No Significant Past Medical in Obstetrics & Gynecology — Case | General Gynecology | SMLE Q#17061
SMLE Question #17061
Obstetrics & Gynecology
General Gynecology
Objective: OBJ-ETH-STERIL
Last updated: February 2026
A 52-year-old premenopausal woman with no significant past medical history comes for a routine health maintenance visit. She reports no breast mass, pain, skin changes, or nipple discharge. She performs monthly breast self-exams and asks about warning signs of breast cancer, specifically regarding nipple discharge. Breast examination shows no palpable masses, nipple inversion, skin changes, or expressed discharge. Which nipple discharge pattern would be most concerning for malignancy and should prompt urgent evaluation?
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