF THEY HAVE ATYPICAL HYPERPLASIA

  • DCIS – 33% OF IN SITU CAN HAVE NIPPLE DISCHARGE

  • INVASIVE CANCERS – V. RARE

  • REASSURE

  • MICRODOCHECTOMY

  • TOTAL DUCT EXCISION - divide all ducts under the nipple and breast tissues up to a depth of 2 cm. Usually done for periductal mastitis

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