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Practice

Nipple discharge

Sasha Mazzarello and Angel Arnaout
CMAJ May 19, 2015 187 (8) 599; DOI: https://doi.org/10.1503/cmaj.140633
Sasha Mazzarello
Division of General Surgery (Arnaout), The Ottawa Hospital — General Campus, Ottawa, Ont.; Medical Oncology (Mazzarello), The Ottawa Hospital Cancer Centre, Ottawa, Ont.
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Angel Arnaout
Division of General Surgery (Arnaout), The Ottawa Hospital — General Campus, Ottawa, Ont.; Medical Oncology (Mazzarello), The Ottawa Hospital Cancer Centre, Ottawa, Ont.
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  • For correspondence: anarnaout@toh.on.ca
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    Figure 1:

    Nipple discharge from (A) multiple ducts (physiologic) and (B) a single duct (pathologic).

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Canadian Medical Association Journal: 187 (8)
CMAJ
Vol. 187, Issue 8
19 May 2015
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Nipple discharge
Sasha Mazzarello, Angel Arnaout
CMAJ May 2015, 187 (8) 599; DOI: 10.1503/cmaj.140633

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Nipple discharge
Sasha Mazzarello, Angel Arnaout
CMAJ May 2015, 187 (8) 599; DOI: 10.1503/cmaj.140633
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  • Article
    • 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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