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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Could Cause Breast Discharge?

I am 36 years old and had cervical cancer when I was 28. I have followed up for my paps and they are all clear. I have a family history of breast cancel. I had a baby 17 years ago. I have resently been lactating out of my left breast millky white. I do not believe I am pregnant. I have had a chronic cough and some shooting pain over my heart a couple of times in the last month. I also have had a pin head couple of bumps on my inside of my cheeks of my mouth. I have had the same sexual partner for 16 years. I had a mamogram 5 years ago and all was fine. Do you think the halo test would be good for me along with another mammogram. I am not obese about average height and weight but have been more sedentary in the last year due to sitting at job on computer.
posted on Fri, 14 Mar 2014
Twitter Thu, 4 Jan 2018 Answered on
Twitter Fri, 5 Jan 2018 Last reviewed on
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Oncologist 's  Response
HI

Nipple discharge is a normal part of breast function during pregnancy or breast-feeding. It also may be associated with menstrual hormone changes and fibrocystic changes. The milky discharge after breast-feeding will normally affect both breasts and can continue for up to two or three years after stopping nursing.

A papilloma is a noncancerous (benign) tumor that can be associated with bloody discharge. It appears spontaneously and involves a single duct. Although the bloody discharge may resolve on its own, this situation requires evaluation with an ultrasound of the area behind the nipple and areola. If the ultrasound shows a lesion within a milk duct, you may need a biopsy to confirm that it's a papilloma or to exclude a cancer.

Often, nipple discharge stems from a benign condition. However, breast cancer is a possibility, especially if:

You have a lump in your breast
Only one breast is affected
The discharge contains blood
The discharge is spontaneous and persistent
The discharge affects only a single duct
Possible causes of nipple discharge include:

Abscess
Birth control pills
Breast cancer
Breast infection
Ductal carcinoma in situ (DCIS)
Endocrine disorders
Excessive breast stimulation
Fibrocystic breasts
Galactorrhea
Injury or trauma to the breast
Intraductal papilloma
Mammary duct ectasia
Medication use
Menstrual cycle hormone changes
Paget's disease of the breast
Periductal mastitis
Pregnancy and breast-feeding
Prolactinoma
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What Could Cause Breast Discharge?

HI Nipple discharge is a normal part of breast function during pregnancy or breast-feeding. It also may be associated with menstrual hormone changes and fibrocystic changes. The milky discharge after breast-feeding will normally affect both breasts and can continue for up to two or three years after stopping nursing. A papilloma is a noncancerous (benign) tumor that can be associated with bloody discharge. It appears spontaneously and involves a single duct. Although the bloody discharge may resolve on its own, this situation requires evaluation with an ultrasound of the area behind the nipple and areola. If the ultrasound shows a lesion within a milk duct, you may need a biopsy to confirm that it s a papilloma or to exclude a cancer. Often, nipple discharge stems from a benign condition. However, breast cancer is a possibility, especially if: You have a lump in your breast Only one breast is affected The discharge contains blood The discharge is spontaneous and persistent The discharge affects only a single duct Possible causes of nipple discharge include: Abscess Birth control pills Breast cancer Breast infection Ductal carcinoma in situ (DCIS) Endocrine disorders Excessive breast stimulation Fibrocystic breasts Galactorrhea Injury or trauma to the breast Intraductal papilloma Mammary duct ectasia Medication use Menstrual cycle hormone changes Paget s disease of the breast Periductal mastitis Pregnancy and breast-feeding Prolactinoma