Approach to nipple discharge Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 37-year-old nulliparous woman presents to the clinic for evaluation of intermittent bloody discharge from her left nipple for the past two weeks. The breast has not been tender, but she has noticed that her left nipple is enlarged. She is otherwise healthy and does not take any medication. Vitals are within normal limits. Physical examination of the left breast reveals a retroareolar mass on palpation that is nontender, and a retracted nipple. Bloody discharge is expressed from the left nipple. There is no axillary lymphadenopathy. Mammogram shows dilated linear branching densities in the left subareolar region with ductal calcifications. Core needle biopsy shows foamy histiocytes with luminal secretions within the wall of epithelial ducts. Which of the following is the most likely diagnosis?

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