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Canberra Consulting and Operating
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Hornsby /Westmead
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Nipple discharge refers to the presence of fluid coming out of the nipple. It can be caused by a variety of factors, including hormonal changes, infection, injury, or breast cancer. The discharge can be unilateral (from one breast) or bilateral (from both breasts) and may vary in colour and consistency.
Nipple discharge can occur from one breast (unilateral) or both breasts (bilateral). Unilateral nipple discharge is more concerning and may indicate the presence of a breast lump or cancer. Bilateral nipple discharge is often due to a benign cause, such as hormonal changes or medication use.
Clear nipple discharge is usually not a cause for concern and is often due to hormonal changes. It may also be caused by medication use, pregnancy, or breastfeeding. However, clear nipple discharge can sometimes be a sign of breast cancer or a benign breast condition, so further evaluation is recommended if it persists.
Brown nipple discharge can be a sign of a benign breast condition, such as a papilloma or fibrocystic changes. It can also be a sign of breast cancer. Brown nipple discharge is more concerning if it is associated with a breast lump or if it is bloody.
Black nipple discharge is uncommon but can be a sign of a rare condition called mammary duct ectasia. This condition occurs when the milk ducts in the breast become inflamed and clogged. Mammary duct ectasia can cause a thick, black, or greenish discharge from the nipple.
Bloody nipple discharge is a concerning symptom and may indicate the presence of breast cancer. It can also be caused by a benign breast condition, such as a papilloma or fibrocystic changes. If the discharge is persistent or occurs spontaneously, further evaluation is necessary.
Nipple discharge that is associated with pain or a breast lump is more concerning and may indicate the presence of breast cancer. It is important to seek medical attention if you notice any of these symptoms.
Evaluation of nipple discharge typically includes a physical examination, imaging studies (such as a mammogram or breast ultrasound), and possibly a biopsy of the breast tissue. These tests can help determine the underlying cause of the discharge and whether it is benign or malignant.
The management of nipple discharge depends on the underlying cause. If the discharge is due to a benign condition, such as hormonal changes or medication use, it may not require any treatment. If the discharge is persistent or associated with a breast lump or cancer, surgery may be necessary. Surgery may involve removal of the breast tissue (mastectomy) or removal of the milk ducts (microdochectomy).
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Westmead Private Hospital (Operating),
Cnr Mons and Darcy Rds, Westmead, NSW 2145
Northern Surgical Oncology, Sydney Adventist Hospital Suite 404, 185 Fox Valley Rd Wahroonga NSW
Calvary Bruce Private Hospital,
30 Mary Potter Cct, Bruce ACT 2617,
Hornsby Whitehouse Medical Centre,
104 Balmoral Street, Hornsby 2077
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