Malignancy in Obstetrics & Gynecology — 46yo Woman | General Gynecology | SMLE Q#18830

SMLE Question #18830

Obstetrics & Gynecology General Gynecology

Objective: OBJ-ETH-STERIL

Last updated: March 2026
A 46-year-old woman attends a primary care clinic and asks about nipple discharge patterns that warrant urgent assessment for malignancy. She is not pregnant or breastfeeding and reports no breast pain, fever, or recent trauma. Breast examination shows no skin erythema, warmth, or tenderness, and no palpable mass. Which pattern of nipple discharge is most worrisome?

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