How is nipple discharge treated?

Patient's question:

Since 2005, bilateral nipple discharge of clear fluid and mammary hyperplasia.

Doctor's answer:

Nipple discharge can occur in many non-lactating women, with the most common cause being intraductal papilloma, followed by breast cystic disease and breast duct ectasia. Approximately 15% of cases are malignant. It is important to note that not all nipple discharge requires surgical treatment. The key lies in understanding the cause of nipple discharge and being vigilant about the possibility of breast cancer. The diagnosis of nipple discharge is relatively difficult, and patients must seek medical attention at a specialized hospital. The main diagnostic methods include breast ultrasound, cytological examination of the discharge, and ductography. Hospitals with the necessary conditions may also perform ductal endoscopy. Treatment should be determined after the cause is identified. For cases that cannot be diagnosed immediately, follow-up observation can be conducted with the exclusion of cancer.

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