Posted by starting from IP 76.169.65.71 on March 27, 2008 at 20:54:22:
A 38-year-old, gravida III, para III woman comes to your office because of a 1-week history of intermittent nipple discharge from her left and right breasts. She denies any pain or masses on self-examination. Her past medical history is unremarkable. She has had three normal vaginal deliveries and breastfed all her children without complications. The youngest child is now 10 years old. She has normal menstrual cycles, and her last withdrawal bleed was 2 weeks ago. On examination, there are no obvious breast masses. A small amount of serosanguineous fluid is expressed from the right and left breasts. You explain to the patient additional testing, including mammography and a biopsy, may be required to determine the cause of the discharge. Which of the following benign conditions is most commonly associated with nipple discharge?
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A. Acute mastitis
B. Fibroadenoma
C. Fibrocystic changes of the breast
D. Intraductal papilloma
E. Invasive ductal carcinoma