2 Weeks Of Nipple in Obstetrics & Gynecology — 44yo Woman | General Gynecology | SMLE Q#18008

SMLE Question #18008

Obstetrics & Gynecology General Gynecology

Objective: OBJ-118

Last updated: February 2026
A 44-year-old woman presents to a primary care clinic with 2 weeks of nipple discharge. She is not pregnant and last breastfed many years ago. She has no fever, breast pain, or recent breast trauma. She has no history of pituitary disease and is not taking antipsychotics or metoclopramide. Breast examination shows no erythema, warmth, or palpable mass. Which type of nipple discharge is most concerning and warrants further evaluation for possible malignancy?

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