A 65-year-old woman presents to the GP with a blood-stained discharge from her left nipple. She has no breast lump on examination. She is postmenopaus...

Question

A 65-year-old woman presents to the GP with a blood-stained discharge from her left nipple. She has no breast lump on examination. She is postmenopausal and not on HRT. Which is the single most appropriate action?

Accepted Answer

Refer on a suspected cancer pathway (2-week wait) for assessment of the spontaneous blood-stained nipple discharge

Answer

Reassure and review in 3 months

Answer

Prescribe oral antibiotics

Answer

Arrange a mammogram in primary care before deciding on referral

Answer

Prescribe topical oestrogen cream to the nipple

uk-drcog MCQ (SBA): Blood-Stained Nipple Discharge

A 65-year-old woman presents to the GP with a blood-stained discharge from her left nipple. She has no breast lump on examination. She is postmenopausal and not on HRT. Which is the single most appropriate action?