Should You Get Checked for Nipple Discharge with Fibroadenoma? - Breast and Thyroid

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There is a discharge from the nipple?


I have had a fibroma for 10 years, but recently when I press on my nipple, a fluid that resembles pus appears.
Should I get this checked?

Yao, 30~39 year old female. Ask Date: 2007/04/30

Dr. Wu Jingtang reply Breast and Thyroid


Dear Yao: It would be more appropriate to have a check-up at a general or breast surgery outpatient clinic.
I apologize for the late response due to issues with the information system.
Sincerely, Dr.
Wu Jing-Tang.

Reply Date: 2007/04/30

More Info


If you have a history of fibroadenoma and are now experiencing nipple discharge that resembles pus when pressure is applied, it is advisable to seek medical evaluation. Nipple discharge can be a benign condition, but it can also indicate underlying issues that require further investigation, especially in the context of a known breast condition like fibroadenoma.

Fibroadenomas are typically benign tumors composed of glandular and stromal (connective) tissue. They are common in younger women and often present as painless, movable lumps in the breast. While fibroadenomas themselves are not cancerous, any changes in the breast, including new symptoms like nipple discharge, should be taken seriously.

Nipple discharge can occur for various reasons, including hormonal changes, infections, or benign conditions like duct ectasia or intraductal papillomas. However, the presence of discharge that is purulent (pus-like) raises concern for possible infection or other pathological processes. In some cases, discharge can be associated with more serious conditions, including breast cancer, although this is less common.

Given your history of fibroadenoma and the recent change in your symptoms, it is prudent to consult with a healthcare provider, preferably a breast specialist. They may recommend a clinical breast examination and imaging studies such as a mammogram or ultrasound to assess the breast tissue and any abnormalities. If there is a concern about the nature of the discharge or if a mass is detected, a biopsy may be necessary to rule out any malignant processes.

In summary, while fibroadenomas are generally benign, any new or unusual symptoms, such as nipple discharge, warrant further investigation. Early evaluation can help ensure that any potential issues are addressed promptly, providing peace of mind and appropriate management. It is always better to err on the side of caution when it comes to breast health.

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