Underlying Breast Malignancy in Surgery — 45yo Woman | General Surgery | SMLE Q#16959
SMLE Question #16959
Surgery
General Surgery
Objective: OBJ-TRACH-EMERG-01
Last updated: February 2026
A 45-year-old woman attends a routine breast cancer screening visit. She reports intermittent nipple discharge and asks which discharge pattern is most concerning for an underlying breast malignancy. She is not pregnant or breastfeeding and has no fever or breast pain. Breast examination today shows no palpable mass and no skin or nipple retraction. Which type of nipple discharge should worry her the most?
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