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Benign causes of breast discharge like duct ectasia requires microdochectomy removal of one duct or total duct excision removal of all ducts. Physiologic discharge is usually bilateral, with clear fluid, involves multiple ducts and is non-sticky. If an abnormal, breast biopsy is performed. Nipple discharge is best managed by an interprofessional team including nurse practitioners. Affiliations 1 Drexel University College of Medicine. Systemic causes of nipple discharge require specific medications. National Center for Biotechnology Information , U.

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Benign Breast Disease in Women.

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Nipple discharge is not an uncommon complaint in the emergency department and can be benign physiologic discharge or a sign of a pathologic process. Prognosis Most nipple discharge is due to an intraductal papilloma and these patients have an excellent outcome when the lesion is excised. History and Physical The clinical history is most helpful in distinguishing benign from suspicious or pathologic nipple discharge. Physiologic discharge is usually bilateral, with clear fluid, involves multiple ducts and is non-sticky. Pathologic discharge is usually unilateral, spontaneous, varied in appearance, and depending on the cause, involves a single duct. Other relevant histories including a history of any breast problems, including breast biopsies, and surgical history e.

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