Topic: Nipple Discharge

Forum: Not Diagnosed But Worried — For those who are experiencing symptoms or received concerning test results, but haven't been diagnosed with breast cancer.

Posted on: Jul 29, 2017 06:43AM

Posted on: Jul 29, 2017 06:43AM

djmammo wrote:

from the American College of Radiology

"Nipple discharge is a common complaint that leads patients to breast imaging evaluation. At least 80% of women will experience at least 1 episode of nipple discharge during their reproductive years. Nipple discharge is the third most common breast complaint after breast pain and breast mass, with a prevalence of 4.8% to 7.4%, and accounts for 5% of all breast symptoms. It is categorized as physiologic or pathologic.

Pathologic nipple discharge tends to be unilateral, from a single duct orifice, spontaneous, and serous or bloodstained. Nipple discharge that exhibits any one of these features may be considered pathologic.

Physiologic nipple discharge tends to be bilateral, from multiple duct orifices, and white, green, or yellow in color. In a study by Goskel et al, nonspontaneous nipple discharge, which was frequently colored or milky, was differentiated from spontaneous nipple discharge, which was considered pathologic. In this study, none of the patients with nonspontaneous nipple discharge developed cancer on follow-up examination. In another study by Bahl et al, no in situ or invasive cancers were found in patients whose nipple discharge did not exhibit any of the pathologic features. If patient history and physical examinations demonstrate physiologic nipple discharge and routine screening mammography is up to date, no radiologic investigation is needed.

Board Certified Diagnostic Radiologist specializing in Breast Imaging. Contact me at DJMammo@gmail.com
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Dec 23, 2020 12:07AM hazelb712 wrote:

Hi everyone,

I posted nearly a year ago about the bloody discharge from my right nipple, now I am back... it stopped for a while, had one episode of bleeding in July, and starting from Nov, the bleeding became worsening. It happened so randomly, sometimes spontaneous sometimes need to squeeze out. The color is always dark, almost black but with blood in the discharge. See breast surgeon again, and decided a surgery date for nipple exploration and central duct exercision. Surgeon and OBGYN keep reassuring me and try their bests to make the surgery happen during this pandemic. I am a nervous wreck and prepare myself for the worst scenario. Surgery time is next Monday. I will comeback after that ...

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Dec 23, 2020 12:15AM hazelb712 wrote:

Hi DJMammo,

I hope all is well. I am going to take the nipple exploration and central duct excision next Monday, and I am so worried about the surgery and biopsy (since the breast surgeon said a breast tissue behind nipple is going to be taken for pathology). I know it’s a stupid question, but will it be possible that lump/mass was too small to detect on MRI likely a year ago and now it might be the case). Thanks so mich

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Dec 23, 2020 04:43AM livinlife wrote:

Just want to wish you well Monday! Glad you checked back in and posted! I'm uncertain about the MRI missing a lump due to being so small. I certainly know the MRI cannot always tell what things are. In my case it actually noticed a larger area than the diagnostic mammogram though could not differentiate or even convey what the larger area consisted of. That happened during the final pathology from surgery. Do what you can to relax and enjoy these next several days. Of course that will be difficult too...

with expansive comedo necrosis & weak ER/PR Dx 7/2020, DCIS, Left, 2cm, Stage 0, Grade 3, 0/1 nodes, ER+/PR+ Surgery 8/30/2020 Mastectomy; Mastectomy (Left); Prophylactic mastectomy; Prophylactic mastectomy (Right)
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Dec 30, 2020 08:38PM gh0st wrote:

I saw my gyno last week about bloody discharge and pain in my right nipple (had been going on for 2wks at that point but I've had bouts of serous and bloody discharge for years, just none lasting so long), then had a mammogram & ultrasound today which showed nothing of interest, except that I have dense breasts. I'm 38 so this was my first mammogram. The radiologist recommended I get an MRI since they couldn't visualize anything and are still concerned. I have an appointment with a breast surgeon Jan 8. Hopefully I can get the MRI done first. I was reading something about Pagets Disease of the Breast....which sounds exactly like what I'm experiencing. I don't like relying on Google cos it's Google....but the shoe certainly fits in this case.

I'm not really scared of a cancer diagnosis....but I will say I'm terrified of losing a boob. Health problems have already taken so much in my life....so I'm really hoping I get to keep both my girls.

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Dec 31, 2020 04:25PM moderators wrote:

gh0st, we understand the anxiety. Just one day and one step at a time.We are here for you, and please keep us posted and let us know how we can best be here for you.


To send a PM to the Mods: community.breastcancer.org/my/...
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Jan 1, 2021 08:06AM livinlife wrote:

Welcome gh0st! I'm glad the radiologist recommended an MRI! It definitely sounds like you're dealing with something concerning.... Yes, as the Mods said please keep us updated....

with expansive comedo necrosis & weak ER/PR Dx 7/2020, DCIS, Left, 2cm, Stage 0, Grade 3, 0/1 nodes, ER+/PR+ Surgery 8/30/2020 Mastectomy; Mastectomy (Left); Prophylactic mastectomy; Prophylactic mastectomy (Right)
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Mar 31, 2021 06:03PM brooklynbikemama wrote:

I'm 35 and I have brown discharge from one breast about 1-year out from finishing breast feeding my second kiddo. My GYN tested and it contains blood. I have a mammogram and ultrasound tomorrow afternoon and an appointment with a breast specialist next week. I'm familiar with papillomas and DCIS and I suppose I'm just wondering what to expect from imaging. Will I have any idea what's going on after that? Is there any chance that it's just nothing? I was planning to start trying to conceive my last kiddo in the next month, but those plans are obviously on hold until I know more. I have an egg freezing consult just in case.

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Apr 1, 2021 09:22AM moderators wrote:

Dear brooklynbikemama,

Welcome to the BCO community. We are sorry that these changes in your breast health have brought you here. We are glad that you reached out. Check out this link to resources that address Common Imaging Questions and Concerns and other issues that confront those who are not diagnosed but dealing with a change in their breast. Keep us posted on what you learn from your mammogram and ultrasound. Let us know how we can assist you with finding support and helpful information here.

The Mods

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Apr 5, 2021 06:14AM brooklynbikemama wrote:

Update:

  • Mammogram found a 1cm unrelated (I think) mass that they couldn’t rule out via ultrasound so my biopsy is on Friday
  • Mammo and ultrasound couldn’t find anything re: discharge so now its wait for the specialist to advise whether to look into it
  • Egg freeze consult tomorrow

We had a lovely Easter <

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Apr 5, 2021 10:33AM moderators wrote:

Dear brooklynbikemama,

Thanks for checking back and letting us know. We are thinking of you and sending you our best wishes for our biopsy on Friday. Keep us posted.

The Mods

To send a PM to the Mods: community.breastcancer.org/my/...

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