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Nipple discharge from (A) multiple ducts (physiologic) and (B) a single duct (pathologic).
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- Nipple discharge is common and can be physiologic
- History and physical examination can distinguish physiologic from pathologic nipple discharge
- Patients with pathologic nipple discharge should be referred for imaging to exclude carcinoma
- All cases of pathologic nipple discharge need tissue diagnosis
- Milky discharge in patients who are not pregnant or lactating (galactorrhea) is often due to medications
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