A woman comes to the clinic reporting a cream-colored nipple discharge with the consistency of toothpaste. On examination, the area below the areola is red and slightly swollen, with tortuous tubular swelling
The nurse interprets these findings as suggestive of which of the following? A) Fibrocystic breast disorder
B) Intraductal papilloma
C) Duct ectasia
D) Fibroadenoma
C
Response:
Duct ectasia is manifested by nipple discharge, which can be green, brown, straw-colored, red, gray, or cream-colored and the consistency of toothpaste. Subareolar redness and swelling can be noted, along with tortuous tubular swellings beneath the areola. Fibrocystic breast disorder is characterized by lumpy, tender breasts with possible clear to yellow nipple discharge. Intraductal papilloma is manifested by a wart-like growth in the mammary ducts near the nipple that is soft, nontender, mobile, and poorly delineated. A serous, serosanguinous, or watery discharge from the nipple may occur. Fibroadenoma is characterized by a firm, rubbery, well-circumscribed, freely mobile mass, usually located in the upper outer quadrant of the breast.
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