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nipple discharge
Posted by: annemaree
Date: May 1, 2001 1:34 PM

I am looking for some ideas on chronic nipple discharge, which is clear to serous in color. The Breast has shown no abnormality on ultrasound and mammogram.

RE: nipple discharge
Posted by: Ron Kennedy, M.D.
Date: May 2, 2001 2:44 PM

Most often, nipple discharge is normal and has nothing to do with breast cancer. The breasts' function is to produce milk, so they may occasionally release a small amount of fluid when they're manipulated, or at times of hormonal change - during puberty, pregnancy, or menopause. Women who have breast-fed may find that their breasts leak once in a while for years afterward. Discharge from the nipple is cause for concern when it's bloody, in one breast only, or spontaneous - that is, it occurs while you're sleeping or it just shows up in your bra. This could signal cancer, so you should see your doctor immediately. Still, even this form of discharge is generally not caused by cancer. Ninety percent of the time, damage to a milk duct or a harmless small growth is the cause. To find the cause, most doctors make a small incision and cut out the bleeding duct. Another cause for concern, though less common, is spontaneous, milky discharge from both breasts when you're not breastfeeding. A tumor in the pituitary gland can lead to such discharge because it can wrongly direct the gland to secrete prolactin, the hormone that provokes milk production. Most important, do regular self-exams. If you're premenopausal, you may find it easier to examine your breasts after your period, when the breasts are less tender and lumpy. But keying your self-exams to the beginning or end of each month is fine, too, as long as you're consistent.

RE: nipple discharge
Posted by: annemaree
Date: May 2, 2001 11:56 PM

thankyou. The discharge is normally only there if i squeeze the nippl, it is clear to yellowy ? serous, and only once have i noticed it spontaneous, when i was emotionally upset.
the u/s and mammo showed a group of dilated ducts to the nipple. I was pregnant a year ago and miscarried, i hadnt noticed this prior to the pregnancy, then again hadnt been looking.
Got concerned when it spontaneously discharged last week. It is fromone side and one duct.
thanks again

This Thread has been closed


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