A 59-year-old woman consults a gynecologist for a spontaneous, spontaneous, uniorificial discharge from the right nipple (unilateral) without palpable nodularity. What is the most likely diagnosis?
The correct answer is 2. In the presence of unilateral and uniorificial hematic telorrhea, the most frequent cause is intraductal papilloma (50%), followed by ductal ectasia and carcinoma. When associated with palpable mass, 60% correspond to carcinoma. Paget's disease is of the eczematous type. In hyperprolactinemia, telorrhea is bilateral and pluriorificial. Mammography often does not show papillomas, being more useful ultrasound and galactography.
Given the hematic nature of the discharge, the most likely diagnosis is infiltrating ductal carcinoma.
Intraductal papilloma.
Paget's disease of the nipple.
Tumor hyperprolactinemia.
Mammography will indicate the diagnosis.
When associated with palpable mass, 60% correspond to carcinoma.
In the presence of unilateral and uniorificial hematic telorrhea, the most frequent cause is intraductal papilloma (50%),
Paget's disease is of the eczematous type.
In hyperprolactinemia, telorrhea is bilateral and pluriorificial.
Mammography often does not show papillomas, being more useful ultrasound and galactography.