Q:

A 45 year old woman presents with discharge from the left nipple. The discharge is brownish- green and foul smelling. What is the most likely diagnosis?

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A 45 year old woman presents with discharge from the left nipple. The discharge is brownish- green and foul smelling. What is the most likely diagnosis?


  1. Duct papilloma
  2. Intra-ductal papilloma
  3. Duct ectasia
  4. Mammary duct fistula
  5. Breast abscess

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The key is C. Duct ectasia. [Women near menopause are more affected by duct ectasia characterized by brown, green or cheesy discharge. This condition is harmless and tends to clear up without treatment].

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