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Breast Cancer/continuing brown nipple discharge
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Question
I expressed some brown/rust discharge from my left nipple last November. A smear test of the of the nipple fluid found atypical cells. A small cyst was aspirated near my nipple at 12:00, no other palpable mass, but many enlarged ducts. I will have a follow up exam in 6 months, but my breast surgeon insisted that I let him know if there are any changes before then--he suggested "If in a month, you are still seeing the discharge, give me a call."
My questions, if the cyst has caused the issue, should the discharge stop when the cyst is aspirated? (I have expressed the same discharge once since it was aspirated just over a month ago--I've only tried once...)
Also, what else could cause the atypical cells with no palpable mass? Thank you in advance.
I doubt that your cyst was responsible for this condition. I do suggest a galactogram of the breast in question (a mammography with x-ray contrast injected into the milk duct that produces your discharge). If anything abnormal is seen there a surgical biopsy of that area should be done! These things are probably what your doctor has in mind. Good luck!
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Answers by Expert:
Claes-Gustaf Nordquist, M.D.
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I`m a doctor of medicine and a specialist in radiation therapy and medical oncology. I have long experience in diagnostics and treatment of breast tumours.
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I'm a Doctor of Medicine and specialist in Medical Oncology and Radiation Therapy educated & trained in Sweden. Now retired. Background in Radiation Therapy, Medical Oncology, Radiation Protection, Nuclear Medicine, Diagnostic Radiology, Gynecological Oncology, Clinical Pathology, Clinical Cytology,Hematology and Internal Medicine. M.D. from the faculty of medicine, Royal Karolinska Institute, Stockholm, Sweden. Have also been an exchange student at the Hebrew University, Hadassah Medical School, Jerusalem Israel. Former medical consultant, Swedish National Board of Radiation Protection. Former Police Surgeon and Medical Examiner, Stockholm Police Department. Former Chief Medical Officer, The Royal Guards, The Royal Horse Guards and the Royal Household Brigade, Royal Swedish Army Medical Corps.You can also reach me on: http://www.lifestylerescue.com/expert/health-fitness-advice/dr-claes-gustaf/128 I have no restrictions on the number of questions there.
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