Routine Breast Cancer Screening in Medicine / Internal Medicine — 46yo Woman | Oncology | SMLE Q#17844

SMLE Question #17844

Medicine / Internal Medicine Oncology

Objective: OBJ-BC-001

Last updated: February 2026
A 46-year-old woman attends a primary care clinic for routine breast cancer screening. She has no breast pain, fever, recent trauma, or pregnancy/breastfeeding. She asks which nipple discharge patterns should prompt urgent diagnostic evaluation for possible malignancy. Which discharge pattern is most concerning?

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