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Re: black breast discharge

From: lynn (anonymous@obgyn.net)
Thu, 7 Aug 2003 11:34:58 -0500 (CDT)

At Wed, 17 Oct 2001, Hannah Brooks, MD wrote: >
>It sounds benign if it was bilateral. It may be that it's slowing
>down and it will stop. The galactorgram was done to see if there was
>a small lesion within the duct--I assume it was done to the duct that
>is still draining. It is pretty accurate, but not done commonly
>anymore. Sometimes, a duct excision of the offending duct is
>performed and a tiny papilloma (benign) is found. Still, I don't
>think in your case these is a growth since you did start out with
>bialteral discharge--which is more likely a hormonal or medication
>change and less likely die to a specific abnormality within a breast
>duct...Speak to your doctor if the discharge persists.
>Hannah Brooks,MD,FACS
>
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>Originally From: angelsweet67@hotmail.com (Judy)
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>Subject: Re: black breast discharge
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>Date: 10/17/2001 04:43am
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>Thank you for writting to me.
>The discharge was dirrectly tested. The was no presense of blood.
>And
>there was no infecion of any type.
>
>When the discharge first started it was in both breasts. That
>continued
>for about 3 months. Now it is in only one breast. It looks like it
>comes from only one duct.
>
>I have had mamograms done, ultrasounds, and also a goloctogram. (not
>sure how to spell that.)
>
>At Tue, 16 Oct 2001, Hannah Brooks, MD wrote:
>>
>>Dear Judy-
>>The presence of a black sticky discharge can actually be found in
>>some women without hormonal imbalance. Also, there are many hormonal
>>changes that can lead to breast discharge (i.e. not necessarily just
>>the estrogens). The color of the discharge is usually related to cell
>>debris--for example, the discharge may appear dark if there is old,
>>sloughed blood in the mix. Also, if there is associated infection,
>>certain bacteria cause a discharge to have a particular color.
>>You have not indicated if the discharge you have is from one or both
>>breasts. If from one side, is it only from once area, or does it come
>>from many duct openings? Has it been tested directly? Cultured?
>>Slides reviewed? What imaging tests have you had? What tests were
>>done that were 'negative?' Some of these are questions you should
>>bring to your doctors attention. It is OK to want answers to your
>>condition. You may have a benign, chronic discharge for awhile, but
>>it would certainly allay your fears if you knew all more serious
>>possibilities had been considered and ruled out. Good luck.
>>Hannah Brooks, MD,FACS
>>
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>>Originally From: angelsweet67@hotmail.com (Judy)
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>>Subject: black breast discharge
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>>Date: 10/13/2001 02:20pm
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>>I am 34 years old. For the past 2 years I have been having a black
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>>discharge coming from my breast. I have had many tests done. They
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>>all
>>come up Neg. I am now having other gyn problems. I have heard that
>>sometimes a black breast discharge could have something to do with
>>hormonal imbalances. Is this true? If so, which hormone would cause
>>this? Lack of or to much of?? Thanks.

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