Patient's question:
Detailed medical condition and consultation purpose: Not married, had sex with boyfriend, today found a little milk leakage while massaging my breasts. How can this be happening when I've never been pregnant? Is this a disease? First follow-up question: No menstrual cycle, everything is normal.Doctor's answer:
During non-pregnancy and non-lactation periods, fluid leakage from the nipple when squeezed is called nipple discharge.Nipple discharge is one of the common symptoms of breast diseases. Statistics show that patients who visit clinics primarily due to nipple discharge account for 3% to 14% of breast disease cases, with a higher incidence rate only second to breast lumps and breast pain. If the nipple discharge is from a single nipple, it is often associated with the following breast conditions:
1. Duct ectasia
2. Intraductal papilloma
3. Breast cystic hyperplasia
4. Breast cancer.
In summary, nipple discharge is an important breast symptom, with 10% to 15% of cases potentially being breast cancer. It is essential to seek medical attention promptly if symptoms appear, undergo a smear cytology examination of the discharge. Near-infrared breast scanning has a positive diagnostic rate of 80% to 95% for ductal lesions in the areola. Ultrasound and mammography also provide comparable accuracy. Selective ductography is a commonly used examination method for nipple discharge, offering significant value in differentiating between benign and malignant conditions. It can also help physicians accurately locate the surgical excision area.