Topic: Unilateral bloody/clear discharge, clear mammo & US..?

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: Apr 22, 2022 03:29PM

Posted on: Apr 22, 2022 03:29PM

helenm wrote:

Hi all,

I am 36, no kids, have never breastfed, but am in early menopause, a symptom of a condition called primary ovarian failure.

I was referred to a breast center by my OBGyn given unilateral nipple discharge for the past 5 weeks and thickening around my nipple. The discharge is mostly yellow & sticky with a few strains of blood but sometimes is mostly if not all blood. While I do have a little spontaneous discharge (on my bra, on shirt while I sleep, etc) there’s much more when I squeeze. Ive been taking photos every few days to track changes

I have long suspected all to be related to my complicated and all-over-place hormones. I had a mammogram and US this morning that were clear. When I met with the breast surgeon later in the afternoon he seemed ready to give the all-clear until he saw my nipple, the discharge stains on my gown, the photos of the bloody discharge, and the scaly rash on my nipple. He seemed a little alarmed and asked me to come back for an MRI and to meet with a genetic counselor next week. He suggested that some surgeons might opt for an immediate duct excision surgery but he advised against pending the results of the MRI and given I’ve only had symptoms for a few months.

Might anyone have any similar experience? Am I mistaken to hold off on the duct excision surgery? Is there anything I should be doing that I’m not now? I still think this is all hormone related but the fact it’s unilateral, bloody, spontaneous, etc. has me down a google spiral.


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Apr 22, 2022 05:01PM b-a-p wrote:

hi there. Sorry you’ve had to deal with this. I had clear, then bloody d/c and staining in my bras. I had my duct excised and there was a papilloma and dcis in that duct. But I did have breast cancer all over as well.

Good luck !

Dx 8/17/2018, IDC, Left, Stage IV, metastasized to liver, ER+/PR+, HER2- Chemotherapy 9/18/2018 Cytoxan (cyclophosphamide), Ellence (epirubicin), Fluorouracil (5-fluorouracil, 5-FU, Adrucil) Surgery 2/26/2019 Mastectomy; Mastectomy (Left); Mastectomy (Right) Radiation Therapy 4/29/2019 Whole breast: Breast, Lymph nodes, Chest wall Targeted Therapy 10/1/2021 Ibrance (palbociclib) Dx IDC, Stage IV, metastasized to liver, ER+/PR-, HER2- Chemotherapy Abraxane (albumin-bound or nab-paclitaxel) Hormonal Therapy Femara (letrozole) Hormonal Therapy Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone) Surgery Hormonal Therapy 10/1/2022 Faslodex (fulvestrant), Femara (letrozole), Tamoxifen pills (Nolvadex, Apo-Tamox, Tamofen, Tamone)
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Apr 23, 2022 05:21PM wondering44 wrote:

I had a clear yellow (serous) discharge from my nipple that was not spontaneous, so I didn't note it until after I found a lump and had a mammogram and ultrasound. I ended up with DCIS and IDC.

I was unaware of what duct excised surgeries are for until this year. I would have passed on one because I did not understand the reasoning. Moving forward today, I would agree to do it.

Ultimately, the decision is yours to make. The MRI results should be quick. A few days between typically does not make a difference to cancer except for peace of mind.

Surgery 8/18/2021 Lymph node removal (Right): Sentinel; Mastectomy (Right): Nipple Sparing Dx DCIS, Right, 1cm, Stage 0, Grade 2, ER+/PR+, HER2- Dx DCIS, Right, 6cm+, Stage 0, Grade 3, ER+/PR+, HER2- Dx IDC, Right, 2cm, Grade 2, ER+/PR+, HER2- Dx IDC, Right, 6cm+, Grade 3, ER+/PR+, HER2- Surgery 8/31/2022 Mastectomy (Left): Skin Sparing; Mastectomy (Right): Skin Sparing

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