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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had Drops Of Red Blood From Breast. Diagnosed As Dilated Milk Duct In Breast. Any Alternate Suggestion?

I had some very slight drops of red blood from one breast. My dr says I have a 3.4 dilated milk duct in my breast based on a mamo and ultra sound . She does not seem overly concerned as I have no family history of breast cancer but she wants to do a major duct excision. I am reluctant and and have been looking for alternatives. Any suggestions?
Mon, 30 Sep 2013
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Oncologist, Surgical,  's  Response
I would have liked to know other things about you like your age, number of children, whether they were breast fed or not. Anyways, even with no increased risk i would like to do a cytology of the discharge ( the discharge is smeared on a glass slide and seen under a microscope by a pathologist). If that is absolutely normal, then you can follow up with your doctor, initially at monthly intervals and later 3 monthly till the discharge persists. At each visit, repeat the mammo and cytology. At any time any of the reports show even a suspicion of cancer, i would suggest you immediately get the duct excision done.
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Had Drops Of Red Blood From Breast. Diagnosed As Dilated Milk Duct In Breast. Any Alternate Suggestion?

I would have liked to know other things about you like your age, number of children, whether they were breast fed or not. Anyways, even with no increased risk i would like to do a cytology of the discharge ( the discharge is smeared on a glass slide and seen under a microscope by a pathologist). If that is absolutely normal, then you can follow up with your doctor, initially at monthly intervals and later 3 monthly till the discharge persists. At each visit, repeat the mammo and cytology. At any time any of the reports show even a suspicion of cancer, i would suggest you immediately get the duct excision done.