NEED severe help with a case question

6/16/2015 9:13:21 AM
65 yr old women presents with unilateral bloody nipple discharge. mammogram is negative. No other symptoms.

What is most likely diagnosis?

A) Intraductal papilloma
B) Carcinoma
C) Ductal ectasia
D)Paget's Disease

I know it's either A or B, but the negative mammogram, the bloody nipple discharge and the age really screw with my head a lot.


6/16/2015 3:14:00 PM
i feel like it's A


6/18/2015 11:28:54 AM
salomon708 wrote:
i feel like it's A


Its A, bloody nipple discharge is always due to intraductal papilloma. That's only clue you will get in a question.


6/18/2015 12:08:54 PM
But doesn't the chance of malignancy increase with age, especially in elderly patients?


6/19/2015 2:05:07 PM
iik916 wrote:
salomon708 wrote:
i feel like it's A


Its A, bloody nipple discharge is always due to intraductal papilloma. That's only clue you will get in a question.


Thank you very much for your answer. Really appreciate it.

What about if there is a pt. with unilateral renal artery stenosis? Would you treat the patient with medication or do surgery with angioplasty?


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