Which hormone should be checked for nipple discharge?

Patient's question:

I have galactorrhea for two years. I have had a prolactin test, and the result was normal. I suspect it is due to abnormal hormone levels.

Doctor's answer:

Nipple discharge is an important breast symptom, with 10% to 15% of cases potentially being breast cancer. If symptoms appear, it is important to seek medical attention promptly for a nipple discharge smear cytology examination. Near-infrared breast scanning has a positive diagnostic rate of 80% to 95% for lesions in the areola ducts. Ultrasound and mammography also have comparable accuracy. Selective lesion ductography is a commonly used examination method for nipple discharge and holds significant value in differentiating between benign and malignant conditions. For your situation, it is recommended to undergo the aforementioned examinations at a regular hospital's gynecology department for a definitive diagnosis and subsequent treatment.

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