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What Causes Dark Brownish Sticky Discharge From Nipple?

Posted on Tue, 3 Feb 2015

Question: Yes I hope so I have a dark brownish discharge from my nipple it is quite sticky what is it

Answered by Dr. Srilatha Myaka (28 minutes later)

Brief Answer:
need more info.

Detailed Answer:
hi there
good day
i would like to know some info before going to further discussion

1.tell me about your marital age and children status.
2.Did you breast feed you children?
3.Any family history of cancer?
4.kindly upload your mammogram report
5.Any history of fever?
6.Are you having smoking history?
7.Are you on any hormonal replacement therapy?

regards
Dr sree

Above answer was peer-reviewed by : Dr. Shanthi.E

Follow up: Dr. Srilatha Myaka (1 hour later)

I got married when I was 19yrs old I have 4 children I breastfed, no fever,have never smoked not on HRT I am 62yrs old now.
There is no breast cancer in my family and i can't send you my mammogram but I assure you there were no problems. I would like some scenarious other wise you are wasting my time

Answered by Dr. Srilatha Myaka (4 hours later)

Brief Answer:
Consider getting nipple discharge cytology done.

Detailed Answer:
Hi there
Good day
I can understand your concern.
Thank you for providing the necessary information.
I am very happy to know that you don't have risk factors for breast cancer.

In my opinion all the cancers abnormalities can not be detected in mammogram.

I suggest you to consider doing cytology for the breast discharge which might throw some light on diagnosis of this condition.

In total breast cancer cases above 50 yrs of age 10%-20% of cases can be missed in mammography.

In a condition called intra-ductal papilloma there will be discharge with sticky and blood stained. This is a non-cancerous condition.

Kindly evaluate this condition with further investigations like.
1. cytology of discharge (As mentioned)
2. Ultrasound of Breast
3. Blood work ups like a Comprehensive Blood count and a Liver Function Test.

regards
Dr Srilatha

Above answer was peer-reviewed by : Dr. Vinay Bhardwaj

Follow up: Dr. Srilatha Myaka (16 hours later)

I have had ultrasound of breast it was also clear. I will go to my doctor again with your report, and hope he follows up on it. Could you please tell me the treatment of untra-ductal papilloma? And I thank you so much for your advice I am feeling more confidant now.
Regards XXXXXXX

Answered by Dr. Srilatha Myaka (2 hours later)

Brief Answer:
intraductal papilloma can treated with minor surgical procedure

Detailed Answer:
Hi XXXXXXX
Good day

i am very happy that you are feeling very confident and comfortable.

i am also feeling very happy to know that ultra sound report is normal.

in my opinion conditions like intra ductal papilloma can be treated by excision of the some part breast tissue using local anesthesia or more advanced vacuum device to remove faulty duct.

But first diagnosis need to be established.

For Diagnosis cytology of the discharge is very important.

kindly discuss with your specialist for further assessment and treatment.

regards
Dr srilatha
gynecologist

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Above answer was peer-reviewed by : Dr. Shanthi.E