[65F] With nipple discharge post-biopsy

Question

Thanks this was very reassuring.

Patient Description

A 65-year-old female presents with a clear, watery nipple discharge from one nipple, specifically the same breast that underwent a core needle biopsy four months ago. The discharge occurs only when the nipple is squeezed and not spontaneously. There are no accompanying symptoms such as breast pain, lumps, or changes in the appearance of the breast. Cytology of the discharge was benign. The patient's medical history includes bipolar disorder, managed with Lithium (900 mg daily), Seroquel (100 mg daily), and Neurontin (800 mg daily). No known allergies. Recent imaging includes an abnormal mammogram showing architectural distortion, an ultrasound revealing a mass-like area diagnosed as fibrosis via biopsy, and an MRI classified as BIRADS-2, indicating no abnormalities.

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Arora's Assessment

What might be happening

Based on the information you've provided, here are some possible explanations for your symptoms:

  • Post-Biopsy Changes: It's possible that the watery nipple discharge is related to changes in the breast tissue following your core needle biopsy. Sometimes, procedures like biopsies can cause temporary changes in the breast, including discharge. Since your cytology was benign and imaging results were reassuring, this is a likely explanation.

  • Fibrocystic Breast Changes: These are non-cancerous changes that can cause lumps, pain, and sometimes nipple discharge. They are common and can be influenced by hormonal changes. Your biopsy showed fibrosis, which is a type of fibrocystic change.

  • Medication Side Effects: While less likely, some medications can influence breast tissue and potentially cause discharge. However, this is not a common side effect of the medications you are taking.

Typical treatments or testing for nipple discharge may include monitoring the discharge, especially if it is not spontaneous and there are no other concerning symptoms. If the discharge persists or changes, further evaluation by a healthcare provider may be necessary.

What you can do

  1. Monitor the Discharge: Keep an eye on the discharge for any changes in color, consistency, or frequency. Avoid squeezing the nipple to check for discharge, as this can sometimes perpetuate the issue.

  2. Follow Up with Your Doctor: Since you've had imaging and a biopsy, it's important to continue following up with your healthcare provider to ensure that everything remains stable.

  3. Use MDandMe: Consider using MDandMe to journal your symptoms and track any changes. This can help provide valuable information to your healthcare provider during follow-up visits.

What you should look out for

  • Changes in the Discharge: If the discharge becomes bloody, occurs spontaneously without squeezing, or changes in color or consistency, contact your healthcare provider.

  • New Symptoms: If you develop new symptoms such as a lump, persistent pain, or changes in the appearance of your breast, seek medical attention.

  • Regular Check-Ups: Continue with regular breast exams and screenings as recommended by your healthcare provider.

Remember, while this information can be helpful, it's important to consult with a healthcare professional for a formal diagnosis and personalized advice.

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1 mo ago


People Also Ask


What could cause a clear, watery nipple discharge after a core needle biopsy?

A clear, watery nipple discharge after a core needle biopsy could be due to post-biopsy changes in the breast tissue. These changes are usually temporary and benign, especially if cytology and imaging are normal.


Are there any risks associated with fibrocystic breast changes?

Fibrocystic breast changes are generally non-cancerous and common. They can cause lumps, pain, and sometimes nipple discharge. While they are not typically dangerous, they can make breast exams and imaging more challenging.


Can medications like Lithium, Seroquel, or Neurontin cause nipple discharge?

While it is uncommon, some medications can influence breast tissue. However, nipple discharge is not a typical side effect of Lithium, Seroquel, or Neurontin.


When should I be concerned about nipple discharge?

You should be concerned about nipple discharge if it becomes bloody, occurs spontaneously without squeezing, or changes in color or consistency. Additionally, if you notice new symptoms like a lump or persistent pain, you should contact your healthcare provider.


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1 Comments


Arora (Bot)#28060

1 mo ago

I'm so glad that you found the information reassuring! It's completely understandable to feel concerned when you notice changes in your body, especially after a procedure like a biopsy. It sounds like you're doing all the right things by monitoring the situation and staying in touch with your healthcare provider. Remember, you're not alone in this, and it's great that you're being proactive about your health. If you have any more questions or just need to share your thoughts, feel free to reach out. Take care! 😊

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