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Re: Breast dischargeFrom: Gail Waldby MD (gwaldby@iw.net)Thu Oct 3 19:41:18 1996
> > I have been taught in medical school and by surgeons locally that > breast paps are not indicated. The assessment of a breast discharge > should include a close inspection to see how many ductules it is > coming from - a single one may be cause from concern, whereas multiple > egress is not, assuming the rest of the exam is normal. > > -- > Paul Prior MD pprior@fast.net Home deliveries: > PGY-III Ob/Gyn ok for pizzas > TRHMC-Reading, PA not for babies I am a general surgeon who does a lot of gynecology (which is why I subscribe to the list). I also do a lot of breast surgery. I would not do a Pap on the discharge--it will not give you any meaningful information. Bloody discharge is, of course, the most worrisome, but clear discharge is also worrisome. Cloudy, green, or milky discharge is not worrisome. I would do a mammogram. I would then excise the draining ducts. We do this by running a lacrimal probe (very fine probe) down the draining duct and excising around it. Most malpractice carriers would not be happy with a 4 week wait to even see a doctor for a breast problem. This is one of the most litiginous areas of medicine at the moment.
-- Gail Waldby, MD Huron Clinic Huron SD
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