Clinical Quick Quiz – What is the diagnosis of this intermittent crusting and serous discharge from the nipple?

Dr Susannah Graham

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Dr Susannah Graham

Breast Surgeon, Chris O'Brien Lifehouse; Member of Breast Surgeons of Australia and New Zealand

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Dr Susannah Graham

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Patient:

A 46-year-old woman presents with a several-month history of persistent changes affecting her right nipple. She has noticed intermittent crusting and serous discharge from the nipple, with mild itch but no significant pain. She has not noticed a breast lump.

She has never undergone breast imaging and has no family history of breast or ovarian cancer.

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What is the most appropriate next step in managing this patient?

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Dr Susannah Graham

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Dr Susannah Graham

Breast Surgeon, Chris O'Brien Lifehouse; Member of Breast Surgeons of Australia and New Zealand

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