FNA should be done on solid masses by clinicians adequately trained in the procedure. If FNA is nondiagnostic, inconsistent with mammogram, or breast exam an open biopsy is indicated. Refer to breast clinic and FU in continuity clinic. Previous mammogram results. Recommendations for subsequent studies and follow up and that the patient understands the need for follow up studies.
Significant discharge is unilateral, spontaneous, nonlactational, and bloody.
The finding of a dominant breast mass increases the likelihood of malignacy. Purulent Discharge Infections such as mastitis, advanced duct ectasia. Green, multicolored,sticky discharge Most common cause is ductal ectasia . The ducts produce an irritating fluid that results in periductal inflammation, nipple eversion, and sometimes a mass. Often bilateral and accompanied by burning or itching.