Breast Disorders Benign 2

 

3.2 Nipple Discharge

 

This  occurance  in  a  non-lactating  female  is  a   disturbing

complaint  for the patient.  
If it is a blood colored  discharge,

it  needs  follow up.  
If there is no palpable lump  and  nothing

detected  on a mammogram.  
There may be a small pappiloma in  one

of the ducts.  If the discharge is from both nipples it should be

investigated for hormone levels especially prolactin.

 

3.3 GYNECOMASTIA

This term refers to the development of female type breast  tissue

in pubertal boys it is seen frequently between the ages of  13-17

years.   This  disappears and is treated by  reassurance.   Where

this  occurs on both sides a cause must be looked for. Among  the

areas to be investigated are:

   1.  Liver for function(estrogen levels can be high in cirrhosis

   2.  Exogenous estrogen intake

   3.  External genitalia(for any signs of ambiguity of

       genitalia or testicular tumours)

 

If no cause is found and there is pain or  
the size is large surgical excision is required

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