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Re: Breast discharge From: DIB ABDALLA CHACUR (chacur@rol.com.br) Mon Oct 7 09:22:29 1996 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: DoctorJoe@aol.com: "Re: "...because they would drink my blood"" Previous message: DIB ABDALLA CHACUR: "Re: Breast discharge" Maybe in reply to: RICARDO FRANCALACCI SAVARIS: "Breast discharge" Dib Abdalla Chacur Teacher of Gynecology Campos School of Medicine Rua Barao de Miracema 237 Fone ( 0247 ) 23 1759 Campos RJ CEP 28 030 360 Brazil chacur@rol.com.br -- ---------- > From: Denise Sobel <dsobel@crl.com> > To: Multiple recipients of list <ob-gyn-l@listserv.bcm.tmc.edu> > Subject: Breast discharge > Date: Quinta-feira, 3 de Outubro de 1996 15:12 > > I have a client, age 45, who has been experiencing a clear discharge > from one breast. No pain. Did breast feed her two children. > Mammogram was normal. Any suggestions as to the next step > would be greatly appreciated. She has an HMO, and cannot get > in to the doctor for another 4 weeks. She is terrified. > > Denise Sobel, R.N. B.S.N. > dsobel@crl.com Dear colleague, I think that a clear discharge is an important signal, as the blood discharge. Is it from an unique duct or from several ducts? It appears only during the expression or without the expression too? We can not rely in a negative citology of breast dischage.We can rely only when positive. I do not agree with ductography, because the doubt will persist ( intraductal papiloma?intraductal carcinoma?) You have a normal mammogram but I will do a surgery ( exeresis of the duct ) in this patient. With my regards Dib Next message: DoctorJoe@aol.com: "Re: "...because they would drink my blood"" Previous message: DIB ABDALLA CHACUR: "Re: Breast discharge" Maybe in reply to: RICARDO FRANCALACCI SAVARIS: "Breast discharge"

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